Dilated cardiomyopathy due to endocrine dysfunction.
Dilated cardiomyopathy can be idiopathic or be caused by many potentially treatable conditions. We report a complex case of peripartum heart failure associated with hypothyroidism and hypoparathyroidism. Myocardial biopsy suggested that hypothyroidism was the main cause for the dilated pattern, but hypocalcemia played a critical role in acute decompensation of heart failure during hospitalization. After a long and clinically complicated hospital stay, correction of hypothyroidism and hypocalcemia resulted in near-normal cardiac function.
Brito
Dulce
D
Serviço de Cardiologia e Ginecologia-Obstetrícia, Hospital de Santa Maria, Lisboa.
Pedro
Mónica
M
Bordalo
Alvaro
A
Orgando
Ana Lúcia
AL
Aguiar
Ana
A
Gouveia
Rosa
R
Martins
Ana Paula
AP
Vagueiro
Maria Celeste
MC
Madeira
Hugo
H
D000328:Adult; D002311:Cardiomyopathy, Dilated / Q000209:etiology*; D005260:Female; D006801:Humans; D006996:Hypocalcemia / Q000150:complications*; D007037:Hypothyroidism / Q000150:complications*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000209:etiology*