A rare cause of reversible dilated cardiomyopathy: Hypocalcemia Geri dönüşümlü dilate kardiyomiyopatinin nadir bir nedeni: Hipokalsemi
Turk Kardiyoloji Dernegi Arsivi, cilt.37, sa.4, ss.266-268, 2009 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 37 Sayı: 4
- Basım Tarihi: 2009
- Dergi Adı: Turk Kardiyoloji Dernegi Arsivi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.266-268
- Anahtar Kelimeler: Cardiomyopathy, dilated/etiology, Heart failure/etiology, Hypocalcemia/complications, Rickets
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Hypocalcaemia is a rare cause of reversible heart failure. We present a 27-year-old man who had severe heart failure unresponsive to medical therapy. He had vitamin D-resistant rickets for which he had received replacement therapy with vitamin D and calcium until age 20, but he discontinued treatment for the past seven years. Severe hypocalcemia was detected. Echocardiography showed left ventricular dilatation, global hypokinesia (ejection fraction 25%), and mitral and tricuspid regurgitation of grades 3 and 2, respectively. After calcium and vitamin D supplementation, his symptoms showed rapid improvement. At nine months, myocardial dysfunction improved fully. Hypocalcemia should be considered among the causes of heart failure unresponsive to medical treatment.