Hipocalcemia como uma causa reversível de insuficiência cardíaca

Resumo: O cálcio assume um papel fundamental na contração e relaxamento do músculo cardíaco. A insuficiência cardíaca hipocalcémica é um distúrbio raro e potencialmente reversível, que traduz esta relação intrínseca.Os autores apresentam o caso de uma mulher de 35 anos que desenvolveu um quadro de insuficiência cardíaca aguda, durante o pós-operatório precoce de tiroidectomia total. O ecocardiograma mostrou disfunção global grave do ventrículo esquerdo. Analiticamente apresentava hipocalcemia grave e hipoparatiroidismo de novo. O cateterismo cardíaco mostrou artérias coronárias angiograficamente normais. Após estabilização clínica, hemodinâmica e metabólica, repetiu ecocardiograma que revelou recuperação da função ventricular esquerda. Posteriormente, realizou ressonância magnética cardíaca que também não mostrou alterações. A doente teve alta assintomática, medicada com carbonato de cálcio, calcitriol e levotiroxina. Este caso salienta a importância de considerar a hipocalcemia como uma causa reversível de disfunção miocárdica. Abstract: Calcium plays a key role in heart muscle contraction and relaxation. Hypocalcemic heart failure is a rare and potentially reversible disturbance, which reflects this intrinsic relationship.The authors present the case of a 35-year-old woman who developed acute heart failure during the early postoperative period following total thyroidectomy. The echocardiogram showed severe global left ventricular dysfunction. Laboratory tests showed severe hypocalcemia and new-onset hypoparathyroidism. Cardiac catheterization showed angiographically normal coronary arteries. After clinical, hemodynamic and metabolic stabilization, a repeat echocardiogram revealed recovery of left ventricular function. Subsequently, cardiac magnetic resonance imaging was performed, which also showed no alterations. The patient was discharged asymptomatic, medicated with calcium carbonate, calcitriol and levothyroxine. This case highlights the importance of considering hypocalcemia as a cause of reversible myocardial dysfunction. Palavras-chave: Insuficiência cardíaca aguda, Hipocalcemia, Hipoparatiroidismo, Keywords: Acute heart failure, Hypocalcemia, Hypoparathyroidism Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Inês Rangel [verfasserIn] Gustavo Barbosa [verfasserIn] Carla de Sousa [verfasserIn] Pedro Bernardo Almeida [verfasserIn] Manuel Campelo [verfasserIn] Teresa Pinho [verfasserIn] M. Júlia Maciel [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch ; Portugiesisch

Erschienen:	2012

Übergeordnetes Werk:	In: Revista Portuguesa de Cardiologia - Elsevier, 2020, 31(2012), 1, Seite 39-41
Übergeordnetes Werk:	volume:31 ; year:2012 ; number:1 ; pages:39-41

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1016/j.repc.2011.09.016

Katalog-ID:	DOAJ020001606

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allfields	10.1016/j.repc.2011.09.016 doi (DE-627)DOAJ020001606 (DE-599)DOAJfbdd6efa0cf64164a4e483bf58d9f95c DE-627 ger DE-627 rakwb eng por RC666-701 Inês Rangel verfasserin aut Hipocalcemia como uma causa reversível de insuficiência cardíaca 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Resumo: O cálcio assume um papel fundamental na contração e relaxamento do músculo cardíaco. A insuficiência cardíaca hipocalcémica é um distúrbio raro e potencialmente reversível, que traduz esta relação intrínseca.Os autores apresentam o caso de uma mulher de 35 anos que desenvolveu um quadro de insuficiência cardíaca aguda, durante o pós-operatório precoce de tiroidectomia total. O ecocardiograma mostrou disfunção global grave do ventrículo esquerdo. Analiticamente apresentava hipocalcemia grave e hipoparatiroidismo de novo. O cateterismo cardíaco mostrou artérias coronárias angiograficamente normais. Após estabilização clínica, hemodinâmica e metabólica, repetiu ecocardiograma que revelou recuperação da função ventricular esquerda. Posteriormente, realizou ressonância magnética cardíaca que também não mostrou alterações. A doente teve alta assintomática, medicada com carbonato de cálcio, calcitriol e levotiroxina. Este caso salienta a importância de considerar