[A rare cause of reversible dilated cardiomyopathy: hypocalcemia].
Hypocalcaemia is a rare cause of reversible heart failure. We present a 27-year-old man who had severe heart failure unresponsive to medical therapy. He had vitamin D-resistant rickets for which he had received replacement therapy with vitamin D and calcium until age 20, but he discontinued treatment for the past seven years. Severe hypocalcemia was detected. Echocardiography showed left ventricular dilatation, global hypokinesia (ejection fraction 25%), and mitral and tricuspid regurgitation of grades 3 and 2, respectively. After calcium and vitamin D supplementation, his symptoms showed rapid improvement. At nine months, myocardial dysfunction improved fully. Hypocalcemia should be considered among the causes of heart failure unresponsive to medical treatment.
Ari
Hasan
H
Department of Cardiology, Bursa Postgraduate Hospital, Bursa, Turkey. hasanari03@yahoo.com
Ari
Selma
S
Koca
Vedat
V
Bozat
Tahsin
T
D000328:Adult; D002311:Cardiomyopathy, Dilated / Q000000981:diagnostic imaging / Q000209:etiology*; D004452:Echocardiography; D006801:Humans; D006996:Hypocalcemia / Q000150:complications* / Q000175:diagnosis; D008297:Male; D016896:Treatment Outcome; D014807:Vitamin D / Q000627:therapeutic use
D014807:Vitamin D