Case report demonstrates sinoatrial node dysfunction in a manic patient with therapeutic serum lithium levels, highlighting pacemaker implantation to maintain essential psychiatric therapy.
Lithium is a common mood-stabilizing drug for manic patients. We describe a case of sinoatrial node dysfunction in a patient with serum lithium levels within the therapeutic range. Given the symptomology and severity of the patient's illness, after placing a permanent pacemaker, the patient was discharged on the preadmission dose of lithium.
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Sarangi et al. (2021) studied this question.
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