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January 1, 2025Case Reports in MedicineOpen Access

Chronic Lithium‐Induced Cardiotoxicity: A Case Report and Lessons for Clinical Practice

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Key result

Lithium discontinuation completely resolves severe sinus bradycardia and syncope induced by chronic toxicity.

  • n=1

Why the study?

Lithium is primarily known for neurological and renal side effects, while cardiac side effects are rarely reported.

Population

An 80-year-old woman with chronic lithium toxicity

Design

Case report

Authors

AHAmir HeidariNMNafise MohamadizadeAHArman Hasanzade

Discussion

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Overview

May warrant checking lithium levels in unexplained bradycardia; leaves open optimal monitoring strategies in elderly patients.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
An 80-year-old woman with chronic lithium toxicity presenting with severe sinus bradycardia and loss of consciousness.
E
Exposure
Discontinuation of lithium
O
Outcome
Resolution of neurological and cardiac manifestations

Chronic lithium toxicity can present with severe cardiac manifestations such as sinus node dysfunction and bradycardia, which resolve upon discontinuation of the drug.

Cite This Study

Heidari et al. (2025) conducted a case report in Chronic lithium toxicity (n=1). Lithium was evaluated on Cardiac manifestations (severe sinus bradycardia). Chronic lithium toxicity in an 80-year-old woman caused severe sinus bradycardia and loss of consciousness, which resolved completely following the discontinuation of lithium.

synapsesocial.com/papers/6a20b1089e00afa23b2344b2https://doi.org/10.1155/carm/5599471
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Chronic lithium intoxication: Varying electrocardiogram manifestations2017 · 25 citations
  2. 2Lithium‐induced electrocardiographic changes: A complete review2017 · 108 citations
  3. 3Effects of Toxic Lithium Levels on ECG—Findings from the LiSIE Retrospective Cohort Study2022 · 11 citations
  4. 4Influence of Lithium Ions on the Transmembrane Potential and Cation Content of Cardiac Cells1964 · 136 citations
  5. 5Lithium - Pharmacological and Toxicological Aspects: The Current State of the Art2018 · 43 citations