CASH as a mnemonic for indications of sodium bicarbonate for sodium channel blocker intoxication
We read with interest the article “Flecainide Overdose Causing a Brugada-Type Pattern on Electrocardiogram in a Previously Well Patient ” and would like to raise a few comments. We would take issue with the use of magnesium as the first-line treatment for ventricular tachycardia induced by flecainide overdose and disagree with the authors' comment that administration of sodium bicarbonate is unwarranted. Magnesium is normally the drug of choice for treating torsade de pointes but not ventricular tachycardia induced by sodium channel blocker . Injudicious use of intravenous magnesium may give rise to magnesium toxicity such as hypotension, heart block, areflexia, and respiratory depression. (Source: The American Journal of Emergency Medicine)div id=medwormpbiMedWorm Message:/i/b Please support the a href=http://www.doctorsinchains.org/ target=_blankDoctors In Chains/a campaign for the a href=http://www.doctorsinchains.org/medics/a tortured and sentenced for up to 15 years in a href=http://www.doctorsinchains.org/Bahrain/a. a href=https://twitter.com/#!/search/%23FreeDoctors#FreeDoctors/a/p/div

Flecainide Suppresses Defibrillator‐Induced Storming in Catecholaminergic Polymorphic Ventricular Tachycardia
We describe the case of a 14‐year‐old boy with CPVT caused by a calsequestrin‐2 mutation, who presented with defibrillator‐induced storming refractory to β‐blockers, calcium‐channel blockers, amiodarone, and dronedarone. Flecainide and β‐blocker use suppressed incessant VT and defibrillator‐induced storming. (PACE 2012;XX:e1–e4) (Source: Pacing and Clinical Electrophysiology : PACE)