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Hypocalcemic Dilated Cardiomyopathy: A Case Report

低鈣血症擴張型心肌病變案例報告

摘要


一位36歲女性因心肌擴大併發心衰竭到醫院求診,我們做了一系列的檢查,包括右心室病理切片,檢查後,推論此心衰竭是因副甲狀腺功能低下導致之低鈣血症所引起的。在此篇報告中我們也探討了低衰竭的一種原因,特別是那些曾經做過甲狀腺切除術的患者。

關鍵字

低鈣血症 心衰竭

並列摘要


Congestive heart failure due to hypocalcemia is rare. We describe a 36-year-old woman with hypocalcemia who presented with cardiomealy and congestive heart failure. Her serum calcium was 4.8 mg/dl and phosphorous 6.1 mg/dl. Idiopathic dilated cardiomyopathy was diagnosed by cardiac catheterization and right ventricular biopsy. Her decompensated heart improved gradually after calcium supplements and conventional treatment for heart failure. We provpose the cause of her heart failure was iatrogenic hypoparathyroicism induced hypocalcemia. We suggest that physicaians should be aware that hypocalcemia can be a reversible cause of dilated cardiomyopathy and congestive heart failure especially in patients who have had a radical thyroidectomy.

並列關鍵字

hypocalcemia cardiomyopathy heart failure

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