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Flecainide : This is a potentially dangerous Na channel blocker which can cause ventricular dysrhythmias including ventricular fibrillation. It is possible that her disease has progressed to the point where she cannot be kept in sinus rhythm, but it is worth a try. She is already anti-coagulated, so that is not an issue.
The diagnostic coronary angiogram identified only minimal coronary artery disease, but there was a severely calcified, ‘immobile’ aorticvalve. Aortic angiogram did not reveal aortic dissection. If you see this, you should Doppler the valve. Aorticvalve surgery as an emergency procedure.
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