Miocardiopatía hipoclacémica secundaria a hipoparatiroidismo postiroidectomía: Caso clínico

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 rapi...

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Autores principales:	Lam E,José, Maragaño L,Patricio, Lépez Q,Bárbara, Vásquez N,Loreto
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2007
Materias:	Cardiomyopathy Hypocalcemia Hypoparathyroidism Thyroidectomy
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007000300011
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spelling	oai:scielo:S0034-988720070003000112014-01-06Miocardiopatía hipoclacémica secundaria a hipoparatiroidismo postiroidectomía: Caso clínicoLam E,JoséMaragaño L,PatricioLépez Q,BárbaraVásquez N,Loreto Cardiomyopathy Hypocalcemia Hypoparathyroidism Thyroidectomy 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 findingsinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.135 n.3 20072007-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007000300011es10.4067/S0034-98872007000300011
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Cardiomyopathy Hypocalcemia Hypoparathyroidism Thyroidectomy
spellingShingle	Cardiomyopathy Hypocalcemia Hypoparathyroidism Thyroidectomy Lam E,José Maragaño L,Patricio Lépez Q,Bárbara Vásquez N,Loreto Miocardiopatía hipoclacémica secundaria a hipoparatiroidismo postiroidectomía: Caso clínico
description	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
author	Lam E,José Maragaño L,Patricio Lépez Q,Bárbara Vásquez N,Loreto
author_facet	Lam E,José Maragaño L,Patricio Lépez Q,Bárbara Vásquez N,Loreto
author_sort	Lam E,José
title	Miocardiopatía hipoclacémica secundaria a hipoparatiroidismo postiroidectomía: Caso clínico
title_short	Miocardiopatía hipoclacémica secundaria a hipoparatiroidismo postiroidectomía: Caso clínico
title_full	Miocardiopatía hipoclacémica secundaria a hipoparatiroidismo postiroidectomía: Caso clínico
title_fullStr	Miocardiopatía hipoclacémica secundaria a hipoparatiroidismo postiroidectomía: Caso clínico
title_full_unstemmed	Miocardiopatía hipoclacémica secundaria a hipoparatiroidismo postiroidectomía: Caso clínico
title_sort	miocardiopatía hipoclacémica secundaria a hipoparatiroidismo postiroidectomía: caso clínico
publisher	Sociedad Médica de Santiago
publishDate	2007
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007000300011
work_keys_str_mv	AT lamejose miocardiopatiahipoclacemicasecundariaahipoparatiroidismopostiroidectomiacasoclinico AT maraganolpatricio miocardiopatiahipoclacemicasecundariaahipoparatiroidismopostiroidectomiacasoclinico AT lepezqbarbara miocardiopatiahipoclacemicasecundariaahipoparatiroidismopostiroidectomiacasoclinico AT vasqueznloreto miocardiopatiahipoclacemicasecundariaahipoparatiroidismopostiroidectomiacasoclinico
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Miocardiopatía hipoclacémica secundaria a hipoparatiroidismo postiroidectomía: Caso clínico

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