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Unusual presentation of more common disease/injury
Case report
Hypocalcemic cardiomyopathy: a rare presenting manifestation of hypoparathyroidism
  1. Neharika Saini,
  2. Sanat Mishra,
  3. Saurav Banerjee and
  4. Rajesh Rajput
  1. Department of Endocrinology and Medicine, Pandit Bhagwat Dayal Sharma University of Health Sciences, Rohtak, Haryana, India
  1. Correspondence to Dr Rajesh Rajput, drrajeshrajput{at}outlook.com

Abstract

Hypoparathyroidism patients present with features of hypocalcemia like carpopedal spasm, numbness and paresthesias but hypocalcemic cardiomyopathy leading to congestive heart failure (CHF) is a rare presentation. We present here a case of 55-year-old Asian man who was a known case of dilated cardiomyopathy for 6 months, presented with the chief complaints of shortness of breath on exertion and decreased urine output. On general physical examination, features suggestive of CHF were seen. Chvostek and Trousseau’s sign was positive. The patient had a history of cataract surgery of both eyes 15 years ago. Further investigations revealed hypocalcemia. Echo showed severe global hypokinesia of left ventricle with left ventricle ejection fraction 15%. This CHF was refractory to conventional treatment, though, with calcium supplementation, the patient improved symptomatically. On follow-up after 3 months, an improvement was seen in the echocardiographic parameters with ejection fraction improving to 25%.

  • Heart Failure
  • Endocrine System
  • Calcium And Bone

https://doi.org/10.1136/bcr-2019-229822

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    Footnotes

    • Contributors RR and NS: conceived the idea of the case. RR provided scientific guidance in the workup for the case. SM helped with investigations and interpretation of results. SB and NS worked for the reporting and review of the case report. All authors have contributed equally in the editing and drafting of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Obtained.