a hipocalcemia como uma causa reversível de disfunção miocárdica. Abstract: Calcium plays a key role in heart muscle contraction and relaxation. Hypocalcemic heart failure is a rare and potentially reversible disturbance, which reflects this intrinsic relationship.The authors present the case of a 35-year-old woman who developed acute heart failure during the early postoperative period following total thyroidectomy. The echocardiogram showed severe global left ventricular dysfunction. Laboratory tests showed severe hypocalcemia and new-onset hypoparathyroidism. Cardiac catheterization showed angiographically normal coronary arteries. After clinical, hemodynamic and metabolic stabilization, a repeat echocardiogram revealed recovery of left ventricular function. Subsequently, cardiac magnetic resonance imaging was performed, which also showed no alterations. The patient was discharged asymptomatic, medicated with calcium carbonate, calcitriol and levothyroxine. This case highlights the importance of considering hypocalcemia as a cause of reversible myocardial dysfunction. Palavras-chave: Insuficiência cardíaca aguda, Hipocalcemia, Hipoparatiroidismo, Keywords: Acute heart failure, Hypocalcemia, Hypoparathyroidism Diseases of the circulatory (Cardiovascular) system Gustavo Barbosa verfasserin aut Carla de Sousa verfasserin aut Pedro Bernardo Almeida verfasserin aut Manuel Campelo verfasserin aut Teresa Pinho verfasserin aut M. Júlia Maciel verfasserin aut In Revista Portuguesa de Cardiologia Elsevier, 2020 31(2012), 1, Seite 39-41 (DE-627)642886164 (DE-600)2586869-X 21742030 nnns volume:31 year:2012 number:1 pages:39-41 https://doi.org/10.1016/j.repc.2011.09.016 kostenfrei https://doaj.org/article/fbdd6efa0cf64164a4e483bf58d9f95c kostenfrei http://www.sciencedirect.com/science/article/pii/S0870255111000631 kostenfrei https://doaj.org/toc/0870-2551 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 31 2012 1 39-41
spelling	10.1016/j.repc.2011.09.016 doi (DE-627)DOAJ020001606 (DE-599)DOAJfbdd6efa0cf64164a4e483bf58d9f95c DE-627 ger DE-627 rakwb eng por RC666-701 Inês Rangel verfasserin aut Hipocalcemia como uma causa reversível de insuficiência cardíaca 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Resumo: O cálcio assume um papel fundamental na contração e relaxamento do músculo cardíaco. A insuficiência cardíaca hipocalcémica é um distúrbio raro e potencialmente reversível, que traduz esta relação intrínseca.Os autores apresentam o caso de uma mulher de 35 anos que desenvolveu um quadro de insuficiência cardíaca aguda, durante o pós-operatório precoce de tiroidectomia total. O ecocardiograma mostrou disfunção global grave do ventrículo esquerdo. Analiticamente apresentava hipocalcemia grave e hipoparatiroidismo de novo. O cateterismo cardíaco mostrou artérias coronárias angiograficamente normais. Após estabilização clínica, hemodinâmica e metabólica, repetiu ecocardiograma que revelou recuperação da função ventricular esquerda. Posteriormente, realizou ressonância magnética cardíaca que também não mostrou alterações. A doente teve alta assintomática, medicada com carbonato de cálcio, calcitriol e levotiroxina. Este caso salienta a importância de considerar a hipocalcemia como uma causa reversível de disfunção miocárdica. Abstract: Calcium plays a key role in heart muscle contraction and relaxation. Hypocalcemic heart failure is a rare and potentially reversible disturbance, which reflects this intrinsic relationship.The authors present the case of a 35-year-old woman who developed acute heart failure during the early postoperative period following total thyroidectomy. The echocardiogram showed severe global left ventricular dysfunction. Laboratory tests showed severe hypocalcemia and new-onset hypoparathyroidism. Cardiac catheterization showed angiographically normal coronary arteries. After clinical, hemodynamic and metabolic stabilization, a repeat echocardiogram revealed recovery of left ventricular function. Subsequently, cardiac magnetic resonance imaging was performed, which also showed no alterations. The patient was discharged asymptomatic, medicated with calcium carbonate, calcitriol and levothyroxine. This case highlights