Takotsubo Cardiomyopathy Associated with Severe Hypocalcemia Secondary to Idiopathic Hypoparathyroidism.
10.4070/kcj.2013.43.8.573
- Author:
Ho Sung RHEE
1
;
Se Whan LEE
;
Young Kyu JUNG
;
Ung JEON
;
Sang Ho PARK
;
Seung Jin LEE
;
Won Yong SIN
;
Dong Kyu JIN
Author Information
1. Department of Internal Medicine, School of Medicine, Soonchunhyang University, Cheonan Hospital, Cheonan, Korea. lovelee93@hanmail.net
- Publication Type:Case Report
- Keywords:
Takotsubo cardiomyopathy;
Hypocalcemia;
Hypoparathyroidism
- MeSH:
Aged;
Calcitriol;
Calcium;
Coronary Angiography;
Coronary Vessels;
Female;
Heart Failure;
Humans;
Hypocalcemia;
Hypoparathyroidism;
Pulmonary Edema;
Takotsubo Cardiomyopathy;
Ventricular Dysfunction, Left
- From:Korean Circulation Journal
2013;43(8):573-577
- CountryRepublic of Korea
- Language:English
-
Abstract:
The etiology and pathophysiology of takotsubo cardiomyopathy have not yet been fully clarified. We report a case of takotsubo cardiomyopathy associated with severe hypocalcemia secondary to hypoparathyroidism. A 69-year-old woman presented with acute pulmonary edema caused by severe left ventricular dysfunction with apical ballooning compatible with takotsubo cardiomyopathy. Laboratory tests revealed severe hypocalcemia secondary to idiopathic hypoparathyroidism. Coronary angiography showed normal coronary artery function. Her symptoms and signs of heart failure improved dramatically with the correction of hypocalcemia through calcium and calcitriol replacement.