Lithium carbonate is an effective mood stabilizer. We treated a patient for hypertrophic cardiomyopathy due to chronic unsupervised lithium carbonate use. We noted: a) a previously normal ECG; b) the absence of any familiarity for sudden cardiac death; c) the associated nephrogenic diabetes insipidus; d) probable exaggerated lithium plasma concentrations, which had not been monitored over the past few years; and e) the unusual traits of the right ventricle. We would like to stress the need for regular cardiologic follow-up in psychiatric patients treated with lithium carbonate, to minimize its potential cardiac untoward consequences.
Hypertrophic cardiomyopathy and nephrogenic diabetes insipidus associated with chronic lithium carbonate use / Crocamo, Antonio; Demola, Pierluigi; Visioli, Francesco; Corradi, Domenico; Vignali, Luigi; Giovanna, Pelà. - In: PSYCHIATRY RESEARCH. - ISSN 0165-1781. - 291:(2020), p. 113153. [10.1016/j.psychres.2020.113153]
Hypertrophic cardiomyopathy and nephrogenic diabetes insipidus associated with chronic lithium carbonate use
Antonio Crocamo;Pierluigi Demola;Domenico Corradi;Giovanna Pelà
2020-01-01
Abstract
Lithium carbonate is an effective mood stabilizer. We treated a patient for hypertrophic cardiomyopathy due to chronic unsupervised lithium carbonate use. We noted: a) a previously normal ECG; b) the absence of any familiarity for sudden cardiac death; c) the associated nephrogenic diabetes insipidus; d) probable exaggerated lithium plasma concentrations, which had not been monitored over the past few years; and e) the unusual traits of the right ventricle. We would like to stress the need for regular cardiologic follow-up in psychiatric patients treated with lithium carbonate, to minimize its potential cardiac untoward consequences.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.