An irregular, extremely broad QRS complex rhythm.

Am J Emerg Med

Department of cardiology, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium. Electronic address:

Published: October 2019

We report a case of a 74-year-old lady admitted to the emergency department with a very broad QRS complex caused by flecainide intoxication due to acute renal failure. Appropriate recognition of the ECG changes and symptoms provoked by flecainide intoxication permitted quick directed treatment with intravenous administration of high dose sodium bicarbonate, which resolved the QRS elongation.

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http://dx.doi.org/10.1016/j.ajem.2019.158356DOI Listing

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