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Published on: July 14, 2023
Reversible dilated cardiomyopathy caused by idiopathic hypoparathyroidism
Youn Joo Jung1, Sung Eun Kim, Ji Yeon Hong
1Division of Cardiology, Department of Internal Medicine, Hallym University Kangdong Sacred Heart Hospital, Seoul, Korea.
The Korean Journal of Internal Medicine
|September 7, 2013
Summary
Idiopathic hypoparathyroidism can cause dilated cardiomyopathy (DCM), a reversible heart condition. Prompt calcium treatment improved the patient's DCM, highlighting a rare but treatable cause.
Area of Science:
- Cardiology
- Endocrinology
- Internal Medicine
Background:
- Dilated cardiomyopathy (DCM) is a primary heart muscle disease often of unknown cause, typically associated with a poor prognosis.
- Hypocalcemia, a condition of low calcium levels, is an uncommon but reversible etiology for DCM.
Observation:
- A 50-year-old female presented with clinical and echocardiographic findings consistent with DCM.
- Further investigation revealed that the patient had idiopathic hypoparathyroidism, leading to chronic hypocalcemia.
Findings:
- The patient's DCM was directly linked to hypocalcemia caused by idiopathic hypoparathyroidism.
- Treatment with calcium supplementation resulted in significant improvement of cardiac function and resolution of DCM.
Implications:
- This case underscores the importance of considering and investigating metabolic causes, such as hypocalcemia, in patients presenting with DCM.
- Early diagnosis and management of hypocalcemia can lead to a reversible outcome for DCM, improving patient prognosis.
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