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Can Flecainide cause stroke? I'm concerned.
I was diagnosed with afib Feb 28 and I'm on Pacerone. My doctor would like to switch me to Flecainide but he wants me to do a stress test before taking Flecainide due to the medicine causing strokes. I had a treadmill stress test and they said it was good. My question is should I still be concerned about this medicine causing a stroke? Or would it be wise to get a nuclear stress test before starting Flecainide? If so, can I schedule the nuclear stress test with your hospital? Thank you.
submitted by Sean from Frisco, Texas on 4/15/2013
by Texas Heart Institute cardiologist, Abdi Rasekh, MD
Flecainide is contraindicated in patients who have coronary artery disease. It would not cause stroke. Considering your age, if you had a negative stress test you should be able to start Flecainide. You should also have an echo to make sure ejection fraction is normal and septal thickness is < 1.4 cm.
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Updated April 2013