Mednet Logo
CommunityHospital Medicine

When is it necessary to monitor the QTc interval in patients on hydroxychloroquine?

Community PollStarted

When is it necessary to monitor the QTc interval in patients on hydroxychloroquine?

66 physicians have voted

Join Mednetto vote and see how they answered.

2 Answers
Mednet Member
Mednet MemberInvited Expert
Rheumatology · UT Southwestern Medical Center
Answered on

The answer to this question is not straightforward mainly because there are limited data in this area. Hydroxychloroquine and Chloroquine directly affect cardiac repolarization and are associated with QT prolongation. Given this, there is an argument for getting a baseline ECG for patients initiatin...

Join for free or sign in to see the full answer

Mednet Member
Mednet MemberInvited Expert
Rheumatology · NIAMS
Answered on

All good points mentioned by others. Few additional comments:

There are multiple cardiac conduction abnormalities including QTc prolongation have been reported with use of hydroxychloroquine (HCQ). A recent meta-analysis of HCQ use in COVID-19 alone or in combination with azithromycin was associated...

Join for free or sign in to see the full answer