Öz
Heart failure due to hypocalcemia is a very rare condition. Ensuring heart failure due to hypocalcemia is refractory to conventional treatment. We reported a 47-year-old woman who developed cardiac failure due to hypocalcemia. Echocardiography showed left ventricular dilatation, mild systolic dysfunction (ejection fraction %43), and pericardial effusion. Serum calcium level was too low. After treatment of heart failure by calcium-vitamin D supplementation, signs and symptoms of heart failure improved rapidly. Serum calcium level should be monitored in every patient with cardiac failure and hypocalcemia should be considered in patients with refractory heart failure.
Anahtar Kelimeler
Kaynakça
- 1. Mano T, Kamiya H, Kawakita S, Imamura Y, Suzuki A, Tani N, et al. A case of primary hypoparathyroidism complicated by heart failure. Jpn J Med 1991;30:464-7
- 2. Stulz PM, Scheidegger D, Drop LJ, Lowenstein E, Laver MB
- Ventricular pump performance during hypocalcemia: clinical and experimental studies. J Thorac Cardiovasc Surg 1979;78:185-94
- 3. Suzuki T, Ikeda U, Fujikawa H, Saito K, Shimada K
- Hypocalcemic heart failure: a reversible form of heart muscle disease. Clin Cardiol 1998;21:227-8
- 4. Gulati S, Bajpai A, Juneja R, Kabra M, Bagga A, Karla V
- Hypocalcemic heart failure masquerading as dilated cardiomyopathy. Indian J Pediatr 2001;68:287-90
- 5. Rallidis LS, Gregoropoulos PP, Papasteriadis EG. A case of severe hypocalcaemia mimicking myocardial infarction. Int J Cardiol 1997;61:89-91
- 6. Schar B, Seifert B, Weber UK, Ludwig C. Hypocalcemia as a rare cause of acute left heart failure. Case report and review of the literature. Schweiz Med Wochenschr 1997;127:1862-6
- 7. Wong CK, Pun KK, Cheng CH, Lau CP, Leung WH, Chan MK, et al. Hypocalcemic heart failure in endstage renal disease. Am J Nephrol 1990;10:167-70
- 8. Levine SN, Rheams CN. Hypocalcemic heart failure. Am J Med 1985;78:1033-5
- 9. Urrejola P, Cattani A, Heusser F, Talesnik E. Di George syndrome. Rev Chil Pediatr 1991;62:381-5
- 10. Martin-Du Pan RC, Ricou F. Cardiac decompensation after an adenectomy for primary hyperparathyroidism: hypocalcemic cardiopathy or cascade effect? Rev Med Suisse Romande 2000;120:573-6
- 11. Chernow B, Zaloga G, McFadden E, Clapper M, Kotler M, Barton M, et al. Hypocalcemia in critically ill patients. Crit Care Med 1982;10:848-51
- 12. Tsironi M, Korovesis K, Farmakis D, Deftereos S, Aessopos A
- Hypocalcemic heart failure in thalassemic patients. Int J Hematol 2006;83:314-7
- 13. Goulet M, Rio M, Jacquette A, Ladouceur M, Bonnet D
- Neonatal hypocalcaemic dilated myocardiopathy due to a 22q11 microdeletion. Arch Mal Coeur Vaiss 2006;99:520-2
Öz
Hipokalsemiye bağlı gelişen kalp yetersizliği oldukça nadir görülen bir durumdur. Hipokalsemiye bağlı gelişen kalp yetersizliği konvansiyonel kalp yetersizliği tedavisine dirençlidir. Bu yazıda, hipokalsemiye bağlı kalp yetersizliği gelişen 47 yaşında bayan hasta sunuldu. Hastada ileri derecede hipokalsemi vardı. Ekokardiyografide sol ventrikül genişlemesi, hafif derecede sistolik disfonksiyon (ejeksiyon fraksiyonu %43), hafif derecede perikardial efüzyon tespit edildi. Kalp yetersizliği tedavisine ek olarak kalsiyum ve D3 vitamini desteği ile hastanın kalp yetersizliğine ait semptom ve bulguları hızla geriledi. Serum kalsiyum düzeyi kalp yetersizliği olan her hastada bakılmalı, tedaviye dirençli kalp yetersizliğinde hipokalsemi akla gelmelidir.
Anahtar Kelimeler
Kaynakça
- 1. Mano T, Kamiya H, Kawakita S, Imamura Y, Suzuki A, Tani N, et al. A case of primary hypoparathyroidism complicated by heart failure. Jpn J Med 1991;30:464-7
- 2. Stulz PM, Scheidegger D, Drop LJ, Lowenstein E, Laver MB
- Ventricular pump performance during hypocalcemia: clinical and experimental studies. J Thorac Cardiovasc Surg 1979;78:185-94
- 3. Suzuki T, Ikeda U, Fujikawa H, Saito K, Shimada K
- Hypocalcemic heart failure: a reversible form of heart muscle disease. Clin Cardiol 1998;21:227-8
- 4. Gulati S, Bajpai A, Juneja R, Kabra M, Bagga A, Karla V
- Hypocalcemic heart failure masquerading as dilated cardiomyopathy. Indian J Pediatr 2001;68:287-90
- 5. Rallidis LS, Gregoropoulos PP, Papasteriadis EG. A case of severe hypocalcaemia mimicking myocardial infarction. Int J Cardiol 1997;61:89-91
- 6. Schar B, Seifert B, Weber UK, Ludwig C. Hypocalcemia as a rare cause of acute left heart failure. Case report and review of the literature. Schweiz Med Wochenschr 1997;127:1862-6
- 7. Wong CK, Pun KK, Cheng CH, Lau CP, Leung WH, Chan MK, et al. Hypocalcemic heart failure in endstage renal disease. Am J Nephrol 1990;10:167-70
- 8. Levine SN, Rheams CN. Hypocalcemic heart failure. Am J Med 1985;78:1033-5
- 9. Urrejola P, Cattani A, Heusser F, Talesnik E. Di George syndrome. Rev Chil Pediatr 1991;62:381-5
- 10. Martin-Du Pan RC, Ricou F. Cardiac decompensation after an adenectomy for primary hyperparathyroidism: hypocalcemic cardiopathy or cascade effect? Rev Med Suisse Romande 2000;120:573-6
- 11. Chernow B, Zaloga G, McFadden E, Clapper M, Kotler M, Barton M, et al. Hypocalcemia in critically ill patients. Crit Care Med 1982;10:848-51
- 12. Tsironi M, Korovesis K, Farmakis D, Deftereos S, Aessopos A
- Hypocalcemic heart failure in thalassemic patients. Int J Hematol 2006;83:314-7
- 13. Goulet M, Rio M, Jacquette A, Ladouceur M, Bonnet D
- Neonatal hypocalcaemic dilated myocardiopathy due to a 22q11 microdeletion. Arch Mal Coeur Vaiss 2006;99:520-2
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Şubat 2011 |
| Yayımlandığı Sayı | Yıl 2011 Cilt: 17 Sayı: 1 |