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Reversible impairment of myocardial function in hypoparathyroidism causing hypocalcaemia
M Csanády1, T Forster, J Julesz
1Second Department of Medicine, Albert Szent-Györgyi Medical University School, Szeged, Hungary.
British Heart Journal
|January 1, 1990
Summary
Hypoparathyroidism can cause severe heart dysfunction. Restoring normal calcium levels reversed myocardial dysfunction and symptoms in a young woman.
Area of Science:
- Cardiology
- Endocrinology
- Internal Medicine
Background:
- Myocardial dysfunction can arise from various systemic conditions.
- Electrolyte imbalances, particularly calcium, play a critical role in cardiac function.
Observation:
- A 25-year-old woman presented with severe myocardial dysfunction.
- Laboratory investigations revealed hypocalcaemia attributed to hypoparathyroidism.
Findings:
- Restoration of normal serum total and free ionic calcium levels was achieved.
- Indices of left ventricular function normalized following calcium correction.
Implications:
- This case highlights the significant impact of hypoparathyroidism on cardiac health.
- Prompt diagnosis and management of hypocalcaemia are crucial for reversing myocardial dysfunction.
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