| Idiopathic hypoparathyroidism: A rare cause of reversible heart failure |
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Sun Young Kim, Ja Young Lee, Ji Myoung Lee, Mi Jung Kim, Dong-Jun Lim, Je Ho Han, Sung Dae Moon |
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| 가역 심부전을 동반한 원발성 부갑상선 기능저하증 1예 |
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김선영·이자영·이지명·김미정·임동준·한제호·문성대, Ja Young Lee, Ji Myoung Lee, Mi Jung Kim, Dong-Jun Lim, Je Ho Han, Sung Dae Moon |
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| Abstract |
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A 65-year-old woman presented with acute pulmonary edema, generalized tetany, and paresthesia. She had severe hypocalcemia,
a low intact parathyroid hormone level, and her echocardiogram revealed left ventricular dysfunction. She had no history of heart
failure or thyroid surgery. The heart failure improved after calcium replacement and conventional heart failure management.
She was diagnosed with hypocalcemia-induced heart failure caused by idiopathic hypoparathyroidism. Despite the crucial role of
calcium in myocardial contractility, hypocalcemia is rarely reported as a cause of heart failure.
In conclusion, plasma calcium should be measured in the initial workup of all patients with heart failure, and corrected if hypocalcemia
is seen. Idiopathic hypoparathyroidism is a rare cause of reversible heart failure that should be considered in the etiologic
assessment. (Korean J Med 77:353-358, 2009) |
| Key Words:
Hypocalcemia; Idiopathic hypoparathyroidism; Heart failure |
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