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Lithium may cause arrhythmias, or irregular heartbeat, throughout the course of therapy. If the patient experiences heart palpitations or uneven heart beat, he should seek medical care right away.
High potassium causes arrhythmias, and so does digoxin toxicity. Double whammy. You're more likely to get digoxin toxicity with low potassium as you have explained, but toxicity can occur without this. Combined with a high potassium, the heart rhythm is in serious danger.