Clinical observation of a patient with primary hypoparathyroidism, uncontrolled hypocalcemia and heart failure
- Authors: Katushkina Y.A.1,2, Tatarintseva Z.G.1, Kosmacheva E.D.1,2, Petrik G.G.1,2
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Affiliations:
- Scientific Research Institute – Regional Clinical Hospital No. 1 named after professor S.V. Ochapovsky
- Kuban State Medical University of the Ministry of Healthcare of Russia
- Issue: Vol 9, No 6 (2023)
- Pages: 90-97
- Section: CL INICAL CASE
- URL: https://journals.eco-vector.com/2412-4036/article/view/624548
- DOI: https://doi.org/10.18565/therapy.2023.6.90–97
- ID: 624548
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Abstract
Hypocalcemia and associated symptoms are common manifestations of postoperative hypoparathyroidism clinical picture. Meanwhile, there are not so many patients with hypocalcemia occurring due to primary hypoparathyroidism, manifested by heart failure (HF). Current article describes a clinical case of a 45-year-old female patient with primary hypoparathyroidism and uncontrolled hypocalcemia, in whom acute HF was developed, and was accompanied by a significant decrease in the left ventricular ejection fraction and heart cavities dilatation. After normalization of the calcium level in the blood serum, the clinical symptoms of HF regressed, cardiac function normalized. That rare case has shown the key role of calcium in maintaining cardiac function in such kind of patients, as well as the critical importance of abolition the reversible causes of HF.
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About the authors
Yulia A. Katushkina
Scientific Research Institute – Regional Clinical Hospital No. 1 named after professor S.V. Ochapovsky; Kuban State Medical University of the Ministry of Healthcare of Russia
Author for correspondence.
Email: ukadoc@gmail.com
ORCID iD: 0009-0009-7334-9928
endocrinologist at the department of endocrinology, assistant at the department of therapy no. 1 of the faculty of advanced training and professional retraining of specialists
Russian Federation, 350901, Krasnodar, 140 Rossiyskaya Str.; KrasnodarZoya G. Tatarintseva
Scientific Research Institute – Regional Clinical Hospital No. 1 named after professor S.V. Ochapovsky
Email: z.tatarintseva@list.ru
ORCID iD: 0000-0002-3868-8061
head of the department of cardiology
Russian Federation, 350901, Krasnodar, 140 Rossiyskaya Str.Elena D. Kosmacheva
Scientific Research Institute – Regional Clinical Hospital No. 1 named after professor S.V. Ochapovsky; Kuban State Medical University of the Ministry of Healthcare of Russia
Email: kosmachova_h@mail.ru
ORCID iD: 0000-0001-5690-2482
md, professor, head of the department of therapy no. 1 of the faculty of advanced training and professional retraining of specialists, deputy chief physician for the medical part
Russian Federation, 350901, Krasnodar, 140 Rossiyskaya Str.; KrasnodarGalina G. Petrik
Scientific Research Institute – Regional Clinical Hospital No. 1 named after professor S.V. Ochapovsky; Kuban State Medical University of the Ministry of Healthcare of Russia
Email: pgg@mail.ru
ORCID iD: 0000-0003-4145-5602
md, professor of the department of therapy no. 1 of the faculty of advanced training and professional retraining of specialists, endocrinologist
Russian Federation, 350901, Krasnodar, 140 Rossiyskaya Str.; KrasnodarReferences
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