Edorium Journal of

Emergency Medicine

 
  Table of Contents    
Case Report
 
Methadone overdose associated with T wave inversions
Sunith Vijayakumar1, William H. Carter2, Mark C. Haigney3, Kingsley Pudota4
1MBBS, MD, PGY-4 Resident, Department of Medicine and Psychiatry, Charleston Area Medical Centre, Charleston, West Virginia, USA.
2MD, FACC, Professor, Department of Cardiology, West Virginia University - Charleston Division, Charleston, West Virginia, USA.
3MD, Professor, Department of Medicine and Pharmacology, Director of Cardiology, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
4MD, PGY-3 Resident, Department of Medicine, Charleston Area Medical Centre, Charleston, West Virginia, USA.

Article ID: 100002E02SV2016
doi:10.5348/E02-2016-2-CR-1

Address correspondence to:
Sunith Vijayakumar
3000 Staunton Avenue
Apt 18, Charleston
West Virginia
USA - 25304

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How to cite this article
Vijayakumar S, Carter WH, Haigney MC, Pudota K. Methadone overdose associated with T wave inversions. Edorium J Emerg Med 2016;2:1–4.


Abstract
Methadone commonly causes QT prolongation but T wave inversion has never been reported with methadone use in clinical settings. We report a 52-year-old female admitted for methadone overdose, had deep T wave inversions in electrocardiogram (ECG) with no cardiac symptoms, negative cardiac enzymes and subsequent normal coronary and left ventricular angiogram. Follow-up ECG showed spontaneous resolution of ECG changes. Our article which is a first of its kind gives an insight into the possib-ility of T wave inversion with methadone use.

Keywords: Electrocardiogram, Methadone, Overdose, T wave inversion


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Author Contributions
Sunith Vijayakumar – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
William H. Carter – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Mark C. Haigney – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Kingsley Pudota – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Sunith Vijayakumar et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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