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Hypocalcemic cardiomyopathy with heart failure: A rare Case report
Manish Kharel1, Anukul Subedi1, Md Fahad Hossain2
1Kathmandu medical college Sinamangal Nepal.
Insights
Hypocalcemia, a rare cause of reversible cardiomyopathy, requires prompt correction in patients with refractory heart failure. Early diagnosis and treatment of low calcium levels can significantly improve cardiac function and outcomes.
Area of Science:
- Cardiology
- Endocrinology
- Internal Medicine
Background:
- Hypocalcemia is an uncommon etiology of reversible dilated cardiomyopathy.
- Refractory heart failure necessitates a thorough investigation for underlying causes, including electrolyte imbalances.
Observation:
- A 55-year-old female presented with refractory heart failure.
- Her condition was attributed to hypocalcemia secondary to primary hypoparathyroidism and vitamin D deficiency.
Findings:
- Correction of hypocalcemia and vitamin D deficiency led to dramatic improvement in cardiac symptoms.
- Left ventricular function and structure recovered following calcium level normalization.
Implications:
- Hypocalcemia should be considered in the differential diagnosis of refractory heart failure.
- Early identification and management of hypocalcemia can prevent irreversible cardiac damage and reduce mortality.
Abstract:
Hypocalcemia is one of the rarest causes of reversible cardiomyopathy. Patients with refractory heart failure need to be explored for hypocalcemia and need prompt correction.
Abstract:
Hypocalcemia is a rare cause of reversible dilated cardiomyopathy. Correction of calcium is crucial to recover left ventricular function and structure. We presented the case of a 55-year-old female who was admitted to the hospital with refractory heart failure due to hypocalcemia induced by primary hypoparathyroidism and complicated by vitamin D deficiency. The patient's cardiac symptoms improved dramatically upon correction of hypocalcemia, and vitamin D. Therefore, the key clinical message of this case report is, that hypocalcemia, although rare, should be considered as one of the differential diagnoses when heart failure is refractory and early diagnosis and treatment is necessary as it is the cause of reversible cardiomyopathy and could reduce morbidity and mortality.
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