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Iatrogenic Flecainide toxicity
  1. Richard Bond,
  2. Daniel Augustine,
  3. Stuart Walker
  1. Musgrove Park Hospital, Taunton, UK
  1. Correspondence to Dr Richard Bond; Musgrove Park Hospital, Taunton, Somerset, TA1 5DA, UK; richardcbond{at}

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An 83-year-old woman with paroxysmal atrial fibrillation, treated with Flecainide 150 mg twice a day, was admitted with increasing confusion, hallucinations and collapse, but without chest pain. On examination, she was confused, with slurred speech, hypotensive (blood pressure (BP) 84/60) and a regular pulse of 90 bpm. Her admission ECG is shown in figure 1 …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; not externally peer reviewed.