Miocardiopatía hipoclacémica secundaria a hipoparatiroidismo postiroidectomía: Caso clínico / Hypocalcemic cardiomyopathy secondary to hypoparathyroidism after a thyroidectomy: Report of one case
Rev. méd. Chile
; 135(3): 359-364, mar. 2007. ilus, tab
Article
en Es
| LILACS
| ID: lil-456622
Biblioteca responsable:
BR1.1
ABSTRACT
Calcium plays a central role in ventricular function. We report a 37 year-old woman with chronic hypoparathyroidism and hypocalcemia secondary to a thyroidectomy performed when she was 18 years old, as treatment for a Graves Basedow's disease. She did not have previous cardiac symptoms and rapid progressive congestive heart failure developed after the beginning of levothyroxin supplementation for post operative hypothyroidism. Echocardiography revealed severe systolic and diastolic left ventricular dysfunction, mitral and tricuspid valve insufficiency, systolic pulmonary hypertension, left atrial enlargement and pericardial effusion. Calcium supplementation in addition to diuretics, captopril and digoxin were followed by rapid clinical improvement. Follow up until 18 months showed persistent left ventricular dilatation and systolic dysfunction, with improvement of all the other ecocardiographic findings.
Texto completo:
1
Colección:
01-internacional
Base de datos:
LILACS
Asunto principal:
Tiroidectomía
/
Insuficiencia Cardíaca
/
Hipocalcemia
/
Hipoparatiroidismo
Tipo de estudio:
Diagnostic_studies
Límite:
Adult
/
Female
/
Humans
Idioma:
Es
Revista:
Rev. méd. Chile
Asunto de la revista:
MEDICINA
Año:
2007
Tipo del documento:
Article
País de afiliación:
Chile
Pais de publicación:
Chile