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A misguided ‘pill in the pocket’ approach with flecainide leading to cardiac arrest
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  1. Daniel Kiblboeck1,
  2. Michael Braeuer-Mocker2,
  3. Peter Siostrzonek1,
  4. Johann Reisinger1
  1. 1Department of Cardiology, Hospital of the Sisters of Charity Linz (Krankenhaus Barmherzige Schwestern), Linz, Austria
  2. 2Department of Anaesthesiology, Hospital of the Sisters of Charity Linz (Krankenhaus Barmherzige Schwestern), Linz, Austria
  1. Correspondence to Dr Daniel Kiblboeck, daniel.kiblboeck{at}bhs.at

https://doi.org/10.1136/bcr-2012-006868

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    Description

    A 67-year-old woman was initially complaining of breathlessness and had a single syncope before she went into cardiac arrest. First monitored rhythm was a slow pulseless electrical activity. Return of spontaneous circulation was achieved by cardiopulmonary resuscitation within 20 min. The ECG on admission to the intensive care unit showed an irregular rhythm due to intermittent high-degree atrioventricular block with very broad QRS …

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