Ritonavir-boosted atazanavir, methadone, and ventricular tachycardia: 2 Case reports

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. © 2008 by the Infectious Diseases Society of America. All rights reserved.