Lithium-induced ECG modifications: navigating from acute coronary syndrome to Brugada syndrome.

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State: Public
Version: Final published version
License: CC BY-NC 4.0
Serval ID
serval:BIB_8E4D713BEE6E
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Lithium-induced ECG modifications: navigating from acute coronary syndrome to Brugada syndrome.
Journal
BMJ case reports
Author(s)
Diserens L., Porretta A.P., Trana C., Meier D.
ISSN
1757-790X (Electronic)
ISSN-L
1757-790X
Publication state
Published
Issued date
09/06/2021
Peer-reviewed
Oui
Volume
14
Number
6
Pages
e241555
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: epublish
Abstract
Lithium is frequently used in the treatment of bipolar disorders and is known to induce ECG alterations. This case study describes various patterns of lithium-induced ECG modifications in a patient with acute-on-chronic lithium intoxication. Clinicians should be familiar with this problem as it can have life-threatening consequences and lead to important changes in patient's management. Our patient was admitted for acute delirium with an ECG showing atrial fibrillation with wide QRS and ST-segment elevation. These modifications were first mistaken for an acute myocardial infarction and a diagnosis of Brugada syndrome was finally reached. Treatment after the acute phase implied changes in the therapeutic modality and required frequent monitoring.
Keywords
Acute Coronary Syndrome/chemically induced, Acute Coronary Syndrome/diagnosis, Acute Coronary Syndrome/drug therapy, Atrial Fibrillation, Brugada Syndrome/chemically induced, Brugada Syndrome/diagnosis, Electrocardiography, Humans, Lithium/adverse effects, arrhythmias, cardiovascular system, genetic screening / counselling, mood disorders (including depression)
Pubmed
Web of science
Open Access
Yes
Create date
28/06/2021 13:03
Last modification date
18/01/2025 7:07
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