• Circ. J. · May 2008

    Case Reports

    Complete atrioventricular block secondary to lithium therapy.

    • Teruo Shiraki, Kunihisa Kohno, Daiji Saito, Hiroki Takayama, and Akira Fujimoto.
    • Department of Cardiology, National Hospital Organization, Iwakuni Clinic Center, Iwakuni, Japan. shiraki@iwakuni-nh.go.jp
    • Circ. J. 2008 May 1; 72 (5): 847-9.

    AbstractSinus node dysfunction has been reported most frequently among the adverse cardiovascular effects of lithium. In the present case, complete atrioventricular (AV) block with syncopal attacks developed secondary to lithium therapy, necessitating permanent pacemaker implantation. Serum lithium levels remained under or within the therapeutic range during the syncopal attacks. Lithium should be used with extreme caution, especially in patients with mild disturbance of AV conduction.

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