冠状动脉旁路移植术后继发低钙血症导致的失代偿性心力衰竭

Decompensated heart failure secondary to hypocalcaemia post coronary artery bypass grafting.

作者信息

Grecian Sheila, Ainslie Mark, Liliker James, Sarma Jaydeep

机构信息

Department of Cardiology, Wythenshawe Hospital, Manchester, UK.

出版信息

BMJ Case Rep. 2011 Jul 15;2011:bcr0320114032. doi: 10.1136/bcr.03.2011.4032.

DOI:10.1136/bcr.03.2011.4032

PMID:22689552

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3139158/

Abstract

A man presented with an exacerbation of heart failure following coronary artery bypass grafting. He was found to be severely hypocalcaemic secondary to a combination of decreased parathyroid reserve and severe vitamin D deficiency. On treatment of his hypocalcaemia, all symptoms resolved. This case highlights the importance of recognising that metabolic derangement can affect cardiac function.

摘要

一名男子在冠状动脉旁路移植术后出现心力衰竭加重。经检查发现，由于甲状旁腺储备减少和严重维生素D缺乏共同作用，他出现了严重的低钙血症。在对其低钙血症进行治疗后，所有症状均得到缓解。该病例突出了认识到代谢紊乱会影响心脏功能的重要性。