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[A severe form of vitamin D deficiency with hypocalcemic cardiomyopathy]
H Yaseen1, P Maragnes, S Gandon-Laloum
1Unité de réanimation infantile, CHU Côte de Nacre, France.
Pediatrie
|January 1, 1993
Insights
Severe hypocalcemia in an infant with vitamin D deficient rickets caused cardiomyopathy and heart failure. Treatment with calcium gluconate, vitamin D, and dobutamide successfully resolved the heart failure.
Area of Science:
- Pediatrics
- Cardiology
- Endocrinology
Background:
- Vitamin D deficiency rickets can lead to severe hypocalcemia.
- Hypocalcemia is a known risk factor for cardiac dysfunction.
Observation:
- A case study of an infant presenting with cardiomyopathy and congestive heart failure.
- The infant exhibited severe hypocalcemia secondary to vitamin D deficient rickets.
Findings:
- Successful treatment of heart failure was achieved using calcium gluconate and vitamin D supplementation.
- Dobutamide was used as an adjunct therapy in managing the congestive heart failure.
Implications:
- Highlights the critical link between severe hypocalcemia from rickets and pediatric cardiomyopathy.
- Demonstrates the efficacy of prompt calcium and vitamin D repletion in reversing cardiac dysfunction.
- Underscores the importance of early diagnosis and management of nutritional deficiencies impacting cardiovascular health in infants.
Abstract:
The authors report on a case of cardiomyopathy with congestive heart failure in an infant with severe hypocalcemia related to vitamin D deficient rickets. The heart failure was successfully treated with calcium gluconate and vitamin D, associated with dobutamide.