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Reference : 1. Suzuki T, Ikeda U, Fujikawa H, Saito K, Shimada K. Hypocalcemic heart failure: a reversible for    more

Reference : 1. Suzuki T, Ikeda U, Fujikawa H, Saito K, Shimada K. Hypocalcemic heart failure: a reversible form of heart muscle disease. Clin Cardiol 1998;21:227-8. 2. Connor TB, Rosen BL, Blaustein MP, Applefeld MM, Doyle LA. Hypocalcemia precipitating congestive heart failure. N Engl J Med 1982;307:869-72. 3. Gulati S, Bajpai A, Juneja R, Kabra M, Bagga A, Kalra V. Hypocalcemic heart failure masquerading as dilated cardiomyopathy. Indian J Pediatr 2001;68:287-90. 4. Musse NS, Albanesi Filho FM, Barbosa EC, Ginefra P. Hypocalcemia causing heart failure. Arq Bras Cardiol 1992;59:401-4. [Abstract] 5. Bolk J, Ruiter JH, van Geelen JA. Hypocalcemia as a cause of reversible heart failure. Ned Tijdschr Geneeskd 2000;144:900-3. [Abstract] 6. Rallidis LS, Gregoropoulos PP, Papasteriadis EG. A case of severe hypocalcaemia mimicking myocardial infarction. Int J Cardiol 1997;61:89-91. 7. Kahraman M, Mogulkoç M, Dinçer H, Özer C. Kalp yetersizliginin nadir bir sebebi: hipokalsemik kardiyomiyopati. Türk Kardiyol Dern Ars 1998;26:310-2. 8. Opie LH. Mechanisms of cardiac contraction and relaxation. In: Braunwald E, ed. Heart disease: a textbook of cardiovascular medicine. 5th ed. Philadelphia: W. B. Saunders; 1997. p. 360-93. 9. Wong CK, Pun KK, Cheng CH, Lau CP, Leung WH, Chan MK, et al. Hypocalcemic heart failure in endstage renal disease. Am J Nephrol 1990;10:167-70.    less

Abstract : Hypocalcaemia is a rare cause of reversible heart failure. We present a 27-year-old man who had sev    more

Abstract : Hypocalcaemia is a rare cause of reversible heart failure. We present a 27-year-old man who had severe heart failure unresponsive to medical therapy. He had vitamin D-resistant rickets for which he had received replacement therapy with vitamin D and calcium until age 20, but he discontinued treatment for the past seven years. Severe hypocalcemia was detected. Echocardiography showed left ventricular dilatation, global hypokinesia (ejection fraction 25%), and mitral and tricuspid regurgitation of grades 3 and 2, respectively. After calcium and vitamin D supplementation, his symptoms showed rapid improvement. At nine months, myocardial dysfunction improved fully. Hypocalcemia should be considered among the causes of heart failure unresponsive to medical treatment. - Slides    less