Issue: 2019 > June > case report

Renal failure, shock, and loss of pacemaker capture: A case of flecainide intoxication

M. Heldens, G.A.M. van der Nat, P.G. Melman
AbstractFull textPDF


Flecainide intoxication is a severe intoxication that can lead to cardiogenic shock. We report on a 68-year-old female patient, who presented with a flecainide intoxication in the setting of renal failure. She was managed with invasive supportive therapy at the ICU and infusion of sodium bicarbonate and intravenous lipid emulsion (ILE, intralipid 20%), after which she made a complete recovery.