Ventricular tachycardia in a patient with primary hyperparathyroidism.
We present a case of primary hyperparathyroidism with hypercalcemia in a patient who had spontaneous attacks of ventricular tachycardia. Right ventricular burst pacing reproducibly induced ventricular tachycardia in the electrophysiological laboratory after intravenous administration of calcium-gluconate, and verapamil could terminate the tachycardia. After resection of the parathyroid adenoma, the calcium level was restored to normal, and ventricular tachycardia did not occur again during the follow-up period.
Chang
C J
CJ
Department of Medicine, National Yang-Ming University, School of Medicine, Taipei, Taiwan.
Chen
S A
SA
Tai
C T
CT
Yu
W C
WC
Chen
Y J
YJ
Tsai
C F
CF
Hsieh
M H
MH
Ding
Y A
YA
Chang
M S
MS
D000236:Adenoma / Q000150:complications / Q000601:surgery; D000889:Anti-Arrhythmia Agents / Q000008:administration & dosage / Q000627:therapeutic use; D002125:Calcium Gluconate / Q000008:administration & dosage; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005260:Female; D006339:Heart Rate; D006801:Humans; D006961:Hyperparathyroidism / Q000150:complications* / Q000601:surgery; D007262:Infusions, Intravenous; D008875:Middle Aged; D010282:Parathyroid Neoplasms / Q000150:complications / Q000601:surgery; D016105:Parathyroidectomy; D017180:Tachycardia, Ventricular / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D014700:Verapamil / Q000008:administration & dosage / Q000627:therapeutic use
D000889:Anti-Arrhythmia Agents; D014700:Verapamil; D002125:Calcium Gluconate