title: [Cardiac decompensation after an adenectomy for primary hyperparathyroidism: hypocalcemic cardiopathy or cascade effect?].
abstract: A 42 year old woman presented with an auricular tachyarrhythmia as well as a congestive cardiac failure ascribed to a viral myocarditis, two months after an adenectomy for primary hyperparathyroidism. Serum calcium was low whereas parathormone serum was increased suggesting a "hungry bone syndrome". The left ventricular dysfunction persisted for a long period even after normalization of the serum calcium. The contributory role of hypocalcemia in unexplained or refractory heart failure is reviewed. The eventuality of a cascade effect is evoked.
authors.affiliation: Hospital cantonal universitaire de Genéve.
authors.forename: R C
authors.initials: RC
authors.lastname: Martin-Du Pan
authors.forename: F
authors.initials: F
authors.lastname: Ricou
mesh_terms: D000236:Adenoma / Q000150:complications / Q000601:surgery*; D000328:Adult; D000469:Alkaline Phosphatase / Q000097:blood; D005260:Female; D006333:Heart Failure / Q000097:blood / Q000209:etiology*; D006801:Humans; D006961:Hyperparathyroidism / Q000209:etiology*; D006996:Hypocalcemia / Q000097:blood / Q000209:etiology; D010281:Parathyroid Hormone / Q000097:blood; D010282:Parathyroid Neoplasms / Q000150:complications / Q000601:surgery*; D016105:Parathyroidectomy / Q000009:adverse effects*; D013610:Tachycardia / Q000209:etiology; D018487:Ventricular Dysfunction, Left / Q000209:etiology
chemical_list: D010281:Parathyroid Hormone; D000469:Alkaline Phosphatase