Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2019 Apr 7:2019:4851073.
doi: 10.1155/2019/4851073. eCollection 2019.

Ventricular Arrhythmia Precipitated by Severe Hypocalcaemia Secondary to Primary Hypoparathyroidism

Affiliations
Case Reports

Ventricular Arrhythmia Precipitated by Severe Hypocalcaemia Secondary to Primary Hypoparathyroidism

S Ashwin Reddy. Case Rep Cardiol. .

Abstract

Hypocalcaemia causes neuromuscular and myocardial symptoms, including QT interval prolongation, and cardiac arrhythmias. Prompt detection and calcium replacement may reverse the pathology, following which the underlying cause should be diagnosed and treated to prevent recurrence. I present the case of a young man presenting with collapse who was found to have sinus rhythm with significant QT interval prolongation on admission electrocardiogram (ECG) associated with profound hypocalcaemia secondary to primary hypoparathyroidism.

PubMed Disclaimer

Figures

Figure 1
Figure 1
ECG demonstrating sinus rhythm, normal atrioventricular conduction, normal QRS duration, and markedly prolonged QTc.

References

    1. Vadiveloo T., Donnan P. T., Leese G. P. A population-based study of the epidemiology of chronic hypoparathyroidism. Journal of Bone and Mineral Research. 2018;33(3):478–485. doi: 10.1002/jbmr.3329. - DOI - PubMed
    1. Clarke B. L., Brown E. M., Collins M. T., et al. Epidemiology and diagnosis of hypoparathyroidism. The Journal of Clinical Endocrinology & Metabolism. 2016;101(6):2284–2299. doi: 10.1210/jc.2015-3908. - DOI - PMC - PubMed
    1. Rometo A. B., Beerman L., Arora G. Electrolyte screening in the evaluation of prolonged QTc interval. Cardiology in the Young. 2015;25(2):398–399. doi: 10.1017/S1047951114000705. - DOI - PubMed
    1. Mangat J. S., Till J., Bridges N. Hypocalcaemia mimicking long QT syndrome: case report. European Journal of Pediatrics. 2008;167(2):233–235. doi: 10.1007/s00431-007-0438-7. - DOI - PubMed
    1. Armstrong C. M., Cota G. Calcium block of Na+ channels and its effect on closing rate. Proceedings of the National Academy of Sciences of the United States of America. 1999;96(7):4154–4157. doi: 10.1073/pnas.96.7.4154. - DOI - PMC - PubMed

Publication types

LinkOut - more resources