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Case Reports
. 2019 Sep 12;12(9):e229822.
doi: 10.1136/bcr-2019-229822.

Hypocalcemic cardiomyopathy: a rare presenting manifestation of hypoparathyroidism

Neharika Saini  1 , Sanat Mishra  1 , Saurav Banerjee  1 , Rajesh Rajput  1
Affiliations
Case Reports

Hypocalcemic cardiomyopathy: a rare presenting manifestation of hypoparathyroidism

Neharika Saini et al. BMJ Case Rep. .

Abstract

Hypoparathyroidism patients present with features of hypocalcemia like carpopedal spasm, numbness and paresthesias but hypocalcemic cardiomyopathy leading to congestive heart failure (CHF) is a rare presentation. We present here a case of 55-year-old Asian man who was a known case of dilated cardiomyopathy for 6 months, presented with the chief complaints of shortness of breath on exertion and decreased urine output. On general physical examination, features suggestive of CHF were seen. Chvostek and Trousseau's sign was positive. The patient had a history of cataract surgery of both eyes 15 years ago. Further investigations revealed hypocalcemia. Echo showed severe global hypokinesia of left ventricle with left ventricle ejection fraction 15%. This CHF was refractory to conventional treatment, though, with calcium supplementation, the patient improved symptomatically. On follow-up after 3 months, an improvement was seen in the echocardiographic parameters with ejection fraction improving to 25%.

Keywords: Calcium And Bone; Endocrine System; Heart Failure.

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Conflict of interest statement

Competing interests: None declared.

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