the importance of considering hypocalcemia as a cause of reversible myocardial dysfunction. Palavras-chave: Insuficiência cardíaca aguda, Hipocalcemia, Hipoparatiroidismo, Keywords: Acute heart failure, Hypocalcemia, Hypoparathyroidism Diseases of the circulatory (Cardiovascular) system Gustavo Barbosa verfasserin aut Carla de Sousa verfasserin aut Pedro Bernardo Almeida verfasserin aut Manuel Campelo verfasserin aut Teresa Pinho verfasserin aut M. Júlia Maciel verfasserin aut In Revista Portuguesa de Cardiologia Elsevier, 2020 31(2012), 1, Seite 39-41 (DE-627)642886164 (DE-600)2586869-X 21742030 nnns volume:31 year:2012 number:1 pages:39-41 https://doi.org/10.1016/j.repc.2011.09.016 kostenfrei https://doaj.org/article/fbdd6efa0cf64164a4e483bf58d9f95c kostenfrei http://www.sciencedirect.com/science/article/pii/S0870255111000631 kostenfrei https://doaj.org/toc/0870-2551 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 31 2012 1 39-41
allfields_unstemmed	10.1016/j.repc.2011.09.016 doi (DE-627)DOAJ020001606 (DE-599)DOAJfbdd6efa0cf64164a4e483bf58d9f95c DE-627 ger DE-627 rakwb eng por RC666-701 Inês Rangel verfasserin aut Hipocalcemia como uma causa reversível de insuficiência cardíaca 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Resumo: O cálcio assume um papel fundamental na contração e relaxamento do músculo cardíaco. A insuficiência cardíaca hipocalcémica é um distúrbio raro e potencialmente reversível, que traduz esta relação intrínseca.Os autores apresentam o caso de uma mulher de 35 anos que desenvolveu um quadro de insuficiência cardíaca aguda, durante o pós-operatório precoce de tiroidectomia total. O ecocardiograma mostrou disfunção global grave do ventrículo esquerdo. Analiticamente apresentava hipocalcemia grave e hipoparatiroidismo de novo. O cateterismo cardíaco mostrou artérias coronárias angiograficamente normais. Após estabilização clínica, hemodinâmica e metabólica, repetiu ecocardiograma que revelou recuperação da função ventricular esquerda. Posteriormente, realizou ressonância magnética cardíaca que também não mostrou alterações. A doente teve alta assintomática, medicada com carbonato de cálcio, calcitriol e levotiroxina. Este caso salienta a importância de considerar a hipocalcemia como uma causa reversível de disfunção miocárdica. Abstract: Calcium plays a key role in heart muscle contraction and relaxation. Hypocalcemic heart failure is a rare and potentially reversible disturbance, which reflects this intrinsic relationship.The authors present the case of a 35-year-old woman who developed acute heart failure during the early postoperative period following total thyroidectomy. The echocardiogram showed severe global left ventricular dysfunction. Laboratory tests showed severe hypocalcemia and new-onset hypoparathyroidism. Cardiac catheterization showed angiographically normal coronary arteries. After clinical, hemodynamic and metabolic stabilization, a repeat echocardiogram revealed recovery of left ventricular function. Subsequently, cardiac magnetic resonance imaging was performed, which also showed no alterations. The patient was discharged asymptomatic, medicated with calcium carbonate, calcitriol and levothyroxine. This case highlights the importance of considering hypocalcemia as a cause of reversible myocardial dysfunction. Palavras-chave: Insuficiência cardíaca aguda, Hipocalcemia, Hipoparatiroidismo, Keywords: Acute heart failure, Hypocalcemia, Hypoparathyroidism Diseases of the circulatory (Cardiovascular) system Gustavo Barbosa verfasserin aut Carla de Sousa verfasserin aut Pedro Bernardo Almeida verfasserin aut Manuel Campelo verfasserin aut Teresa Pinho verfasserin aut M. Júlia Maciel verfasserin aut In Revista Portuguesa de Cardiologia Elsevier, 2020 31(2012), 1, Seite 39-41 (DE-627)642886164 (DE-600)2586869-X 21742030 nnns volume:31 year:2012 number:1 pages:39-41 https://doi.org/10.1016/j.repc.2011.09.016 kostenfrei https://doaj.org/article/fbdd6efa0cf64164a4e483bf58d9f95c kostenfrei http://www.sciencedirect.com/science/article/pii/S0870255111000631 kostenfrei https://doaj.org/toc/0870-2551 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 31 2012 1 39-41
