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Dr. Mete ALPASLAN
Lithium Intoxication and the ECG
Lithium
  Lithium is used for the treatment of bipolar disease (manic depressive disorder).
ECG abnormalities that may be seen frequently in patients with lithium intoxication
 
Sinoatrial block
 
Sinus bradycardia
 
T wave abnormalities
: Negative, biphasic or flattened T waves
ECG abnormalities that may also be seen (albeit less frequently) during lithium intoxication
 
Prolonged QT interval
 
First degree AV block
 
Brugada pattern
  Supraventricular tachycardia
 
Ventricular tachycardia
References
(
with links to full text and sample ECGs
)
 
Clin Cardiol 2017;40(12):1363-1367
 
Innov Clin Neurosci 2015;12(11-12):18-20
 
Indian J Pharmacol 2017;49(1):127-129
 
Springerplus 2016 4;5:10
 
J Med Toxicol 2014;10(3):303-306
 
BMJ Case Rep 2013 Jan 22;2013
 
Circulation 2010; 122: e418-e419
 
J Med Toxicol 2008;4(3):170-172
 
Cases J 2008 Sep 17;1(1):156
 
Circ J 2008 May;72(5):847-849
 
Can J Cardiol 2007;23(3):229-232
  Basic Clin Pharmacol Toxicol 2007;100:353-355.
  Am J Psychiatry 2007;164:831-832.
 
Circulation 2005 Sep 13;112(11):1527-31
  J Electrocardiol 1979;12:117-119.
  Ann Emerg Med 1982;11:208-211.