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[Heart failure due to chronic hypoparathyroidism in patient with acute coronary syndrome]

Wojciech Czerwiński1, Marcin Dębiński, Sylwia Szpak-Ulczok

  • 1III Oddział Kardiologii Inwazyjnej, Angiologii i Elektroterapii, Polsko-Amerykańskie Kliniki Serca, Dąbrowa Górnicza. wczerwinski@poczta.onet.pl

Kardiologia Polska
|June 26, 2013
PubMed

Insights

Severe heart failure, a rare hypocalcemia symptom, was diagnosed in a 58-year-old male. Primary hypoparathyroidism caused his hypocalcemia, leading to acute coronary syndrome symptoms and impaired heart function.

Area of Science:

  • Cardiology
  • Endocrinology
  • Internal Medicine

Background:

  • Hypocalcemia is an uncommon cause of severe heart failure.
  • Acute coronary syndrome (ACS) is a common cardiac emergency.

Observation:

  • A 58-year-old male presented with symptoms suggestive of ACS.
  • Electrocardiogram (ECG) revealed a prolonged QTc interval.
  • Echocardiography demonstrated severely impaired left ventricular ejection fraction.

Findings:

  • Hypocalcemia was identified as the underlying cause during hospitalization.
  • Primary hypoparathyroidism was diagnosed as the etiology of hypocalcemia.

Implications:

  • This case highlights the importance of considering metabolic disturbances like hypocalcemia in cardiac presentations.
  • Early diagnosis and management of hypoparathyroidism can prevent severe cardiac complications.
  • Broadens understanding of rare cardiac manifestations of endocrine disorders.

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