Hypocalcemic Cardiomyopathy and Pseudohypoparathyroidism Due to Severe Vitamin D Deficiency

C M Batra; Rajiv Agarwal

Hypocalcemic Cardiomyopathy and Pseudohypoparathyroidism Due to Severe Vitamin D Deficiency

J Assoc Physicians India. 2016 Jun;64(6):74-76.

Authors

C M Batra¹, Rajiv Agarwal²

Affiliations

¹ Senior Consultant Endocrinologist, Indraprastha Apollo Hospital.
² Senior Consultant Cardiologist, Batra Hospital and Medical Research Centre, New Delhi.

PMID: 27739274

Abstract

Hypocalcemic cardiomyopathy is a rare entity. We describe a patient with severe heart failure, decreased ejection fraction and global hypokinesia documented on echocardiogram, associated with severe hypocalcemia, very low vitamin D status, increased QT intervals, increased BNP (serum brain natriuretic peptide) levels and CPK (creatine phosphokinase) levels. All these defects reversed on treatment with vitamin D and calcium within a few days without any specific cardiac intervention.

Publication types

Case Reports

MeSH terms

Aged
Calcium / administration & dosage
Calcium / blood*
Calcium / therapeutic use
Cardiomyopathies / complications*
Cardiomyopathies / diagnosis
Creatine Kinase / blood
Echocardiography
Heart Failure / blood
Heart Failure / diagnostic imaging
Heart Failure / etiology*
Humans
Hypocalcemia / complications*
Hypocalcemia / diagnosis
Hypokinesia
Natriuretic Peptide, Brain / blood
Pseudohypoparathyroidism / complications*
Pseudohypoparathyroidism / diagnosis
Pseudohypoparathyroidism / drug therapy
Treatment Outcome
Vitamin D / administration & dosage
Vitamin D / therapeutic use
Vitamin D Deficiency / complications*
Vitamin D Deficiency / diagnosis*
Vitamin D Deficiency / drug therapy
Vitamins / administration & dosage
Vitamins / therapeutic use

Substances

Vitamins
Natriuretic Peptide, Brain
Vitamin D
Creatine Kinase
Calcium