慢性锂盐治疗导致的一种奇异心电图模式。
A bizarre electrocardiographic pattern due to chronic lithium therapy.
作者信息
Kayrak Mehmet, Duman Cetin, Gul Enes Elvin, Sonmez Osman, Kaya Zeynettin, Ari Hatem
机构信息
Department of Cardiology, Selcuk University, Konya, Turkey.
出版信息
Ann Noninvasive Electrocardiol. 2010 Jul;15(3):289-92. doi: 10.1111/j.1542-474X.2010.00366.x.
Abstract
Cardiotoxicity that results from lithium overdose is uncommon and electrocardiographic (ECG) changes are rarely reported. However, some authors have specifically reported the occurrence of ischemic ECG changes due to a lithium overdose. This article describes a case that is demonstrating ECG changes that mimic inferior myocardial infarction during the course of chronic lithium treatment and showing QTc prolongation in this patient. The patients' ECG changes were partially recovered after hemodialysis.
摘要
锂过量导致的心脏毒性并不常见，且很少有心电图（ECG）改变的报道。然而，一些作者专门报道了锂过量导致缺血性ECG改变的情况。本文描述了一例在慢性锂治疗过程中出现类似下壁心肌梗死的ECG改变且该患者出现QTc延长的病例。患者的ECG改变在血液透析后部分恢复。
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本文引用的文献
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Lithium overdose with electrocardiogram changes suggesting ischemia.锂过量伴心电图改变提示心肌缺血。
J Med Toxicol. 2008 Sep;4(3):170-2. doi: 10.1007/BF03161196.
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Lithium intoxication related multiple temporary ecg changes: A case report.锂中毒相关的多种暂时性心电图改变：一例报告。
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