Hypocalcemic cardiomyopathy - A rare and reversible entity - 09/12/21
Abstract |
Calcium plays a vital key role in cardiac automatism and excitation-contraction coupling, with low serum levels associated with myocardial contractility compromise especially if myocardial sarcoplasmic reticulum is unable to maintain enough calcium content to initiate normal cardiac contraction. We present a 42-year-old woman with postsurgical untreated hypoparathyroidism and severe hypocalcaemia manifested as acute heart failure, without underlying known cardiac disease. Hypocalcaemia is a rare and potentially reversible cause of cardiomyopathy, with very few cases reported in the literature. Restoration to normal serum calcium levels usually leads to a rapid improvement of cardiac function. This rare case report highlights the importance of considering hypocalcaemia as a potentially reversible cause of severe cardiac dysfunction. Exclusion of hypocalcemia due to surgical hypoparathyroidism is mandatory in any individual with acute heart failure previously subjected to thyroidectomy.
Le texte complet de cet article est disponible en PDF.Keywords : Heart failure, Hypocalcaemia, Hypoparathyroidism, Hypocalcaemic cardiomyopathy
Plan
Vol 51
P. 426.e1-426.e3 - janvier 2022 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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