Article
Gating-dependent mechanisms for flecainide action in SCN5A-linked arrhythmia syndromes.
Circulation - 4 Sept 2001
Viswanathan P C, Bezzina C R, George A L, Roden D M, Wilde A A, Balser J R
Abstract excerpt
BACKGROUND: Mutations in the cardiac sodium (Na) channel gene (SCN5A) give rise to the congenital long-QT syndrome (LQT3) and the Brugada syndrome. Na channel blockade by antiarrhythmic drugs improves the QT interval prolongation in LQT3 but worsens the Brugada syndrome ST-segment elevation. Although Na channel blockade has been proposed as a treatment for LQT3, flecainide also evokes "Brugada-like" ST-segment...
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