QT or Not QT: Is That the Question? Methadone and QTc Prolongation: Clinical and Other Implications

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Direct providership by American Osteopathic Academy of Addiction Medicine (AOAAM)

Alan A. Wartenberg, MD, FACP, FASAM
Consulting Physician, SATP/OTP, Providence DVA Medical Center, Providence RI

Online Module Description
There is clear evidence of the potential of methadone to increase the QT interval which can result in a lethal arrhythmia, Torsades de Pointes.  There however has been controversy as to when and how to screen patients entering methadone treatment.  This module will attempt to address this need by presenting the available literature and case studies.  Clear guidelines to consider will be established.

Click here to view the companion follow-up 1-hr archived “MAT CHAT” Webinar with Dr. Wartenberg and Dr. Stephen Wyatt which was held on Wednesday, July 20th 2016 at 8:00 pm – 9:00 pm ET.

Educational Objectives
At the conclusion of this activity participants should be able to:

  • Recognize the identification and development of a prolonged QT interval.
  • Review the screening of a patient at risk for the development of a dangerous QT prolongation.
  • Assess how dosing can play a factor in the development of a prolonged QT interval

Accreditation and Designation
The Council on Continuing Medical Education (CCME) has been delegated authority by the AOA Board of Trustees to monitor osteopathic CME and award Category 1 and Category 2 accreditation status to osteopathic CME sponsors.

The purpose of the AOAAM’s continuing medical education program is to continually improve the quality of patient care, through the growth of knowledge, the improvement of skills, and physician-to-physician interaction.

The American Osteopathic Academy of Addiction Medicine (AOAAM) designates this educational activity for a maximum of 1 (one) Category 2B Credit by the AOA CCME (pending all requirements are met). Physicians should claim only the credit commensurate with the extent of their participation in the activity.

How to Receive CME Credits
Upon completion of the Post Test:

  • If you pass the Post Test with a grade of 70% or higher, you will be instructed to click a link which will bring you to the Online Module Evaluation Survey. Upon completion of the Online Module Evaluation Survey, you will receive a CME Credit Certificate or Certificate of Completion via email.
  • If you received a grade of 69% or lower on the Post Test, you will be instructed to review the Online Module once more and retake the Post Test. You will then be instructed to click a link which will bring you to the Online Module Evaluation Survey. Upon completion of the Online Module Evaluation Survey, you will receive a CME Credit Certificate or Certificate of Completion via email.
  • After successfully passing, you will receive an email detailing correct answers, explanations and references for each question of the Post Test.

SYSTEM REQUIREMENTS: PC-based attendees Required: Windows® 8, 7, Vista, XP or 2003 Server Mac®-based attendees Required: Mac OS® X 10