Article Text
Unusual presentation of more common disease/injury
Decompensated heart failure secondary to hypocalcaemia post coronary artery bypass grafting
Summary
A man presented with an exacerbation of heart failure following coronary artery bypass grafting. He was found to be severely hypocalcaemic secondary to a combination of decreased parathyroid reserve and severe vitamin D deficiency. On treatment of his hypocalcaemia, all symptoms resolved. This case highlights the importance of recognising that metabolic derangement can affect cardiac function.