Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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Takotsubo Cardiomyopathy Associated with Severe Hypocalcemia Secondary to Idiopathic Hypoparathyroidism

  • Rhee, Ho Sung (Department of Internal Medicine, School of Medicine, Soonchunhyang University, Cheonan Hospital) ;
  • Lee, Se-Whan (Department of Internal Medicine, School of Medicine, Soonchunhyang University, Cheonan Hospital) ;
  • Jung, Young Kyu (Department of Internal Medicine, School of Medicine, Soonchunhyang University, Cheonan Hospital) ;
  • Jeon, Ung (Department of Internal Medicine, School of Medicine, Soonchunhyang University, Cheonan Hospital) ;
  • Park, Sang-Ho (Department of Internal Medicine, School of Medicine, Soonchunhyang University, Cheonan Hospital) ;
  • Lee, Seung-Jin (Department of Internal Medicine, School of Medicine, Soonchunhyang University, Cheonan Hospital) ;
  • Sin, Won-Yong (Department of Internal Medicine, School of Medicine, Soonchunhyang University, Cheonan Hospital) ;
  • Jin, Dong-Kyu (Department of Internal Medicine, School of Medicine, Soonchunhyang University, Cheonan Hospital)
  • Published : 2013.08.30
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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.

Keywords

References

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