Lithium intoxication causing ST segment elevation and wandering atrial rhythms in an elderly patient

Lithium overdoses causing cardiotoxicity are uncommon and electrocardiographic changes suggesting myocardial ischemia are rare. However, some authors have specifically reported the occurrence of ischemic electrocardiography changes due to a lithium overdose. This paper describes a case where electro...

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Bibliographic Details
Published in:Cardiology journal 2010, Vol.17 (4), p.404-407
Main Authors: Kayrak, Mehmet, Ari, Hatem, Duman, Cetin, Gul, Enes Elvin, Ak, Ahmet, Atalay, Huseyin
Format: Article
Language:English
Subjects:
Aged
Antidepressive Agents - adverse effects
Arrhythmias, Cardiac - chemically induced
Arrhythmias, Cardiac - physiopathology
Arrhythmias, Cardiac - therapy
Diagnosis, Differential
Drug Overdose - therapy
Electrocardiography
Female
Heart Atria - drug effects
Heart Atria - physiopathology
Hemodynamics - drug effects
Humans
Lithium
Lithium Compounds - adverse effects
Myocardial Infarction - diagnosis
Renal Dialysis
Treatment Outcome
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Summary:Lithium overdoses causing cardiotoxicity are uncommon and electrocardiographic changes suggesting myocardial ischemia are rare. However, some authors have specifically reported the occurrence of ischemic electrocardiography changes due to a lithium overdose. This paper describes a case where electrocardiography changes mimic inferior myocardial infarction during the course of chronic lithium treatment in an elderly patient. The patient's electrocardiography changes were partially resolved after hemodialysis.
ISSN:1897-5593
1897-5593
1898-018X