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01.05.2015 | Kasuistiken
A case of lithium toxicity with significant QT interval prolongation
Erschienen in: Notfall + Rettungsmedizin | Ausgabe 3/2015
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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.