SciELO - Scientific Electronic Library Online

 
vol.135 número3Interrupción de la vena cava inferior mediante filtros de inserción percutánea: Indicaciones y resultados en 287 pacientesAngioplastía renal con stent utilizandode contraste. Caso clínico CO2 como medio de contraste: Caso Clínico índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

Compartir


Revista médica de Chile

versión impresa ISSN 0034-9887

Resumen

LAM E, José; MARAGANO L, Patricio; LEPEZ Q, Bárbara  y  VASQUEZ N, Loreto. Hypocalcemic cardiomyopathy secondary to hypoparathyroidism after a thyroidectomy: Report of one case. Rev. méd. Chile [online]. 2007, vol.135, n.3, pp.359-364. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98872007000300011.

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

Palabras clave : Cardiomyopathy; Hypocalcemia; Hypoparathyroidism; Thyroidectomy.

        · texto en Español     · Español ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons