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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.
According to the American Heart Association, potassium imbalances are the most common electrolyte-associated cardiac arrhythmias. Potassium plays a role in both nerve conduction and the heartâs ability to send an electrical impulse. Low potassium levels can cause relatively stable arrhythmias, while high potassium levels can quickly lead to lethal arrhythmias. Sodium, magnesium and calcium imbalances also place the heart at risk for arrhythmias.