Cardiac failure secondary to hypocalcaemia of nutritional osteomalacia.
A 41-year-old Asian woman presented with mild congestive cardiac failure, initially controlled with a small dose of diuretic. Subsequently there was a marked deterioration in her condition with severe cardiac failure resistant to treatment. At this time biochemistry revealed a hyperphosphataemic variety of osteomalacia. Her cardiac failure improved promptly on correcting the hypocalcemia. Although hypocalcaemia is a recognised cause of cardiac failure it has not been described in privational osteomalacia.
Avery
P G
PG
Cardiology Department, Groby Road Hospital, Leicester.
Arnold
I R
IR
Hubner
P J
PJ
Iqbal
S J
SJ
D000328:Adult; D005260:Female; D006333:Heart Failure / Q000209:etiology*; D006801:Humans; D006996:Hypocalcemia / Q000150:complications* / Q000209:etiology; D010018:Osteomalacia / Q000150:complications*