allfieldsGer	10.1016/j.repc.2011.09.016 doi (DE-627)DOAJ020001606 (DE-599)DOAJfbdd6efa0cf64164a4e483bf58d9f95c DE-627 ger DE-627 rakwb eng por RC666-701 Inês Rangel verfasserin aut Hipocalcemia como uma causa reversível de insuficiência cardíaca 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Resumo: O cálcio assume um papel fundamental na contração e relaxamento do músculo cardíaco. A insuficiência cardíaca hipocalcémica é um distúrbio raro e potencialmente reversível, que traduz esta relação intrínseca.Os autores apresentam o caso de uma mulher de 35 anos que desenvolveu um quadro de insuficiência cardíaca aguda, durante o pós-operatório precoce de tiroidectomia total. O ecocardiograma mostrou disfunção global grave do ventrículo esquerdo. Analiticamente apresentava hipocalcemia grave e hipoparatiroidismo de novo. O cateterismo cardíaco mostrou artérias coronárias angiograficamente normais. Após estabilização clínica, hemodinâmica e metabólica, repetiu ecocardiograma que revelou recuperação da função ventricular esquerda. Posteriormente, realizou ressonância magnética cardíaca que também não mostrou alterações. A doente teve alta assintomática, medicada com carbonato de cálcio, calcitriol e levotiroxina. Este caso salienta a importância de considerar a hipocalcemia como uma causa reversível de disfunção miocárdica. Abstract: Calcium plays a key role in heart muscle contraction and relaxation. Hypocalcemic heart failure is a rare and potentially reversible disturbance, which reflects this intrinsic relationship.The authors present the case of a 35-year-old woman who developed acute heart failure during the early postoperative period following total thyroidectomy. The echocardiogram showed severe global left ventricular dysfunction. Laboratory tests showed severe hypocalcemia and new-onset hypoparathyroidism. Cardiac catheterization showed angiographically normal coronary arteries. After clinical, hemodynamic and metabolic stabilization, a repeat echocardiogram revealed recovery of left ventricular function. Subsequently, cardiac magnetic resonance imaging was performed, which also showed no alterations. The patient was discharged asymptomatic, medicated with calcium carbonate, calcitriol and levothyroxine. This case highlights the importance of considering hypocalcemia as a cause of reversible myocardial dysfunction. Palavras-chave: Insuficiência cardíaca aguda, Hipocalcemia, Hipoparatiroidismo, Keywords: Acute heart failure, Hypocalcemia, Hypoparathyroidism Diseases of the circulatory (Cardiovascular) system Gustavo Barbosa verfasserin aut Carla de Sousa verfasserin aut Pedro Bernardo Almeida verfasserin aut Manuel Campelo verfasserin aut Teresa Pinho verfasserin aut M. Júlia Maciel verfasserin aut In Revista Portuguesa de Cardiologia Elsevier, 2020 31(2012), 1, Seite 39-41 (DE-627)642886164 (DE-600)2586869-X 21742030 nnns volume:31 year:2012 number:1 pages:39-41 https://doi.org/10.1016/j.repc.2011.09.016 kostenfrei https://doaj.org/article/fbdd6efa0cf64164a4e483bf58d9f95c kostenfrei http://www.sciencedirect.com/science/article/pii/S0870255111000631 kostenfrei https://doaj.org/toc/0870-2551 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 31 2012 1 39-41
allfieldsSound	10.1016/j.repc.2011.09.016 doi (DE-627)DOAJ020001606 (DE-599)DOAJfbdd6efa0cf64164a4e483bf58d9f95c DE-627 ger DE-627 rakwb eng por RC666-701 Inês Rangel verfasserin aut Hipocalcemia como uma causa reversível de insuficiência cardíaca 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Resumo: O cálcio assume um papel fundamental na contração e relaxamento do músculo cardíaco. A insuficiência cardíaca hipocalcémica é um distúrbio raro e potencialmente reversível, que traduz esta relação intrínseca.Os autores apresentam o caso de uma mulher de 35 anos que desenvolveu um quadro de insuficiência cardíaca aguda, durante o pós-operatório precoce de tiroidectomia total. O ecocardiograma mostrou disfunção global grave do ventrículo esquerdo. Analiticamente apresentava hipocalcemia grave e hipoparatiroidismo de novo. O cateterismo cardíaco mostrou artérias coronárias angiograficamente normais. Após estabilização clínica, hemodinâmica e metabólica, repetiu ecocardiograma que revelou recuperação da