Step 1: Lithium has wide-ranging side effects across neurological, renal, cardiac, endocrine and GI systems.
Step 2: On the cardiovascular side, the effects of lithium resemble those of hypokalemia, and the most common ECG change is T wave depression or flattening.
Step 3: Among the listed options, the classically tested electrolyte association is that lithium produces hypokalemia-like cardiac effects.
Conclusion: The answer is hypokalemia.
Ref: KD Tripathi, Essentials of Medical Pharmacology.