A Bizarre Electrocardiographic Pattern Due to Chronic Lithium Therapy


Address for correspondence: Enes Elvin Gul, Department of Cardiology, Meram Faculty of Medicine, Selçuk University, Konya, Turkey. Fax: +903322236181; E-mail: elvin_salamov@yahoo.com


Cardiotoxicity that results from lithium overdose is uncommon and electrocardiographic (ECG) changes are rarely reported. However, some authors have specifically reported the occurrence of ischemic ECG changes due to a lithium overdose. This article describes a case that is demonstrating ECG changes that mimic inferior myocardial infarction during the course of chronic lithium treatment and showing QTc prolongation in this patient. The patients’ ECG changes were partially recovered after hemodialysis.

Ann Noninvasive Electrocardiol 2010;15(3):289–292