função ventricular esquerda. Posteriormente, realizou ressonância magnética cardíaca que também não mostrou alterações. A doente teve alta assintomática, medicada com carbonato de cálcio, calcitriol e levotiroxina. Este caso salienta a importância de considerar a hipocalcemia como uma causa reversível de disfunção miocárdica. Abstract: Calcium plays a key role in heart muscle contraction and relaxation. Hypocalcemic heart failure is a rare and potentially reversible disturbance, which reflects this intrinsic relationship.The authors present the case of a 35-year-old woman who developed acute heart failure during the early postoperative period following total thyroidectomy. The echocardiogram showed severe global left ventricular dysfunction. Laboratory tests showed severe hypocalcemia and new-onset hypoparathyroidism. Cardiac catheterization showed angiographically normal coronary arteries. After clinical, hemodynamic and metabolic stabilization, a repeat echocardiogram revealed recovery of left ventricular function. Subsequently, cardiac magnetic resonance imaging was performed, which also showed no alterations. The patient was discharged asymptomatic, medicated with calcium carbonate, calcitriol and levothyroxine. This case highlights the importance of considering hypocalcemia as a cause of reversible myocardial dysfunction. Palavras-chave: Insuficiência cardíaca aguda, Hipocalcemia, Hipoparatiroidismo, Keywords: Acute heart failure, Hypocalcemia, Hypoparathyroidism Diseases of the circulatory (Cardiovascular) system Gustavo Barbosa verfasserin aut Carla de Sousa verfasserin aut Pedro Bernardo Almeida verfasserin aut Manuel Campelo verfasserin aut Teresa Pinho verfasserin aut M. Júlia Maciel verfasserin aut In Revista Portuguesa de Cardiologia Elsevier, 2020 31(2012), 1, Seite 39-41 (DE-627)642886164 (DE-600)2586869-X 21742030 nnns volume:31 year:2012 number:1 pages:39-41 https://doi.org/10.1016/j.repc.2011.09.016 kostenfrei https://doaj.org/article/fbdd6efa0cf64164a4e483bf58d9f95c kostenfrei http://www.sciencedirect.com/science/article/pii/S0870255111000631 kostenfrei https://doaj.org/toc/0870-2551 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 31 2012 1 39-41
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A insuficiência cardíaca hipocalcémica é um distúrbio raro e potencialmente reversível, que traduz esta relação intrínseca.Os autores apresentam o caso de uma mulher de 35 anos que desenvolveu um quadro de insuficiência cardíaca aguda, durante o pós-operatório precoce de tiroidectomia total. O ecocardiograma mostrou disfunção global grave do ventrículo esquerdo. Analiticamente apresentava hipocalcemia grave e hipoparatiroidismo de novo. O cateterismo cardíaco mostrou artérias coronárias angiograficamente normais. Após estabilização clínica, hemodinâmica e metabólica, repetiu ecocardiograma que revelou recuperação da função ventricular esquerda. Posteriormente, realizou ressonância magnética cardíaca que também não mostrou alterações. A doente teve alta assintomática, medicada com carbonato de cálcio, calcitriol e levotiroxina. Este caso salienta a importância de considerar a hipocalcemia como uma causa reversível de disfunção miocárdica. Abstract: Calcium plays a key role in heart muscle contraction and relaxation. Hypocalcemic heart failure is a rare and potentially reversible disturbance, which reflects this intrinsic relationship.The authors present the case of a 35-year-old woman who developed acute heart failure during the early postoperative period following total thyroidectomy. The echocardiogram showed severe global left ventricular dysfunction. Laboratory tests showed severe hypocalcemia and new-onset hypoparathyroidism. Cardiac catheterization showed angiographically normal coronary arteries. After clinical, hemodynamic and metabolic stabilization, a repeat echocardiogram revealed recovery of left ventricular function. Subsequently, cardiac magnetic resonance imaging was performed, which also showed no alterations. The patient was discharged asymptomatic, medicated with calcium carbonate, calcitriol and levothyroxine. This case highlights the importance of considering hypocalcemia as a cause of reversible myocardial dysfunction. 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topic_title	RC666-701 Hipocalcemia como uma causa reversível de insuficiência cardíaca
