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心越硬，伤得越痛：一例继发于三期甲状旁腺功能亢进症的完全性房室传导阻滞病例

The Harder the Heart, the Harder It Breaks: A Case of Complete Atrioventricular Block Secondary to Tertiary Hyperparathyroidism.

作者信息

Anam Ramanakumar, Tellez Mauricio, Lozier Matthew, Waheed Ameen, Collado Jose E

机构信息

Internal Medicine, University of Miami at Holy Cross Hospital, Fort Lauderdale, USA.

Cardiology, Mount Sinai Medical Center, Miami, USA.

出版信息

Cureus. 2021 Feb 11;13(2):e13276. doi: 10.7759/cureus.13276.

DOI:10.7759/cureus.13276
PMID:33728211
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7949694/
Abstract

The appearance of first-degree atrioventricular block and mitral annulus calcification in an end-stage renal failure patient with elevated parathyroid hormone levels should raise the suspicion of metastatic cardiac calcification. Measures should be taken to normalize the parathyroid hormone, calcium, and phosphorus levels to limit the progression of atrioventricular block. Exploration or removal of parathyroid glands should be considered if heart block worsens.

摘要

在一名甲状旁腺激素水平升高的终末期肾衰竭患者中出现一度房室传导阻滞和二尖瓣环钙化，应怀疑有转移性心脏钙化。应采取措施使甲状旁腺激素、钙和磷水平正常化，以限制房室传导阻滞的进展。如果心脏传导阻滞恶化，应考虑探查或切除甲状旁腺。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74a6/7949694/6419cc3dc120/cureus-0013-00000013276-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74a6/7949694/46b48dbd2932/cureus-0013-00000013276-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74a6/7949694/6c20f406679a/cureus-0013-00000013276-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74a6/7949694/6419cc3dc120/cureus-0013-00000013276-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74a6/7949694/46b48dbd2932/cureus-0013-00000013276-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74a6/7949694/6c20f406679a/cureus-0013-00000013276-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74a6/7949694/6419cc3dc120/cureus-0013-00000013276-i03.jpg

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Mitral annular calcification: clinical, pathophysiology, and echocardiographic review.二尖瓣环钙化：临床、病理生理学及超声心动图综述
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