Erschienen in:
01.05.2015 | Kasuistiken
A case of lithium toxicity with significant QT interval prolongation
verfasst von:
Dr. med. T.K. Becker, MD, H. Hariri, MD
Erschienen in:
Notfall + Rettungsmedizin
|
Ausgabe 3/2015
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Abstract
Background
Lithium toxicity has been associated with electrocardiographic abnormalities, such as QT interval prolongation.
Case report
An unresponsive patient with a history of alcohol abuse and recently diagnosed bipolar disorder was brought to the emergency department. An elevated lithium level of 4.7 mmol/L was found. The corrected QT interval was significantly prolonged at 727 ms. The patient was dialyzed and recovered fully.
Discussion
This case illustrates the importance of a systematic evaluation of all patients who may have been exposed to a toxic ingestion.