Abstract
A man presented with an exacerbation of heart failure following coronary artery bypass grafting. He was found to be severely hypocalcaemic secondary to a combination of decreased parathyroid reserve and severe vitamin D deficiency. On treatment of his hypocalcaemia, all symptoms resolved. This case highlights the importance of recognising that metabolic derangement can affect cardiac function.
MeSH terms
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Aged
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Calcifediol / therapeutic use*
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Calcium / therapeutic use*
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Cholecalciferol / therapeutic use*
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Coronary Artery Bypass*
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Diagnosis, Differential
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Heart Failure / drug therapy*
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Heart Failure / etiology*
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Humans
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Hypocalcemia / complications*
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Hypocalcemia / diagnosis*
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Hypocalcemia / drug therapy*
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Male
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Vitamin D Deficiency / complications*
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Vitamin D Deficiency / diagnosis*
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Vitamin D Deficiency / drug therapy*
Substances
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Cholecalciferol
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Calcifediol
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Calcium