Evidence map›Paper›PMID 36908162›Full record

ReviewCardiology journal2023

Flecainide in clinical practice.

Mikołaj Basza, Cezary Maciejewski, Wojciech Bojanowicz, Paweł Balsam, Marcin Grabowski, Przemysław Mitkowski, Maciej Kempa, Oskar Kowalski, Zbigniew Kalarus, Miłosz Jaguszewski and 5 more

Open access · goldAbstract readReview
In one paragraph

Review in Cardiology journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Discovery of a novel NaActa pharmacologica Sinica · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. The network of cardiac KNaunyn-Schmiedeberg's archives of pharmacology · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 7 institutions in 1 country.

Mikołaj BaszaMedical University of Silesia in Katowice, Poland. s73469@365.sum.edu.pl.
Cezary Maciejewski1st Department of Cardiology, Medical University of Warsaw, Poland.
Wojciech BojanowiczMedical University of Silesia in Katowice, Poland.
Paweł Balsam1st Department of Cardiology, Medical University of Warsaw, Poland.
Marcin Grabowski1st Department of Cardiology, Medical University of Warsaw, Poland.
Przemysław Mitkowski1st Department of Cardiology, University of Medical Sciences, Poznan, Poland.
Maciej KempaDepartment of Cardiology and Electrotherapy, Medical University of Gdansk, Poland.
Oskar KowalskiDepartment of Human Nutrition, School of Public Health in Bytom, Silesian Medical University in Katowice, Silesian Center of Heart Disease in Zabrze, Poland.
Zbigniew KalarusDepartment of Cardiology, DMS in Zabrze, Medical University of Silesia, Katowice, Poland.
Miłosz Jaguszewski1st Department of Cardiology, Medical University of Gdansk, Poland.
Andrzej LubińskiDepartment of Cardiology and Internal Disease, Medical University of Gdansk, Poland.
Ludmiła Daniłowicz-SzymanowiczDepartment of Cardiology and Electrotherapy, Medical University of Gdansk, Poland.
Łukasz Szumowski1st Arrhythmia Department, National Institute of Cardiology, Warsaw, Poland.
Maciej Sterliński1st Arrhythmia Department, National Institute of Cardiology, Warsaw, Poland.
Łukasz Kołtowski1st Department of Cardiology, Medical University of Warsaw, Poland.
Gdańsk Medical University · PLMedical University of Warsaw · PLInstitute of Cardiology · PLMedical University of Silesia · PLPoznan University of Medical Sciences · PLSilesian Center for Heart Disease · PLUniversity of Silesia in Katowice · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Flecainide, similar to encainide and propafenone, is IC class antiarrhythmic, inhibiting Nav1.5 sodium channels in heart muscle cells and modulates cardiac conduction. Despite its over 40-year presence in clinical practice, strong evidence and well-known safety profile, flecainide distribution in Europe has not always been equal. In Poland, the drug has been available in pharmacies only since October this year, and previously it had to be imported on request. Flecainide can be used successfully in both the acute and chronic treatment of cardiac arrhythmias. The main indication for flecainide is the treatment of paroxysmal supraventricular tachycardias, including atrial fibrillation, atrioventricular nodal re-entrant tachycardia, atrioventricular re-entrant tachycardia and ventricular arrhythmias in patients without structural heart disease. Beyond that, it may be used in some supraventricular tachycardia in children and for sustained fetal tachycardia. Many studies indicate its efficacy comparable to or better than previously used drugs such as propafenone and amiodarone, depending on the indication. This review aims to highlight the most important clinical uses of flecainide in the light of the latest scientific evidence and to provide an overview of the practical aspects of treatment, including indications, off-label use, contraindications, areas of use, monitoring of treatment and most common complications, taking into account special populations: children and pregnant women.

Indexed as

Atrial FibrillationTachycardia, VentricularAnti-Arrhythmia AgentsChildFemaleFlecainideHumansPregnancyPropafenoneAnti-Arrhythmia AgentsFlecainidePropafenoneatrial fibrillationcardioversionflecainidesupraventricular arrhythmiasventricular arrhythmias

Identifiers

PMID36908162
PMCPMC10287070
OpenAlexW4324017943

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.