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Children living in areas with higher levels of lithium in drinking water were more likely to be diagnosed with Wolff-Parkinson-White syndrome, a rare heart condition that can cause a dangerously fast heartbeat, according to a new study led by UC San Francisco researchers.

The findings, which were published online in The Journal of Clinical Investigation, are based on health and water-quality data for more than 2.3 million children in California and were also observed among nearly 2 million children in New York. Children in California counties with lithium levels in the highest 25% had 71% greater odds of a Wolff-Parkinson-White (WPW) diagnosis than those living in counties with lower levels.

Lithium occurs naturally in groundwater, and concentrations vary widely by location. Although the research focused on California and New York, lithium is found in groundwater used for drinking water across the United States and elsewhere, raising questions about the potential broader public health significance of the findings.

WPW occurs when an extra strand of heart muscle, known as an accessory pathway, creates an abnormal electrical connection in the heart. These pathways form during fetal development, but why they develop has remained largely unknown. Most people with accessory pathways do not have a family history of the condition, suggesting that environmental exposures during fetal development could play a role.

, MAS, an endowed professor in atrial fibrillation research in the UCSF Division of Cardiology and senior author of the study.

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