Kharel Manish, Subedi Anukul, Hossain Md Fahad
Kathmandu medical college Sinamangal Nepal.
Ministry of Health and Family Welfare Kuliarchar Kishoreganj Bangladesh.
Clin Case Rep. 2024 Sep 22;12(9):e9463. doi: 10.1002/ccr3.9463. eCollection 2024 Sep.
Hypocalcemia is one of the rarest causes of reversible cardiomyopathy. Patients with refractory heart failure need to be explored for hypocalcemia and need prompt correction.
Hypocalcemia is a rare cause of reversible dilated cardiomyopathy. Correction of calcium is crucial to recover left ventricular function and structure. We presented the case of a 55-year-old female who was admitted to the hospital with refractory heart failure due to hypocalcemia induced by primary hypoparathyroidism and complicated by vitamin D deficiency. The patient's cardiac symptoms improved dramatically upon correction of hypocalcemia, and vitamin D. Therefore, the key clinical message of this case report is, that hypocalcemia, although rare, should be considered as one of the differential diagnoses when heart failure is refractory and early diagnosis and treatment is necessary as it is the cause of reversible cardiomyopathy and could reduce morbidity and mortality.
低钙血症是可逆性心肌病最罕见的病因之一。难治性心力衰竭患者需要排查低钙血症并及时纠正。
低钙血症是可逆性扩张型心肌病的罕见病因。纠正钙水平对于恢复左心室功能和结构至关重要。我们报告了一例55岁女性患者，因原发性甲状旁腺功能减退导致低钙血症并伴有维生素D缺乏，进而引发难治性心力衰竭入院。纠正低钙血症和补充维生素D后，患者的心脏症状显著改善。因此，本病例报告的关键临床信息是，低钙血症虽然罕见，但在心力衰竭难治时应被视为鉴别诊断之一，且由于其是可逆性心肌病的病因，早期诊断和治疗是必要的，这可以降低发病率和死亡率。
