Ritonavir-Boosted Atazanavir, Methadone, and Ventricular Tachycardia: 2 Case Reports
We describe 2 cases of symptomatic ventricular tachycardia associated with prolonged QT interval. Both patients were infected with the human immunodeficiency virus and were receiving treatment with ritonavir-boosted atazanavir and methadone. Discontinuation of atazanavir in both cases resulted in a...
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Veröffentlicht in: | Clinical infectious diseases 2008-08, Vol.47 (3), p.e36-e38 |
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creator | Gallagher, David P. Kieran, Jennifer Sheehan, Gerard Lambert, John Mahon, Niall Mallon, Patrick W. G. |
description | We describe 2 cases of symptomatic ventricular tachycardia associated with prolonged QT interval. Both patients were infected with the human immunodeficiency virus and were receiving treatment with ritonavir-boosted atazanavir and methadone. Discontinuation of atazanavir in both cases resulted in a reduction in the QT interval and cessation of arrhythmia. We concluded that atazanavir contributed to prolonged corrected QT interval and subsequent ventricular tachycardia. |
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We concluded that atazanavir contributed to prolonged corrected QT interval and subsequent ventricular tachycardia.</description><identifier>ISSN: 1058-4838</identifier><identifier>EISSN: 1537-6591</identifier><identifier>DOI: 10.1086/589869</identifier><identifier>PMID: 18558878</identifier><language>eng</language><publisher>United States: The University of Chicago Press</publisher><subject>Adult ; Atazanavir Sulfate ; Drug Therapy, Combination ; Electrocardiography - drug effects ; HIV Infections - drug therapy ; HIV Protease Inhibitors - adverse effects ; Human immunodeficiency virus ; Humans ; Male ; Methadone - therapeutic use ; Middle Aged ; Narcotics - therapeutic use ; Oligopeptides - adverse effects ; Pyridines - adverse effects ; Ritonavir - therapeutic use ; Tachycardia, Ventricular - chemically induced</subject><ispartof>Clinical infectious diseases, 2008-08, Vol.47 (3), p.e36-e38</ispartof><rights>2008 by the Infectious Diseases Society of America 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c404t-dca1d764c52ddf9cb759a50423a60c73a7b43e23ddd37bd3ce81ff448c034a23</citedby><cites>FETCH-LOGICAL-c404t-dca1d764c52ddf9cb759a50423a60c73a7b43e23ddd37bd3ce81ff448c034a23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18558878$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gallagher, David P.</creatorcontrib><creatorcontrib>Kieran, Jennifer</creatorcontrib><creatorcontrib>Sheehan, Gerard</creatorcontrib><creatorcontrib>Lambert, John</creatorcontrib><creatorcontrib>Mahon, Niall</creatorcontrib><creatorcontrib>Mallon, Patrick W. G.</creatorcontrib><title>Ritonavir-Boosted Atazanavir, Methadone, and Ventricular Tachycardia: 2 Case Reports</title><title>Clinical infectious diseases</title><addtitle>Clinical Infectious Diseases</addtitle><addtitle>Clinical Infectious Diseases</addtitle><description>We describe 2 cases of symptomatic ventricular tachycardia associated with prolonged QT interval. Both patients were infected with the human immunodeficiency virus and were receiving treatment with ritonavir-boosted atazanavir and methadone. Discontinuation of atazanavir in both cases resulted in a reduction in the QT interval and cessation of arrhythmia. We concluded that atazanavir contributed to prolonged corrected QT interval and subsequent ventricular tachycardia.