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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1990-4-16
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pubmed:abstractText |
After suicidal ingestion of 3 g flecainide a 34-year-old woman showed somnolence, cerebral convulsion, disturbances of atrioventricular and intraventricular conduction and ventricular asystole. The maximum flecainide plasma level was 4900 ng/ml; this level is extremely high and exceeds the maximum therapeutic level by five times. After initial cardiopulmonary resuscitation and stabilization by intensive care treatment we performed a combined hemodialysis/hemoperfusion therapy (with activated charcoal). This procedure led to a rapid decrease of flecainide plasma levels and simultaneous improvement of ECG-alterations. The initial decrease in flecainide plasma levels during extracorporeal elimination occurred much quicker (4.5-8.5 h plasma halflife) than the spontaneous decrease rate of flecainide in humans (12-20 h plasma half-life). We conclude that, perhaps, hemodialysis/hemoperfusion therapy is an efficient method for decreasing toxic plasma levels of flecainide and for improvement of the clinical course of this intoxication.
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pubmed:language |
ger
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
0300-5860
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
79
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
54-9
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2107645-Adult,
pubmed-meshheading:2107645-Electrocardiography,
pubmed-meshheading:2107645-Female,
pubmed-meshheading:2107645-Flecainide,
pubmed-meshheading:2107645-Heart Arrest,
pubmed-meshheading:2107645-Hemoperfusion,
pubmed-meshheading:2107645-Humans,
pubmed-meshheading:2107645-Overdose,
pubmed-meshheading:2107645-Renal Dialysis,
pubmed-meshheading:2107645-Suicide, Attempted
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pubmed:year |
1990
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pubmed:articleTitle |
[Successful treatment of flecainide (Tambocor) poisoning--effect of hemodialysis/hemoperfusion?].
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pubmed:affiliation |
Medizinische Klinik und Poliklinik, Klinikum der Universität (GHS), Essen.
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pubmed:publicationType |
Journal Article,
English Abstract,
Case Reports
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