Ramos-Cázares Ray Erick, Rivera-Florez Juan Sebastián, Pedraza-Jiménez Rafael, Vera-Pinera Raymundo, Mascorro-Cienfuegos César Alejandro, Ordaz-Farias Alejandro, Urrutia-Stamatio Bernardo, Flores-Ramírez Ramiro, Carrizales-Sepúlveda Edgar Francisco, Uresti Osvaldo
Hospital Universitario "Dr José Eleuterio González," Cardiology Department, Universidad Autónoma de Nuevo León, Monterrey, México.
Hospital Universitario "Dr José Eleuterio González," Cardiology Department, Universidad Autónoma de Nuevo León, Monterrey, México.
JACC Case Rep. 2025 Apr 2;30(7):103498. doi: 10.1016/j.jaccas.2025.103498.
Myocardial calcification is a rare condition, often discovered incidentally during cardiac evaluations. It can result from myocardial necrosis or systemic metabolic disturbances.
A 58-year-old woman presented with palpitations and diarrhea. Atrial fibrillation with spontaneous conversion to sinus rhythm was noted, along with a left ventricular mass identified on echocardiogram and confirmed via computed tomography as dystrophic calcification. Management included rehydration, antiarrhythmic therapy, and anticoagulation. The calcification, linked to previous myocardial infarctions, was considered an incidental finding, with no significant systolic dysfunction.
This case highlights the rare occurrence of dystrophic myocardial calcification following necrosis, a condition that can remain asymptomatic but may predispose patients to arrhythmias or heart failure. Early detection and thorough evaluation, including imaging, are crucial to guide management and surveillance.
心肌钙化是一种罕见病症，常在心脏评估时偶然发现。它可由心肌坏死或全身性代谢紊乱引起。
一名58岁女性出现心悸和腹泻症状。记录到心房颤动并自发转为窦性心律，同时超声心动图发现左心室肿物，计算机断层扫描证实为营养不良性钙化。治疗措施包括补液、抗心律失常治疗和抗凝治疗。该钙化与既往心肌梗死有关，被视为偶然发现，无明显收缩功能障碍。
本病例凸显了坏死性营养不良性心肌钙化的罕见情况，这种情况可能无症状，但可能使患者易患心律失常或心力衰竭。早期检测和全面评估，包括影像学检查，对于指导治疗和监测至关重要。
