Hartmann-Hornberger F, Rein R, Runge M
1. Innere Abteilung des Krankenhauses Spandau.
Dtsch Med Wochenschr. 1988 Sep 30;113(39):1515-9. doi: 10.1055/s-2008-1067844.
About 20 years subsequent to a thyroid operation, syncopes occurred in a 42-year-old male patient. A prolonged QT interval was seen in the ECG. Both calcium and magnesium concentrations were decreased (calcium 1.1 mmol/l, magnesium 0.6 mmol/l). There was hyperphosphataemia of 2.8 mmol/l with a parathormone level at the lower limit of normal. After substituting vitamin D and calcium the patient was discharged symptom-free.