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Complete atrioventricular block with diastolic mitral regurgitation due to severe lithium intoxication. A case report.

Theodoros KalpakosGaëlle VermeerschBart HendriksPaul Vermeersch
Published in: Acta cardiologica (2022)
Lithium is widely used for the treatment of bipolar disorder and it can rarely lead to complete atrioventricular block. If the physician encounters a patient with a history of lithium use, who also shows cardiac arrhythmias, then lithium intoxication should always be ruled out. Haemodialysis is the treatment of choice in severe lithium intoxication. Diastolic mitral regurgitation can hint towards underlying atrioventricular conduction disturbances.
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