Kadeli Deepak, R Keshava, Aniyathodiyil Gopi, Ks Somashekara Reddy, B Magesh, V Krishna Prasanth
Cardiology Resident, Fortis Hospital, Bangalore, Karnataka.
Consultant Interventional Cardiologist,Fortis Hospital, Bangalore, Karnataka.
J Assoc Physicians India. 2018 Jun;66(6):92-94.
The contractility of the heart is a result of the interplay of ionic movements in and out of its individual cells. Calcium ion plays an important role in the ventricular function. We report a 34 year old female who presented with cardiogenic shock having had no cardiac symptoms previously. She had underwent a total thyroidectomy five years back for medullary thyroid cancer. Laboratory tests revealed her calcium levels to be very low and a diagnosis of hypocalcemic cardiomyopathy secondary to hypopituitarism was made. With vigorous calcium supplementation apart from diuretics the patient had rapid clinical improvement.
心脏的收缩性是其单个细胞内外离子运动相互作用的结果。钙离子在心室功能中起重要作用。我们报告一名34岁女性，此前无心脏症状，现出现心源性休克。她五年前因甲状腺髓样癌接受了全甲状腺切除术。实验室检查显示她的钙水平非常低，诊断为继发于垂体功能减退的低钙性心肌病。除利尿剂外，通过积极补充钙，患者临床症状迅速改善。
