[Cardiac decompensation after an adenectomy for primary hyperparathyroidism: hypocalcemic cardiopathy or cascade effect?].
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.
Martin-Du Pan
R C
RC
Hospital cantonal universitaire de Genéve.
Ricou
F
F
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
D010281:Parathyroid Hormone; D000469:Alkaline Phosphatase