Impact of methadone treatment on cardiac repolarization and conduction in opioid users
- PMID: 15781034
- DOI: 10.1016/j.amjcard.2004.11.055
Impact of methadone treatment on cardiac repolarization and conduction in opioid users
Abstract
We prospectively assessed the effect of oral methadone on the corrected QT interval (QTc) among 160 patients free of structural heart disease and measured serum methadone concentrations and simultaneous QTc intervals in a subset of 44 participants. Mean +/- SD QTc increased by 12.4 +/- 23 ms (p <0.001) at 6 months, by 10.7 +/- 30 ms (p <0.001) at 12 months, and the QTc change from baseline to 12 months correlated with the trough (r = 0.37, p = 0.008) and peak (r = 0.32, p = 0.03) serum methadone concentrations.
Similar articles
-
Prevalence of long QTc interval in methadone maintenance patients.Drug Alcohol Depend. 2009 Jan 1;99(1-3):327-32. doi: 10.1016/j.drugalcdep.2008.06.018. Epub 2008 Sep 5. Drug Alcohol Depend. 2009. PMID: 18774239
-
Increased incidence of QT interval prolongation in a population receiving lower doses of methadone maintenance therapy.Addiction. 2012 Jun;107(6):1132-9. doi: 10.1111/j.1360-0443.2011.03767.x. Epub 2012 Feb 28. Addiction. 2012. PMID: 22168435
-
Onsite QTc interval screening for patients in methadone maintenance treatment.J Addict Dis. 2010 Jan;29(1):15-22. doi: 10.1080/10550880903436044. J Addict Dis. 2010. PMID: 20390695
-
Methadone and torsade de pointes: case report and review of the literature.Tenn Med. 2007 Feb;100(2):35-7, 42. Tenn Med. 2007. PMID: 17378505 Review.
-
QTc interval screening in methadone treatment.Ann Intern Med. 2009 Mar 17;150(6):387-95. doi: 10.7326/0003-4819-150-6-200903170-00103. Epub 2009 Jan 19. Ann Intern Med. 2009. PMID: 19153406
Cited by
-
A twist on torsade: a prolonged QT interval on methadone.J Gen Intern Med. 2006 Nov;21(11):C9-C12. doi: 10.1111/j.1525-1497.2006.00588.x. J Gen Intern Med. 2006. PMID: 17026725 Free PMC article.
-
Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patient safety issue.J Gen Intern Med. 2009 Sep;24(9):1007-11. doi: 10.1007/s11606-009-1043-4. Epub 2009 Jul 4. J Gen Intern Med. 2009. PMID: 19578820 Free PMC article.
-
The Impact of Opioids on Cardiac Electrophysiology.Curr Cardiol Rev. 2016;12(1):27-36. doi: 10.2174/1573403x1201160126122405. Curr Cardiol Rev. 2016. PMID: 26818485 Free PMC article. Review.
-
Electrocardiographic effects of lofexidine and methadone coadministration: secondary findings from a safety study.Pharmacotherapy. 2009 May;29(5):495-502. doi: 10.1592/phco.29.5.495. Pharmacotherapy. 2009. PMID: 19397459 Free PMC article. Clinical Trial.
-
Pharmacotherapy in the treatment of addiction: methadone.J Addict Dis. 2010 Apr;29(2):200-16. doi: 10.1080/10550881003684798. J Addict Dis. 2010. PMID: 20407977 Free PMC article.
Publication types
MeSH terms
Substances
Grants and funding
LinkOut - more resources
Full Text Sources
Medical