RT Journal Article SR Electronic T1 Hypocalcaemia, long QT interval and atrial arrhythmias JF BMJ Case Reports FD BMJ Publishing Group Ltd SP bcr0820092216 DO 10.1136/bcr.08.2009.2216 VO 2010 A1 Sukhjinder Nijjer A1 Arjun K Ghosh A1 Simon William Dubrey YR 2010 UL http://casereports.bmj.com/content/2010/bcr.08.2009.2216.abstract AB Calcium has diverse roles in neuromuscular mechanisms. Within the cardiovascular system, hypocalcaemia is known to both impair myocardial contractility and prolong the QT interval, predisposing to ventricular arrhythmias. We present a case of chronic hypocalcaemia with prolonged QT interval associated with an atrial arrhythmia. Recent studies of congenital long QT syndrome suggest there is also a predisposition to atrial arrhythmias. Our case raises the hypothesis that acquired causes of long QT cause similar repolarisation abnormalities that predispose to atrial arrhythmias.