Page last updated: 2024-10-27

flecainide and Death, Sudden

flecainide has been researched along with Death, Sudden in 11 studies

Flecainide: A potent anti-arrhythmia agent, effective in a wide range of ventricular and atrial ARRHYTHMIAS and TACHYCARDIAS.
flecainide : A monocarboxylic acid amide obtained by formal condensation of the carboxy group of 2,5-bis(2,2,2-trifluoroethoxy)benzoic acid with the primary amino group of piperidin-2-ylmethylamine. An antiarrhythmic agent used (in the form of its acetate salt) to prevent and treat tachyarrhythmia (abnormal fast rhythm of the heart).

Death, Sudden: The abrupt cessation of all vital bodily functions, manifested by the permanent loss of total cerebral, respiratory, and cardiovascular functions.

Research Excerpts

ExcerptRelevanceReference
" The Cardiac Arrhythmia Suppression Trial (CAST) is evaluating the effect of antiarrhythmic therapy (encainide, flecainide, or moricizine) in patients with asymptomatic or mildly symptomatic ventricular arrhythmia (six or more ventricular premature beats per hour) after myocardial infarction."9.06Preliminary report: effect of encainide and flecainide on mortality in a randomized trial of arrhythmia suppression after myocardial infarction. ( , 1989)
" This study assessed in 1,330 patients followed up for 292 +/- 393 days the predictive value for cardiovascular safety of a system by which patients were classified according to ventricular arrhythmias on entry, presence or absence of organic heart disease and drug dose for flecainide acetate."7.67Classification by type of ventricular arrhythmia predicts frequency of adverse cardiac events from flecainide. ( Anderson, JL; Gentzkow, GD; Morganroth, J, 1986)
" Seven additional postinfarction dogs with noninducible tachycardia during pretreatment programmed stimulation, and thereby considered to be at "low risk" for the development of ischemic ventricular fibrillation, were also given flecainide in an intravenous loading and maintenance dosing regimen."5.27Effect of flecainide acetate on prevention of electrical induction of ventricular tachycardia and occurrence of ischemic ventricular fibrillation during the early postmyocardial infarction period: evaluation in a conscious canine model of sudden death. ( DiCarlo, L; Kou, WH; Lucchesi, BR; Lynch, JJ; Montgomery, DG; Nelson, SD, 1987)
" The Cardiac Arrhythmia Suppression Trial (CAST) is evaluating the effect of antiarrhythmic therapy (encainide, flecainide, or moricizine) in patients with asymptomatic or mildly symptomatic ventricular arrhythmia (six or more ventricular premature beats per hour) after myocardial infarction."5.06Preliminary report: effect of encainide and flecainide on mortality in a randomized trial of arrhythmia suppression after myocardial infarction. ( , 1989)
" This study assessed in 1,330 patients followed up for 292 +/- 393 days the predictive value for cardiovascular safety of a system by which patients were classified according to ventricular arrhythmias on entry, presence or absence of organic heart disease and drug dose for flecainide acetate."3.67Classification by type of ventricular arrhythmia predicts frequency of adverse cardiac events from flecainide. ( Anderson, JL; Gentzkow, GD; Morganroth, J, 1986)
"Many sudden deaths are presumed to be due to an arrhythmia, but the drugs best known for antiarrhythmic activity, the local anesthetic agents, have not been suitable prophylactic agents because of their toxicities and other undesirable pharmacologic characteristics."2.65Selection of an antiarrhythmic drug for a sudden-death-prevention trial. ( Duff, HJ; Oates, JA; Roden, DM; Woosley, RL, 1982)
" If side effects intervene that may cause continued therapy to be intolerable, changing the antiarrhythmic agent, as opposed to decreasing the dosage to an ineffective range, may be appropriate."1.27New directions in antiarrhythmic drug therapy. ( Somberg, JC, 1984)
" Seven additional postinfarction dogs with noninducible tachycardia during pretreatment programmed stimulation, and thereby considered to be at "low risk" for the development of ischemic ventricular fibrillation, were also given flecainide in an intravenous loading and maintenance dosing regimen."1.27Effect of flecainide acetate on prevention of electrical induction of ventricular tachycardia and occurrence of ischemic ventricular fibrillation during the early postmyocardial infarction period: evaluation in a conscious canine model of sudden death. ( DiCarlo, L; Kou, WH; Lucchesi, BR; Lynch, JJ; Montgomery, DG; Nelson, SD, 1987)

Research

Studies (11)

