Decompensated heart failure secondary to hypocalcaemia post coronary artery bypass grafting.
A man presented with an exacerbation of heart failure following coronary artery bypass grafting. He was found to be severely hypocalcaemic secondary to a combination of decreased parathyroid reserve and severe vitamin D deficiency. On treatment of his hypocalcaemia, all symptoms resolved. This case highlights the importance of recognising that metabolic derangement can affect cardiac function.
Department of Cardiology, Wythenshawe Hospital, Manchester, UK.
Sheila
S
Grecian
Mark
M
Ainslie
James
J
Liliker
Jaydeep
J
Sarma
D000368:Aged; D002112:Calcifediol / Q000627:therapeutic use*; D002118:Calcium / Q000627:therapeutic use*; D002762:Cholecalciferol / Q000627:therapeutic use*; D001026:Coronary Artery Bypass; D003937:Diagnosis, Differential; D006333:Heart Failure / Q000188:drug therapy* / Q000209:etiology*; D006801:Humans; D006996:Hypocalcemia / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy*; D008297:Male; D014808:Vitamin D Deficiency / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy*
D002762:Cholecalciferol; D002112:Calcifediol; D002118:Calcium