Decompensated heart failure secondary to hypocalcaemia post coronary artery bypass grafting

BMJ Case Rep. 2011 Jul 15:2011:bcr0320114032. doi: 10.1136/bcr.03.2011.4032.

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.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Calcifediol / therapeutic use*
  • Calcium / therapeutic use*
  • Cholecalciferol / therapeutic use*
  • Coronary Artery Bypass*
  • Diagnosis, Differential
  • Heart Failure / drug therapy*
  • Heart Failure / etiology*
  • Humans
  • Hypocalcemia / complications*
  • Hypocalcemia / diagnosis*
  • Hypocalcemia / drug therapy*
  • Male
  • Vitamin D Deficiency / complications*
  • Vitamin D Deficiency / diagnosis*
  • Vitamin D Deficiency / drug therapy*

Substances

  • Cholecalciferol
  • Calcifediol
  • Calcium