Flecainide – exclude structural HD — RACP Paediatrics MCQ

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HardCardiologyFlecainide – exclude structural HDRACP Paediatrics

An older child with recurrent SVT despite propranolol is switched to a class IC agent. What drug is this and what must be checked first?

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Correct answer: B — Flecainide

Flecainide (class IC). Structural heart disease must be excluded by echo before starting as it can be proarrhythmic.

Reference: RCH Melbourne – 2023 – SVT CPG