Hypocalcemia as a Cause of Reversible Cardiomyopathy with Ventricular Tachycardia
Authors: Chandrakant B. Chavan, Kalavakolanu Sharada, Hygriv B. Rao, Calambur Narsimhan
Journal: Annals of Internal Medicine (2007)

Letters3 April 2007Hypocalcemia as a Cause of Reversible Cardiomyopathy with Ventricular TachycardiaChandrakant B. Chavan, MD, DNB, Kalavakolanu Sharada, MD, DM, Hygriv B. Rao, MD, DM, and Calambur Narsimhan, MD, DM, ABChandrakant B. Chavan, MD, DNBFrom CARE Hospital and the Institute of Medical Sciences, Hyderabad, India., Kalavakolanu Sharada, MD, DMFrom CARE Hospital and the Institute of Medical Sciences, Hyderabad, India., Hygriv B. Rao, MD, DMFrom CARE Hospital and the Institute of Medical Sciences, Hyderabad, India., and Calambur Narsimhan, MD, DM, ABFrom CARE Hospital and the Institute of Medical Sciences, Hyderabad, India.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-146-7-200704030-00020 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: Hypocalcemia is a rare cause of heart failure.Objective: To describe a case of severe refractory heart failure caused by vitamin D deficiency and hypocalcemia.Case Report: A 48-year-old male physician with diabetes and hypertension was referred to our institution for insertion of an implantable cardioverter-defibrillator. He had New York Heart Association class IV heart failure symptoms at presentation, including recurrent episodic palpitations with presyncope and increasing breathlessness over 2 months. He had no history of fever. On examination, his temperature was 36.8 °C, pulse was 92 beats/min, arterial blood pressure was 110/70 mm Hg, and respiratory rate was 34 ...References1. Kini SM, Pednekar SJ, Nabar ST, Varthakavi P. A reversible form of cardiomyopathy. J Postgrad Med. 2003;49:85-7. [PMID: 12865580] CrossrefMedlineGoogle Scholar2. Brunvand L, Hågå P, Tangsrud SE, Haug E. Congestive heart failure caused by vitamin D deficiency? Acta Paediatr. 1995;84:106-8. [PMID: 7734890] CrossrefMedlineGoogle Scholar3. Gillor A, Groneck P, Kaiser J, Schmitz-Stolbrink A. [Congestive heart failure in rickets caused by vitamin D deficiency]. Monatsschr Kinderheilkd. 1989;137:108-10. [PMID: 2716737] MedlineGoogle Scholar4. Taylor A, Windhager EE. Possible role of cytosolic calcium and Na-Ca exchange in regulation of transepithelial sodium transport. Am J Physiol. 1979;236:F505-12. [PMID: 375753] MedlineGoogle Scholar5. Breslau NA, Pak CY. Hypoparathyroidism. Metabolism. 1979;28:1261-76. [PMID: 390300] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From CARE Hospital and the Institute of Medical Sciences, Hyderabad, India.Acknowledgment: The authors thank Dr. Leonard J. Deftos, University of California, San Diego, for help with revising the paper.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByPreoperative Low Serum Calcium Levels Predict Poor Prognosis for Patients with Esophageal CancerAssociation between serum calcium and prognosis in patients with acute pulmonary embolism and the optimization of pulmonary embolism severity indexHypocalcemic cardiomyopathy after parathyroidectomy in a patient with uremia: A case report and literature reviewHypocalcaemic cardiomyopathy: a description of two cases and a literature reviewPrevalence and complications of nonsurgical hypoparathyroidism in Korea: A nationwide cohort studySexual dimorphism in cardiac transcriptome associated with a troponin C murine model of hypertrophic cardiomyopathyAcid-Base and Electrolyte Disorders in Emergency Critical CarePopulation-Based Incidence of Potentially Life-Threatening Complications of Hypocalcemia and the Role of Vitamin D DeficiencyGeneral anesthesia for patient with Fahr's syndromeAltered Mental Status in the Emergency DepartmentVitamin DHypocalcemic Cardiomyopathy—Different Mechanisms in Adult and Pediatric CasesA surprising cause of reversible dilated cardiomyopathyReversible cardiac dysfunction associated with hypocalcemia: a systematic review and meta-analysis of individual patient dataCD36 overexpression predisposes to arrhythmias but reduces infarct size in spontaneously hypertensive rats: gene expression profile analysisHipocalcemia: una causa poco frecuente y potencialmente reversible de miocardiopatía dilatadaVitamin DRole of Vitamin D in Cardiovascular HealthExcessive dietary vitamin D supplementation as a risk factor for sudden death syndrome in fast growing commercial broilers 3 April 2007Volume 146, Issue 7Page: 541-542KeywordsCalciumEchocardiographyElectrocardiographyHeartHeart failureHypocalcemiaSodiumThoraxVitamin D deficiency ePublished: 3 April 2007 Issue Published: 3 April 2007 CopyrightCopyright © 2007 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...