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 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.
Kayrak
Mehmet
M
Department of Cardiology, Meram Faculty of Medicine, Selcuk University, Konya, Turkey.
Ari
Hatem
H
Duman
Cetin
C
Gul
Enes Elvin
EE
Ak
Ahmet
A
Atalay
Huseyin
H
D000368:Aged; D000928:Antidepressive Agents / Q000009:adverse effects*; D001145:Arrhythmias, Cardiac / Q000139:chemically induced* / Q000503:physiopathology / Q000628:therapy; D003937:Diagnosis, Differential; D062787:Drug Overdose / Q000628:therapy; D004562:Electrocardiography; D005260:Female; D006325:Heart Atria / Q000187:drug effects / Q000503:physiopathology; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D018020:Lithium Compounds / Q000009:adverse effects*; D009203:Myocardial Infarction / Q000175:diagnosis*; D006435:Renal Dialysis; D016896:Treatment Outcome
D000928:Antidepressive Agents; D018020:Lithium Compounds