Heart Attack in the Course of Lithium Overdose (Case Report)

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Asim Kalkan; Selman Yeniocak; Suleyman Yazici; Ozgur Karcioglu; Ozlem Bilir; Gokhan Ersunan

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Paper Information

Journal: Iranian Red Crescent Medical Journal Year:2016 | Volume:18 | Issue:7 Page(s): 0-0

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Title

Heart Attack in the Course of Lithium Overdose (Case Report)

Author(s)

Keywords

Lithium

Overdose

Acute Myocardial Infarction

Cardiotoxicity

Abstract

Introduction: Lithium Overdose can be associated with cardiac toxicity, especially in those with underlying heart disease. Toxic levels of serum Lithium are associated with cardiotoxic effects ranging from simple ECG disorders to dysrhythmias, cardiomyopathy and even Acute Myocardial Infarction (AMI). This report describes a patient with AMI accompanied by high blood levels of Lithium. Case Presentation: A 62-year-old woman was admitted to the emergency department due to weakness and acute chest pain. Her ECG revealed ST elevation in leads DI, aVL and V5-6, with a ventricular rate of 80 bpm. Blood chemistry and complete blood count were within normal limits. The patient’ s blood Lithium level was measured as 2. 3 mmol/L (N: 0. 5-0. 8 mmol/L), and her troponin I level was 0. 892 ng/mL (N: 0-0. 01 ng/mL). Coronary angiography produced normal findings, concurrent with the resolution of electrocardiographic abnormalities following elimination of Lithium. The clinical course in the intensive care unit was uneventful and the patient was discharged on the seventh day. Conclusions: Lithium intoxication should be considered in the differential diagnosis, especially in elderly patients on Lithium therapy who are admitted to the emergency department with chest pain.

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APA: Copy

Asim, Kalkan, Selman, Yeniocak, Suleyman, Yazici, Ozgur, Karcioglu, Ozlem, Bilir, & Gokhan, Ersunan. (2016). Heart Attack in the Course of Lithium Overdose (Case Report). IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ), 18(7), 0-0. SID. https://sid.ir/paper/293262/en

Vancouver: Copy

Asim Kalkan, Selman Yeniocak, Suleyman Yazici, Ozgur Karcioglu, Ozlem Bilir, Gokhan Ersunan. Heart Attack in the Course of Lithium Overdose (Case Report). IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ)[Internet]. 2016;18(7):0-0. Available from: https://sid.ir/paper/293262/en

IEEE: Copy

Kalkan Asim, Yeniocak Selman, Yazici Suleyman, Karcioglu Ozgur, Bilir Ozlem, and Ersunan Gokhan, “Heart Attack in the Course of Lithium Overdose (Case Report),” IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ), vol. 18, no. 7, pp. 0–0, 2016, [Online]. Available: https://sid.ir/paper/293262/en

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