TimeframeStudies, this research(%)All Research%
pre-19908 (72.73)18.7374
1990's3 (27.27)18.2507
2000's0 (0.00)29.6817
2010's0 (0.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Somberg, JC1
Woosley, RL1
Roden, DM1
Duff, HJ1
Oates, JA1
Reid, PR1
Griffith, LS1
Platia, EV1
Ord, SE1
Evers, J1
Eichelbaum, M1
Kroemer, HK1
Fish, FA1
Gillette, PC1
Benson, DW1
Furlanello, F1
Farré, J1
Brugada, P1
Ruskin, JN1
Kou, WH1
Nelson, SD1
Lynch, JJ1
Montgomery, DG1
DiCarlo, L1
Lucchesi, BR1
Morganroth, J1
Anderson, JL1
Gentzkow, GD1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
[NCT00000526]Phase 30 participants Interventional1986-08-31Completed
Can Global Peak Longitudinal Strain Measurements in Combination With Non-invasive ECG Parameters Predict the Success or Failure of Flecainide Treatment for Atrial Fibrillation Patients?[NCT05084495]100 participants (Anticipated)Observational2022-02-01Recruiting
Catheter Ablation for Ventricular Tachycardia in Patients With an Implantable Cardioverter Defibrillator (CALYPSO) PILOT TRIAL[NCT01576042]27 participants (Actual)Interventional2012-05-31Terminated (stopped due to Main objectives of the study were met; consensus among investigators that continuing the study would not add new information beyond that already learned.)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Cardiovascular Hospitalizations

Records participants hospitalized for VT during the study (NCT01576042)
Timeframe: Baseline, 6 months

Interventionparticipants (Number)
Catheter Ablation5
Antiarrhythmic Medication7

Number of Participants Completed Month 3 Follow-Up

Records participants who completed Month 3 Follow-Up Visit (NCT01576042)
Timeframe: 3 months

Interventionparticipants (Number)
Catheter Ablation11
Antiarrhythmic Medication12

Number of Participants Completed Month 6 Follow-Up

Records participants who completed Month 6 Follow-Up Visit (NCT01576042)
Timeframe: 6 Months

Interventionparticipants (Number)
Catheter Ablation7
Antiarrhythmic Medication10

Number of Participants Had at Least One of the Efficacy Outcome Measurement

Records participants who had at least one of the efficacy outcome measurement (including death, hospitalization due to VT) (NCT01576042)
Timeframe: 6 Months

Interventionparticipants (Number)
Catheter Ablation11
Antiarrhythmic Medication14

Number of Participants Received Treatment Assigned

Records participants who received study randomized treatment during the study (NCT01576042)
Timeframe: 6 months

Interventionparticipants (Number)
Catheter Ablation11
Antiarrhythmic Medication14

Number of Participants Remained on Randomized Treatment Assignment

Records participants who only received study treatment as randomized during the entire study (NCT01576042)
Timeframe: 6 month

Interventionparticipants (Number)
Catheter Ablation6
Antiarrhythmic Medication13

Number of Participants Switched to Other Arm

Records participants who received study treatment as randomized and later switched to other treatment arm during the study (NCT01576042)
Timeframe: 6 months

Interventionparticipants (Number)
Catheter Ablation5
Antiarrhythmic Medication1

Time to First Recurrent ICD Therapy for VT

Days from the date of the first study treatment to the date of first ICD recurrent therapy for VT. (NCT01576042)
Timeframe: Baseline, 6 months

InterventionDays (Mean)
Catheter Ablation70.1
Antiarrhythmic Medication78.7

Reviews

1 review available for flecainide and Death, Sudden

ArticleYear
[Postinfarct ventricular extrasystole and the use of anti-arrhythmic drugs: a danger anticipated by electrophysiologists].
    Revista espanola de cardiologia, 1989, Volume: 42, Issue:8

    Topics: Anti-Arrhythmia Agents; Cardiac Complexes, Premature; Death, Sudden; Electrophysiology; Flecainide;

1989

Trials

3 trials available for flecainide and Death, Sudden

ArticleYear
Selection of an antiarrhythmic drug for a sudden-death-prevention trial.
    American heart journal, 1982, Volume: 103, Issue:4 Pt 2

    Topics: Acecainide; Amiodarone; Anilides; Anti-Arrhythmia Agents; Aprindine; Arrhythmias, Cardiac; Benzeneac

1982
[Cardiac arrhythmia suppression trial (CAST)].
    Giornale italiano di cardiologia, 1990, Volume: 20, Issue:2

    Topics: Anti-Arrhythmia Agents; Arrhythmias, Cardiac; Clinical Trials as Topic; Death, Sudden; Flecainide; H

1990
Preliminary report: effect of encainide and flecainide on mortality in a randomized trial of arrhythmia suppression after myocardial infarction.
    The New England journal of medicine, 1989, 08-10, Volume: 321, Issue:6

    Topics: Aged; Anilides; Anti-Arrhythmia Agents; Arrhythmias, Cardiac; Cardiac Complexes, Premature; Clinical

1989
Preliminary report: effect of encainide and flecainide on mortality in a randomized trial of arrhythmia suppression after myocardial infarction.
    The New England journal of medicine, 1989, 08-10, Volume: 321, Issue:6

    Topics: Aged; Anilides; Anti-Arrhythmia Agents; Arrhythmias, Cardiac; Cardiac Complexes, Premature; Clinical

