Sudden Cardiac Arrest Triggered by Coadministration of Fluconazole and Amiodarone

Cardiology. 2017;137(2):92-95. doi: 10.1159/000455825. Epub 2017 Feb 9.

Abstract

Fluconazole for fungal infections and amiodarone for arrhythmia are commonly prescribed medications, and coadministration of such medications is sometimes inevitable in clinical practice. However, both medications have been associated with prolonged QTc intervals and subsequent arrhythmias, which are sometimes fatal. We present the case of a 75-year-old man with sudden cardiac arrest triggered by coadministration of fluconazole and amiodarone, which raises the need for caution regarding coadministration of these medications. To our knowledge, this case has not been previously described.

Keywords: Amiodarone; Cardiac arrest; Fluconazole.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Amiodarone / administration & dosage
  • Amiodarone / adverse effects*
  • Arrhythmias, Cardiac / drug therapy*
  • Candidiasis / drug therapy*
  • Death, Sudden, Cardiac / etiology*
  • Drug Therapy, Combination / adverse effects
  • Electrocardiography
  • Fluconazole / administration & dosage
  • Fluconazole / adverse effects*
  • Humans
  • Male

Substances

  • Fluconazole
  • Amiodarone