Hypocalcemic cardiomyopathy: A case report

Hypocalcemia and its related symptoms are common manifestations in postsurgical hypoparathyroidism, but patients with hypocalcemia manifested as heart failure is rare and few cases are reported in the literature. Here we reported a 58-year-old female with hypoparathyroidism and uncontrolled hypocalc...

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Main Authors: Yi Wen, Xiaolin Luo
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2022.999550/full
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author Yi Wen
Yi Wen
Xiaolin Luo
author_facet Yi Wen
Yi Wen
Xiaolin Luo
author_sort Yi Wen
collection DOAJ
description Hypocalcemia and its related symptoms are common manifestations in postsurgical hypoparathyroidism, but patients with hypocalcemia manifested as heart failure is rare and few cases are reported in the literature. Here we reported a 58-year-old female with hypoparathyroidism and uncontrolled hypocalcemia after thyroidectomy, presented with acute heart failure, accompanied with enlargement and reduced ejection fraction of left ventricle. She was refractory to guideline-directed medical therapy for heart failure including digitalis and diuretics. However, her symptoms resolved and cardiac function improved dramatically after normalization of serum calcium level. This rare case highlights the pivotal role of calcium in maintaining cardiac function and the importance of treating underlying reversible causes of heart failure. For patients with hypoparathyroidism, it is essential to get standard treatment to avoid development of heart failure and hypocalcemia related syndromes.
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spelling doaj.art-0bc9d3e07b7f4f6980840614b60d4fbf2022-12-22T03:47:35ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-09-01910.3389/fcvm.2022.999550999550Hypocalcemic cardiomyopathy: A case reportYi Wen0Yi Wen1Xiaolin Luo2West China School of Nursing/West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Cardiovascular Medicine, West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Cardiology, Xinqiao Hospital, Army Medical University, Chongqing, ChinaHypocalcemia and its related symptoms are common manifestations in postsurgical hypoparathyroidism, but patients with hypocalcemia manifested as heart failure is rare and few cases are reported in the literature. Here we reported a 58-year-old female with hypoparathyroidism and uncontrolled hypocalcemia after thyroidectomy, presented with acute heart failure, accompanied with enlargement and reduced ejection fraction of left ventricle. She was refractory to guideline-directed medical therapy for heart failure including digitalis and diuretics. However, her symptoms resolved and cardiac function improved dramatically after normalization of serum calcium level. This rare case highlights the pivotal role of calcium in maintaining cardiac function and the importance of treating underlying reversible causes of heart failure. For patients with hypoparathyroidism, it is essential to get standard treatment to avoid development of heart failure and hypocalcemia related syndromes.https://www.frontiersin.org/articles/10.3389/fcvm.2022.999550/fullhypocalcemic cardiomyopathyhypocalcemiahypoparathyroidismheart failurethyroidectomy
spellingShingle Yi Wen
Yi Wen
Xiaolin Luo
Hypocalcemic cardiomyopathy: A case report
Frontiers in Cardiovascular Medicine
hypocalcemic cardiomyopathy
hypocalcemia
hypoparathyroidism
heart failure
thyroidectomy
title Hypocalcemic cardiomyopathy: A case report
title_full Hypocalcemic cardiomyopathy: A case report
title_fullStr Hypocalcemic cardiomyopathy: A case report
title_full_unstemmed Hypocalcemic cardiomyopathy: A case report
title_short Hypocalcemic cardiomyopathy: A case report
title_sort hypocalcemic cardiomyopathy a case report
topic hypocalcemic cardiomyopathy
hypocalcemia
hypoparathyroidism
heart failure
thyroidectomy
url https://www.frontiersin.org/articles/10.3389/fcvm.2022.999550/full
work_keys_str_mv AT yiwen hypocalcemiccardiomyopathyacasereport
AT yiwen hypocalcemiccardiomyopathyacasereport
AT xiaolinluo hypocalcemiccardiomyopathyacasereport