1989
Preliminary report: effect of encainide and flecainide on mortality in a randomized trial of arrhythmia suppression after myocardial infarction.
    The New England journal of medicine, 1989, 08-10, Volume: 321, Issue:6

    Topics: Aged; Anilides; Anti-Arrhythmia Agents; Arrhythmias, Cardiac; Cardiac Complexes, Premature; Clinical

1989
Preliminary report: effect of encainide and flecainide on mortality in a randomized trial of arrhythmia suppression after myocardial infarction.
    The New England journal of medicine, 1989, 08-10, Volume: 321, Issue:6

    Topics: Aged; Anilides; Anti-Arrhythmia Agents; Arrhythmias, Cardiac; Cardiac Complexes, Premature; Clinical

1989
Preliminary report: effect of encainide and flecainide on mortality in a randomized trial of arrhythmia suppression after myocardial infarction.
    The New England journal of medicine, 1989, 08-10, Volume: 321, Issue:6

    Topics: Aged; Anilides; Anti-Arrhythmia Agents; Arrhythmias, Cardiac; Cardiac Complexes, Premature; Clinical

1989
Preliminary report: effect of encainide and flecainide on mortality in a randomized trial of arrhythmia suppression after myocardial infarction.
    The New England journal of medicine, 1989, 08-10, Volume: 321, Issue:6

    Topics: Aged; Anilides; Anti-Arrhythmia Agents; Arrhythmias, Cardiac; Cardiac Complexes, Premature; Clinical

1989
Preliminary report: effect of encainide and flecainide on mortality in a randomized trial of arrhythmia suppression after myocardial infarction.
    The New England journal of medicine, 1989, 08-10, Volume: 321, Issue:6

    Topics: Aged; Anilides; Anti-Arrhythmia Agents; Arrhythmias, Cardiac; Cardiac Complexes, Premature; Clinical

1989
Preliminary report: effect of encainide and flecainide on mortality in a randomized trial of arrhythmia suppression after myocardial infarction.
    The New England journal of medicine, 1989, 08-10, Volume: 321, Issue:6

    Topics: Aged; Anilides; Anti-Arrhythmia Agents; Arrhythmias, Cardiac; Cardiac Complexes, Premature; Clinical

1989
Preliminary report: effect of encainide and flecainide on mortality in a randomized trial of arrhythmia suppression after myocardial infarction.
    The New England journal of medicine, 1989, 08-10, Volume: 321, Issue:6

    Topics: Aged; Anilides; Anti-Arrhythmia Agents; Arrhythmias, Cardiac; Cardiac Complexes, Premature; Clinical

1989

Other Studies

7 other studies available for flecainide and Death, Sudden

ArticleYear
New directions in antiarrhythmic drug therapy.
    The American journal of cardiology, 1984, Aug-13, Volume: 54, Issue:4

    Topics: Adrenergic beta-Antagonists; Ajmaline; Amiodarone; Anilides; Anti-Arrhythmia Agents; Aprindine; Benz

1984
Evaluation of flecainide acetate in the management of patients at high risk of sudden cardiac death.
    The American journal of cardiology, 1984, Feb-27, Volume: 53, Issue:5

    Topics: Aged; Anti-Arrhythmia Agents; Death, Sudden; Electrocardiography; Female; Flecainide; Hemodynamics;

1984
Unpredictability of flecainide plasma concentrations in patients with renal failure: relationship to side effects and sudden death?
    Therapeutic drug monitoring, 1994, Volume: 16, Issue:4

    Topics: Aged; Death, Sudden; Dose-Response Relationship, Drug; Female; Flecainide; Humans; Male; Middle Aged

1994
Proarrhythmia, cardiac arrest and death in young patients receiving encainide and flecainide. The Pediatric Electrophysiology Group.
    Journal of the American College of Cardiology, 1991, Volume: 18, Issue:2

    Topics: Anilides; Anti-Arrhythmia Agents; Arrhythmias, Cardiac; Child; Death, Sudden; Encainide; Flecainide;

1991
The cardiac arrhythmia suppression trial (CAST).
    The New England journal of medicine, 1989, Aug-10, Volume: 321, Issue:6

    Topics: Anilides; Anti-Arrhythmia Agents; Arrhythmias, Cardiac; Death, Sudden; Encainide; Flecainide; Humans

1989
Effect of flecainide acetate on prevention of electrical induction of ventricular tachycardia and occurrence of ischemic ventricular fibrillation during the early postmyocardial infarction period: evaluation in a conscious canine model of sudden death.
    Journal of the American College of Cardiology, 1987, Volume: 9, Issue:2

    Topics: Animals; Death, Sudden; Disease Models, Animal; Dogs; Drug Evaluation, Preclinical; Electric Stimula

1987
Classification by type of ventricular arrhythmia predicts frequency of adverse cardiac events from flecainide.
    Journal of the American College of Cardiology, 1986, Volume: 8, Issue:3

    Topics: Arrhythmias, Cardiac; Death, Sudden; Drug Administration Schedule; Flecainide; Heart Failure; Humans

1986