The EKG in the patient treated with lithium

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Electrocardiographic findings of Lithium effects include:

The T wave is flat or inverted in 20% to 30% of patients
The QTc is not prolonged
Sinus bradycardia, sinus pauses, and SA block may be caused by lithium

v • d • e Electrocardiography
Overview	History of the EKG • EKG interpretation basics • Normal sinus rhythm
EKG Complexes	P wave • QRS complex • ST Segment • T wave • T wave alternans • Tombstone T wave • U wave Osborn wave • H wave • K wave • Delta wave NSSTW changes
EKG Intervals	PR Interval • QRS Interval • ST Interval • QT Interval
Conduction System & Bradycardia	Cardiac pacemaker • SA node • AV node• Bundle of His • Purkinje fibers • Sinus bradycardia • First Degree AV Block • Second Degree AV Block • Complete or Third-Degree AV Block • Concealed conduction • AV Junctional Rhythms • LBBB • LAHB • LPHB • RBBB • Trifascicular block
Atrial Arrhythmias	Sinus tachycardia • Premature Atrial Contractions (PACs) • Ectopic Atrial Rhythm • Paroxysmal Atrial Tachycardia (PAT) • Paroxysmal Atrial Tachycardia (PAT) with Block • Multifocal Atrial Tachycardia (MAT) • Atrial Flutter • Atrial Fibrillation • Wandering atrial pacemaker
Ventricular Arrhythmias	Differential Diagnosis of Tachycardia with a Wide QRS Complex • Accelerated Idioventricular Rhythm • Ventricular Parasystole • Premature Ventricular Contractions (PVCs) • Ventricular tachycardia • Ventricular Fibrillation • Sudden cardiac death
EKG Abnormalities in Disease States	Hypertrophy & Dilatation • Right atrial enlargement • Left atrial enlargement • Biatrial enlargement • Left Ventricular Hypertrophy • Right Ventricular Hypertrophy • Biventricular Hypertrophy • Acute myocardial infarction • NSTEMI • STEMI • Tombstone ST elevation • Right ventricular myocardial infarction • Atrial infarction Pre-excitation Syndromes • Wolff-Parkinson-White Syndrome • Lown Ganong Levine Syndrome • Mahaim Type Preexcitation Cardiomyopathies • Arrhythmogenic Right Ventricular Dysplasia • Dilated Cardiomyopathy • Hypertrophic Cardiomyopathy Drug Effects on the EKG • Adenosine • β-blockers • Digitalis • Quinidine • Procainamide • Disopyramide • Lidocaine • Tocainide and Mexiletine • Phenytoin • Encainide, Flecainide and Propafenone • Amiodarone • Bretylium • Ca Channel Blockers • Phenothiazines • Tricyclic Antidepressants • Lithium Congenital Heart Disease • Dextrocardia • Atrial Septal Defect • Ventricular Septal Defect • Tetralogy of Fallot • Conjoined Twins or Siamese Twins • Congenital heart block Electrolyte Disturbances • Hyperkalemia • Hypokalemia • Hypercalcemia • Hypocalcemia • Nonspecific Changes Other Heart Diseases • Pericarditis • Myocarditis • Tamponade • Heart Transplantation • Sick Sinus Syndrome • Long QT Syndrome Inherited Disease • Brugada Syndrome Systemic Diseases • CNS Disease • Cardiac Tumors Heart Transplantation • EKG Changes in patient with Heart Transplantation Exogenous Effects • Hypothermia • Chest Trauma • Insect Bites • Electric Injuries
Technical Issues and Potential Errors in Interpretation	Artifacts • Lead Placement Errors • The EKG in a Patient with a Pacemaker • EKG in athletes

The EKG in the patient treated with lithium

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WikiDoc Resources for The EKG in the patient treated with lithium
Most recent articles on The EKG in the patient treated with lithium Most cited articles on The EKG in the patient treated with lithium Review articles on The EKG in the patient treated with lithium Articles on The EKG in the patient treated with lithium in N Eng J Med, Lancet, BMJ
Media
Powerpoint slides on The EKG in the patient treated with lithium Images of The EKG in the patient treated with lithium Photos of The EKG in the patient treated with lithium Podcasts & MP3s on The EKG in the patient treated with lithium Videos on The EKG in the patient treated with lithium
Evidence Based Medicine
Cochrane Collaboration on The EKG in the patient treated with lithium Bandolier on The EKG in the patient treated with lithium TRIP on The EKG in the patient treated with lithium
Clinical Trials
Ongoing Trials on The EKG in the patient treated with lithium at Clinical Trials.gov Trial results on The EKG in the patient treated with lithium Clinical Trials on The EKG in the patient treated with lithium at Google
Guidelines / Policies / Govt
US National Guidelines Clearinghouse on The EKG in the patient treated with lithium NICE Guidance on The EKG in the patient treated with lithium NHS PRODIGY Guidance FDA on The EKG in the patient treated with lithium CDC on The EKG in the patient treated with lithium
Books
Books on The EKG in the patient treated with lithium
News
The EKG in the patient treated with lithium in the news Be alerted to news on The EKG in the patient treated with lithium News trends on The EKG in the patient treated with lithium
Commentary
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Definitions
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Patient Resources / Community
Patient resources on The EKG in the patient treated with lithium Discussion groups on The EKG in the patient treated with lithium Patient Handouts on The EKG in the patient treated with lithium Directions to Hospitals Treating The EKG in the patient treated with lithium Risk calculators and risk factors for The EKG in the patient treated with lithium
Healthcare Provider Resources
Symptoms of The EKG in the patient treated with lithium Causes & Risk Factors for The EKG in the patient treated with lithium Diagnostic studies for The EKG in the patient treated with lithium Treatment of The EKG in the patient treated with lithium
Continuing Medical Education (CME)
CME Programs on The EKG in the patient treated with lithium
International
The EKG in the patient treated with lithium en Espanol The EKG in the patient treated with lithium en Francais
Business
The EKG in the patient treated with lithium in the Marketplace Patents on The EKG in the patient treated with lithium
Experimental / Informatics
List of terms related to The EKG in the patient treated with lithium