PHENYTOIN IN TREATMENT OF METHADONE-INDUCED TORSADES DE POINTES
نویسندگان
چکیده
منابع مشابه
Methadone-induced Torsades de pointes.
Torsades de pointes is a polymorphic ventricular tachycardia that can quickly evolve into ventricular fibrillation and sudden death. This arrhythmia often occurs secondary to medication- induced cardiac repolarization dysfunction with resultant prolonged QTc interval on ECG. Numerous medications can predispose patients to this deadly tachycardia. We report a case of methadone-induced Torsades d...
متن کامل[Torsades de pointes during methadone treatment].
Methadone is a synthetic opioid that has been used successfully to treat heroin addiction and chronic pain. It is usually well tolerated and has few side effects. Recently, an association with torsade de pointes has been reported. We present 4 cases of torsade de pointes during methadone treatment.
متن کاملTorsades de Pointes During Methadone Treatment
Four patients (3 men, 1 woman) with no known history of heart disease were seen in the emergency room for syncopal episodes (Table). All were under longterm methadone therapy, although only 1 was receiving >200 mg/day. Three of these patients were infected with human immunodeficiency virus (HIV), but only 1 was on antiretroviral therapy. The electrocardiographic recordings and monitoring showed...
متن کاملMethadone-induced torsades de pointes: a twist of fate.
A case of methadone-induced torsades de pointes is presented to demonstrate clinical features that predispose patients to this serious cardiac arrhythmia. A patient who was receiving methadone maintenance treatment for heroin addiction presented to the hospital with dizziness and near-syncope. He was taking a relatively high dose of methadone but was not taking any concomitant cytochrome P450 i...
متن کاملTorsades de pointes induced by antibiotics.
BACKGROUND Several frequently used antibiotics are associated with an arrhythmia called "torsades de pointes" (TdP). This potentially fatal arrhythmia is considered unpredictable. METHODS In order to investigate the prevalence of risk factors for TdP prior to initiation of antibiotic therapy, we conducted a literature search for all published reports on TdP induced by antibiotics and we asked...
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ژورنال
عنوان ژورنال: Journal of the American College of Cardiology
سال: 2017
ISSN: 0735-1097
DOI: 10.1016/s0735-1097(17)35703-0