</description><subject>Adult</subject><subject>Atazanavir Sulfate</subject><subject>Drug Therapy, Combination</subject><subject>Electrocardiography - drug effects</subject><subject>HIV Infections - drug therapy</subject><subject>HIV Protease Inhibitors - adverse effects</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Male</subject><subject>Methadone - therapeutic use</subject><subject>Middle Aged</subject><subject>Narcotics - therapeutic use</subject><subject>Oligopeptides - adverse effects</subject><subject>Pyridines - adverse effects</subject><subject>Ritonavir - therapeutic use</subject><subject>Tachycardia, Ventricular - chemically induced</subject><issn>1058-4838</issn><issn>1537-6591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10EFLwzAYxvEgitOpH0HqxdOqSZM0qbc51AkTcQyRXcLbJGXVralJK85P73TDnTzlJfx4Dn-ETgi-IFiml1xmMs120AHhVMQpz8ju6sZcxkxS2UGHIbxiTIjEfB91iORcSiEP0GRcNq6Cj9LH186Fxpqo38AX_H71ogfbzMC4yvYiqEz0bKvGl7qdg48moGdLDd6UcBUl0QCCjca2dr4JR2ivgHmwx5u3iya3N5PBMB493t0P-qNYM8ya2GggRqRM88SYItO54BlwzBIKKdaCgsgZtQk1xlCRG6qtJEXBmNSYMkhoF52vZ2vv3lsbGrUog7bzOVTWtUElhFGSMr6F2rsQvC1U7csF-KUiWP3kU-t8K3i6WWzzhTVbtum1Amdr4Nr6_5F4bcpVzs8_Bf5NpYIKroYvUyVHKcd8-qQ4_QaJmoLi</recordid><startdate>20080801</startdate><enddate>20080801</enddate><creator>Gallagher, David P.</creator><creator>Kieran, Jennifer</creator><creator>Sheehan, Gerard</creator><creator>Lambert, John</creator><creator>Mahon, Niall</creator><creator>Mallon, Patrick W. 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G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c404t-dca1d764c52ddf9cb759a50423a60c73a7b43e23ddd37bd3ce81ff448c034a23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Atazanavir Sulfate</topic><topic>Drug Therapy, Combination</topic><topic>Electrocardiography - drug effects</topic><topic>HIV Infections - drug therapy</topic><topic>HIV Protease Inhibitors - adverse effects</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Male</topic><topic>Methadone - therapeutic use</topic><topic>Middle Aged</topic><topic>Narcotics - therapeutic use</topic><topic>Oligopeptides - adverse effects</topic><topic>Pyridines - adverse effects</topic><topic>Ritonavir - therapeutic use</topic><topic>Tachycardia, Ventricular - chemically induced</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gallagher, David P.</creatorcontrib><creatorcontrib>Kieran, Jennifer</creatorcontrib><creatorcontrib>Sheehan, Gerard</creatorcontrib><creatorcontrib>Lambert, John</creatorcontrib><creatorcontrib>Mahon, Niall</creatorcontrib><creatorcontrib>Mallon, Patrick W. G.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><jtitle>Clinical infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gallagher, David P.</au><au>Kieran, Jennifer</au><au>Sheehan, Gerard</au><au>Lambert, John</au><au>Mahon, Niall</au><au>Mallon, Patrick W. G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ritonavir-Boosted Atazanavir, Methadone, and Ventricular Tachycardia: 2 Case Reports</atitle><jtitle>Clinical infectious diseases</jtitle><stitle>Clinical Infectious Diseases</stitle><addtitle>Clinical Infectious Diseases</addtitle><date>2008-08-01</date><risdate>2008</risdate><volume>47</volume><issue>3</issue><spage>e36</spage><epage>e38</epage><pages>e36-e38</pages><issn>1058-4838</issn><eissn>1537-6591</eissn><abstract>We describe 2 cases of symptomatic ventricular tachycardia associated with prolonged QT interval. Both patients were infected with the human immunodeficiency virus and were receiving treatment with ritonavir-boosted atazanavir and methadone. Discontinuation of atazanavir in both cases resulted in a reduction in the QT interval and cessation of arrhythmia. We concluded that atazanavir contributed to prolonged corrected QT interval and subsequent ventricular tachycardia.</abstract><cop>United States</cop><pub>The University of Chicago Press</pub><pmid>18558878</pmid><doi>10.1086/589869</doi><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; JSTOR Archive Collection A-Z Listing; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
subjects | Adult Atazanavir Sulfate Drug Therapy, Combination Electrocardiography - drug effects HIV Infections - drug therapy HIV Protease Inhibitors - adverse effects Human immunodeficiency virus Humans Male Methadone - therapeutic use Middle Aged Narcotics - therapeutic use Oligopeptides - adverse effects Pyridines - adverse effects Ritonavir - therapeutic use Tachycardia, Ventricular - chemically induced |
title | Ritonavir-Boosted Atazanavir, Methadone, and Ventricular Tachycardia: 2 Case Reports |
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