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Question:

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

Answer:

by Texas Heart Institute cardiologist, Abdi Rasekh, MD  

Abdi Rasekh, MDFlecainide 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
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Texas Heart Institute Heart Information Center
Through this community outreach program, staff members of the Texas Heart Institute (THI) provide educational information related to the prevention, diagnosis, and treatment of cardiovascular disease. It is not the intention of THI to provide specific medical advice, but rather to provide users with information to better understand their health and their diagnosed disorders. Specific medical advice will not be provided and THI urges you to visit a qualified physician for diagnosis and for answers to your questions.
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