topic	misc RC666-701 misc Diseases of the circulatory (Cardiovascular) system
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title	Hipocalcemia como uma causa reversível de insuficiência cardíaca
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title_full	Hipocalcemia como uma causa reversível de insuficiência cardíaca
author_sort	Inês Rangel
journal	Revista Portuguesa de Cardiologia
journalStr	Revista Portuguesa de Cardiologia
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container_start_page	39
author_browse	Inês Rangel Gustavo Barbosa Carla de Sousa Pedro Bernardo Almeida Manuel Campelo Teresa Pinho M. Júlia Maciel
container_volume	31
class	RC666-701
format_se	Elektronische Aufsätze
author-letter	Inês Rangel
doi_str_mv	10.1016/j.repc.2011.09.016
author2-role	verfasserin
title_sort	hipocalcemia como uma causa reversível de insuficiência cardíaca
callnumber	RC666-701
title_auth	Hipocalcemia como uma causa reversível de insuficiência cardíaca
abstract	Resumo: O cálcio assume um papel fundamental na contração e relaxamento do músculo cardíaco. A insuficiência cardíaca hipocalcémica é um distúrbio raro e potencialmente reversível, que traduz esta relação intrínseca.Os autores apresentam o caso de uma mulher de 35 anos que desenvolveu um quadro de insuficiência cardíaca aguda, durante o pós-operatório precoce de tiroidectomia total. O ecocardiograma mostrou disfunção global grave do ventrículo esquerdo. Analiticamente apresentava hipocalcemia grave e hipoparatiroidismo de novo. O cateterismo cardíaco mostrou artérias coronárias angiograficamente normais. Após estabilização clínica, hemodinâmica e metabólica, repetiu ecocardiograma que revelou recuperação da função ventricular esquerda. Posteriormente, realizou ressonância magnética cardíaca que também não mostrou alterações. A doente teve alta assintomática, medicada com carbonato de cálcio, calcitriol e levotiroxina. Este caso salienta a importância de considerar a hipocalcemia como uma causa reversível de disfunção miocárdica. Abstract: Calcium plays a key role in heart muscle contraction and relaxation. Hypocalcemic heart failure is a rare and potentially reversible disturbance, which reflects this intrinsic relationship.The authors present the case of a 35-year-old woman who developed acute heart failure during the early postoperative period following total thyroidectomy. The echocardiogram showed severe global left ventricular dysfunction. Laboratory tests showed severe hypocalcemia and new-onset hypoparathyroidism. Cardiac catheterization showed angiographically normal coronary arteries. After clinical, hemodynamic and metabolic stabilization, a repeat echocardiogram revealed recovery of left ventricular function. Subsequently, cardiac magnetic resonance imaging was performed, which also showed no alterations. The patient was discharged asymptomatic, medicated with calcium carbonate, calcitriol and levothyroxine. This case highlights the importance of considering hypocalcemia as a cause of reversible myocardial dysfunction. Palavras-chave: Insuficiência cardíaca aguda, Hipocalcemia, Hipoparatiroidismo, Keywords: Acute heart failure, Hypocalcemia, Hypoparathyroidism
abstractGer	Resumo: O cálcio assume um papel fundamental na contração e relaxamento do músculo cardíaco. A insuficiência cardíaca hipocalcémica é um distúrbio raro e potencialmente reversível, que traduz esta relação intrínseca.Os autores apresentam o caso de uma mulher de 35 anos que desenvolveu um quadro de insuficiência cardíaca aguda, durante o pós-operatório precoce de tiroidectomia total. O ecocardiograma mostrou disfunção global grave do ventrículo esquerdo. Analiticamente apresentava hipocalcemia grave e hipoparatiroidismo de novo. O cateterismo cardíaco mostrou artérias coronárias angiograficamente normais. Após estabilização clínica, hemodinâmica e metabólica, repetiu ecocardiograma que revelou recuperação da função ventricular esquerda. Posteriormente, realizou ressonância magnética cardíaca que também não mostrou alterações. A doente teve alta