Cardiomyopathy Secondary to Hypocalcemia.

The contractility of the heart is a result of the interplay of ionic movements in and out of its individual cells. Calcium ion plays an important role in the ventricular function. We report a 34 year old female who presented with cardiogenic shock having had no cardiac symptoms previously. She had underwent a total thyroidectomy five years back for medullary thyroid cancer. Laboratory tests revealed her calcium levels to be very low and a diagnosis of hypocalcemic cardiomyopathy secondary to hypopituitarism was made. With vigorous calcium supplementation apart from diuretics the patient had rapid clinical improvement.

Prinzmetals angina presenting with non critical lesion with normal FFR -to stent or not to stent.

Variant angina also called Prinzmetals angina is an enigma characterized by transient circadian symptoms of chest pain associated with ECG changes. The patient is symptom free with normal ECG and echo during symptom free periods. We present a case associated with transient ST-segment elevation with non critical lesion with normal FFR.