[Cardiac failure secondary to idiopathic hypoparathyroidism: a case report].
Hypocalcemic cardiomyopathy due to hypoparathyroidism is a very rare condition. Ensuing heart failure due to hypocalcemia is refractory to conventional treatment. We reported a 41-year-old man who developed cardiac failure due to hypocalcemia secondary to idiopathic hypoparathyroidism. Echocardiography showed biventricular low ejection fraction, dilated heart chambers, pulmonary hypertension, and valvular regurgitations. Serum calcium and parathyroid hormone levels were low. After treatment of heart failure and calcium-vitamin D supplementation, signs and symptoms of heart failure improved rapidly. At 6 months, biventricular systolic and diastolic functions returned to normal. Serum calcium level should be monitored in every patient with cardiac failure and hypocalcemia should be considered in patients with refractory heart failure.
Ozerkan
Filiz
F
Ege Universitesi Tip Fakültesi, Kardiyoloji Anabilim Dali, Izmir, Turkey. fozerkan@yahoo.com
Güngör
Hasan
H
Zoghi
Mehdi
M
Nalbantgil
Sanem
S
D000328:Adult; D002118:Calcium / Q000008:administration & dosage / Q000097:blood*; D006333:Heart Failure / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D006996:Hypocalcemia / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D007011:Hypoparathyroidism / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D008297:Male; D010281:Parathyroid Hormone / Q000097:blood; D014463:Ultrasonography; D014807:Vitamin D / Q000008:administration & dosage; D014815:Vitamins / Q000008:administration & dosage
D010281:Parathyroid Hormone; D014815:Vitamins; D014807:Vitamin D; D002118:Calcium