assintomática, medicada com carbonato de cálcio, calcitriol e levotiroxina. Este caso salienta a importância de considerar a hipocalcemia como uma causa reversível de disfunção miocárdica. Abstract: Calcium plays a key role in heart muscle contraction and relaxation. Hypocalcemic heart failure is a rare and potentially reversible disturbance, which reflects this intrinsic relationship.The authors present the case of a 35-year-old woman who developed acute heart failure during the early postoperative period following total thyroidectomy. The echocardiogram showed severe global left ventricular dysfunction. Laboratory tests showed severe hypocalcemia and new-onset hypoparathyroidism. Cardiac catheterization showed angiographically normal coronary arteries. After clinical, hemodynamic and metabolic stabilization, a repeat echocardiogram revealed recovery of left ventricular function. Subsequently, cardiac magnetic resonance imaging was performed, which also showed no alterations. The patient was discharged asymptomatic, medicated with calcium carbonate, calcitriol and levothyroxine. This case highlights the importance of considering hypocalcemia as a cause of reversible myocardial dysfunction. Palavras-chave: Insuficiência cardíaca aguda, Hipocalcemia, Hipoparatiroidismo, Keywords: Acute heart failure, Hypocalcemia, Hypoparathyroidism
abstract_unstemmed	Resumo: O cálcio assume um papel fundamental na contração e relaxamento do músculo cardíaco. A insuficiência cardíaca hipocalcémica é um distúrbio raro e potencialmente reversível, que traduz esta relação intrínseca.Os autores apresentam o caso de uma mulher de 35 anos que desenvolveu um quadro de insuficiência cardíaca aguda, durante o pós-operatório precoce de tiroidectomia total. O ecocardiograma mostrou disfunção global grave do ventrículo esquerdo. Analiticamente apresentava hipocalcemia grave e hipoparatiroidismo de novo. O cateterismo cardíaco mostrou artérias coronárias angiograficamente normais. Após estabilização clínica, hemodinâmica e metabólica, repetiu ecocardiograma que revelou recuperação da função ventricular esquerda. Posteriormente, realizou ressonância magnética cardíaca que também não mostrou alterações. A doente teve alta assintomática, medicada com carbonato de cálcio, calcitriol e levotiroxina. Este caso salienta a importância de considerar a hipocalcemia como uma causa reversível de disfunção miocárdica. Abstract: Calcium plays a key role in heart muscle contraction and relaxation. Hypocalcemic heart failure is a rare and potentially reversible disturbance, which reflects this intrinsic relationship.The authors present the case of a 35-year-old woman who developed acute heart failure during the early postoperative period following total thyroidectomy. The echocardiogram showed severe global left ventricular dysfunction. Laboratory tests showed severe hypocalcemia and new-onset hypoparathyroidism. Cardiac catheterization showed angiographically normal coronary arteries. After clinical, hemodynamic and metabolic stabilization, a repeat echocardiogram revealed recovery of left ventricular function. Subsequently, cardiac magnetic resonance imaging was performed, which also showed no alterations. The patient was discharged asymptomatic, medicated with calcium carbonate, calcitriol and levothyroxine. This case highlights the importance of considering hypocalcemia as a cause of reversible myocardial dysfunction. Palavras-chave: Insuficiência cardíaca aguda, Hipocalcemia, Hipoparatiroidismo, Keywords: Acute heart failure, Hypocalcemia, Hypoparathyroidism
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title_short	Hipocalcemia como uma causa reversível de insuficiência cardíaca
url	https://doi.org/10.1016/j.repc.2011.09.016 https://doaj.org/article/fbdd6efa0cf64164a4e483bf58d9f95c http://www.sciencedirect.com/science/article/pii/S0870255111000631 https://doaj.org/toc/0870-2551
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author2	Gustavo Barbosa Carla de Sousa Pedro Bernardo Almeida Manuel Campelo Teresa Pinho M. Júlia Maciel
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up_date	2024-07-04T01:44:46.730Z
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