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首页> 外文期刊>Journal of International Medical Research >Hypocalcemic cardiomyopathy after parathyroidectomy in a patient with uremia: A case report and literature review
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Hypocalcemic cardiomyopathy after parathyroidectomy in a patient with uremia: A case report and literature review

机译：尿毒症患者甲状旁腺切除术后的低钙糖心肌病：一个案例报告和文献综述

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摘要

Hypocalcemia is a rare, but reversible, cause of dilated cardiomyopathy. Although cardiomyopathy may cause severe heart failure, calcium supplementation can reverse heart failure. We report here a patient with uremia and secondary hyperparathyroidism, who was complicated by persistent hypocalcemia and refractory heart failure. The cardiac failure was refractory to treatment with digitalis and diuretics, but dramatically responded to calcium therapy and restoration of normocalcemia. As a result, the patient was eventually diagnosed with hypocalcemic cardiomyopathy. To the best of our knowledge, this is the first case of this disease to be reported in a patient with uremia. Findings from our case may help clinicians to better understand hypocalcemic cardiomyopathy. Our case might also provide new insight into long-term cardiac complications and prognoses of patients undergoing parathyroidectomy due to secondary hyperparathyroidism.
机译：低钙血症是一种罕见的，但可逆的，扩张心肌病的原因。虽然心肌病可能导致严重的心力衰竭，但钙补充可以逆转心力衰竭。我们在此报告患有尿毒症和继发性甲状旁腺功能亢进的患者，他们因持续的低钙血症和难治性心力衰竭而复杂化。心脏衰竭是用洋地黄和利尿剂治疗的难治性，但易患钙治疗和恢复Normocalcemia。结果，患者最终被诊断出患有低钙血症心肌病。据我们所知，这是尿毒症患者中患有这种疾病的第一种病例。我们的案例的调查结果可以帮助临床医生更好地了解低钙血症心肌病。我们的案例还可能对由于继发性甲状旁腺功能亢进症，对甲状旁腺切除术患者的长期心脏并发症和预后提供新的洞察力。

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