Flecainde and hospital observation? May 24, 2019 02:52PM |
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Re: Flecainde and hospital observation? May 24, 2019 06:26PM |
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Re: Flecainde and hospital observation? May 24, 2019 07:34PM |
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Re: Flecainde and hospital observation? May 24, 2019 07:43PM |
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Re: Flecainde and hospital observation? May 24, 2019 08:04PM |
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Re: Flecainde and hospital observation? May 24, 2019 08:24PM |
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Quote
bkimura
From the American College of Cardiology
“When starting a patient on flecainide, it is prudent to do a treadmill stress test after the patient is fully loaded.”
I suspect this is why they want me to return for a stress test after week 2 and ramping up to 100mg. (I think it’s to check the QRS duration)
I may be mistaken on the echo but they definitely mentioned a stress test.
Re: Flecainde and hospital observation? May 24, 2019 10:04PM |
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Re: Flecainde and hospital observation? May 25, 2019 04:37AM |
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Re: Flecainde and hospital observation? May 25, 2019 04:51AM |
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Quote
wolfpack
Propafenone and Flecainide, the “first line” anti-arrhythmics, are often started outside of a hospital setting. They don’t prolong the QT interval, which is the main reason to put a patient under 48 or 72 hour observation. A prolonged QT interval carries a risk for ventricular arrhythmia, which is bad. Now, if a patient has significant co-morbidities or the starting dose is a maximum one, then the prescribing physician may elect for a hospital setting.
Quote
Carey
Okay, so I was wrong that it's not protocol, but that's not a protocol followed much these days. Your docs are just being super careful, which is a good thing.
Re: Flecainde and hospital observation? May 25, 2019 07:11PM |
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Re: Flecainde and hospital observation? May 26, 2019 03:54AM |
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Re: Flecainde and hospital observation? May 26, 2019 11:24AM |
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Re: Flecainde and hospital observation? May 26, 2019 02:48PM |
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Re: Flecainde and hospital observation? May 26, 2019 03:59PM |
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