... risk of type 2 diabetes mellitus, dyslipidemia,hypertension, stroke, ischemic heart disease and earlymortality [6-9]. The authors concluded that the preva-lence of obesity in this study of outpatients ... diagnosis of general medical conditions may bedelayed. As the physician with the most (and often the only) contact with these patients, psychiatrists need to bevigilant in detecting early signs ... [40]. Further, many of the medications that treat bipolar disorder may have car-diac side effects or toxicity. Underlying cardiac diseasemay also affect the pharmacokinetics of psychotropics.Congestive...