Refractory hypotension associated with hypocalcemia and renal disease.
A 35-year-old hypertensive man presented with chronic renal insufficiency, congestive heart failure, and refractory hypotension. He had metabolic acidosis and profound hypocalcemia. Left ventricular function and blood pressure worsened after intravenous infusion of saline and bicarbonate, but improved dramatically after intravenous calcium administration. This case illustrates that hypocalcemia is a cause of refractory hypotension and heart failure.
Ghent
S
S
Division of Pulmonary and Critical Care Medicine, University of South Carolina School of Medicine, Columbia.
Judson
M A
MA
Rosansky
S J
SJ
D000328:Adult; D006333:Heart Failure / Q000209:etiology*; D006801:Humans; D006996:Hypocalcemia / Q000150:complications*; D007022:Hypotension / Q000209:etiology*; D007676:Kidney Failure, Chronic / Q000150:complications*; D008297:Male