Rapid response to treatment of heart failure resulting from hypocalcemic cardiomyopathy.
Hypocalcemia is a rare condition that causes dilated cardiomyopathy and can result in heart failure. Patients with hypocalcemia have been reported to recover in 3 to 12 months after calcium and vitamin D replacement therapy as well as treatment of heart failure. A 6-month-old male patient who presented with dyspnea was admitted to the intensive care unit with severe heart failure and dilated cardiomyopathy. Blood biochemistry revealed hypocalcemia and vitamin D deficiency. After administration of anticongestive treatment, positive inotropic support, as well as vitamin D and calcium supplementation, cardiac function returned to normal in a week. Our case is the first report of such a rapid improvement in cardiac morphology and function in a patient with hypocalcemic dilated cardiomyopathy and heart failure.
From the Departments of *Pediatric Cardiology, †Pediatric Infectious Diseases, and ‡Neonatology, Erzurum District Training and Research Hospital, Erzurum, Turkey.
Osman
O
Yilmaz
Omer
O
Kilic
Murat
M
Ciftel
Nilay
N
Hakan
D002125:Calcium Gluconate / Q000627:therapeutic use*; D009202:Cardiomyopathies / Q000150:complications; D002762:Cholecalciferol / Q000627:therapeutic use*; D006333:Heart Failure / Q000188:drug therapy* / Q000209:etiology; D006801:Humans; D006996:Hypocalcemia / Q000150:complications / Q000188:drug therapy; D007223:Infant; D008297:Male; D012074:Remission Induction; D013997:Time Factors; D014808:Vitamin D Deficiency / Q000150:complications / Q000188:drug therapy; D014815:Vitamins / Q000627:therapeutic use*
D014815:Vitamins; D002762:Cholecalciferol; D002125:Calcium Gluconate