Porcelain heart: rapid progression of cardiac calcification in a patient with hemodialysis.
Cardiac calcification usually occurs in patients with end-stage renal disease. However, rapid progression of cardiac calcification is rarely associated with secondary hyperparathyroidism of end-stage renal disease. We report a patient with end-stage renal disease who showed moderate left ventricular hypertrophy at the first echocardiography, and showed severe myocardial calcification and severe mitral valve stenosis 4 years later. We suspected a rapid progression 'porcelain heart' cardiomyopathy secondary to hyperparathyroidism of end-stage renal disease. The patient underwent parathyroidectomy, and considered mitral valve replacement.
Division of Cardiology, Department of Internal Medicine, Pohang St. Mary's Hospital, Pohang, Korea.
Hyeon-Uk
HU
Lee
Ho-Joong
HJ
Youn
Byung-Ju
BJ
Shim
Seung-Jae
SJ
Lee
Mi-Youn
MY
Park
Jin-Uk
JU
Jeong
Gwan-Min
GM
Gu
Hui-Kyung
HK
Jeon
Ji-Eun
JE
Lee
Byung-Jin
BJ
Kwon
End stage renal disease; Mitral valve stenosis; Myocardial calcification; Secondary hyperparathyroidism