Management of persistent wide QRS in flecainide overdose with magnesium sulphate

Emerg Med J. 2010 Jun;27(6):487-8. doi: 10.1136/emj.2009.081075.

Abstract

Magnesium sulphate was added to conventional medical therapy in the treatment of persistent severe hypotension and wide QRS complex tachyarrhythmia in an 18-year-old woman presenting with a 1200 mg flecainide overdose. Blood pressure was restored with associated resolution of the electrocardiogram abnormalities.

MeSH terms

  • Adolescent
  • Anti-Arrhythmia Agents / poisoning*
  • Drug Overdose / drug therapy
  • Electrocardiography
  • Female
  • Flecainide / poisoning*
  • Humans
  • Hypotension / chemically induced
  • Hypotension / drug therapy*
  • Magnesium Sulfate / therapeutic use*
  • Suicide, Attempted
  • Tachycardia / chemically induced
  • Tachycardia / drug therapy*

Substances

  • Anti-Arrhythmia Agents
  • Magnesium Sulfate
  • Flecainide