HYPOCALCEMIC CARDIOMYOPATHY IN A PATIENT WITH IDIOPATHIC HYPOPARATHYROIDISM

被引：34

作者：

KUDOH, C

TANAKA, S

MARUSAKI, S

TAKAHASHI, N

MIYAZAKI, Y

YOSHIOKA, N

HAYASHI, M

SHIMAMOTO, K

KIKUCHI, K

IIMURA, O

机构：

[1] Second Department of Internal Medicine, Sapporo Medical College, Sapporo

[2] Second Department of Internal Medicine, Sapporo Medical College, Chuo-ku, Sapporo 064

来源：

INTERNAL MEDICINE | 1992年 / 31卷 / 04期

关键词：

HYPOCALCEMIA; CONGESTIVE HEART FAILURE; CARDIAC FUNCTION; CREATINE PHOSPHOKINASE; LACTATE DEHYDROGENASE;

D O I：

10.2169/internalmedicine.31.561

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

An idiopathic hypoparathyroidism-induced cardiomyopathy patient had severe long-lasting hypocalcemia. The dramatic improvement of cardiac function with correction of only the serum calcium concentration could be quantitatively demonstrated on both echocardiogram and ventriculogram. The concentration of the extracellular calcium ion was considered to have a direct effect on the strength of the myocardial contraction through excitation-contraction coupling. Furthermore, elevated serum creatine phosphokinase and lactate dehydrogenase levels which were thought to be delivered from skeletal muscle returned to the normal range concomitant with the correction of hypocalcemia. The serum calcium concentration and these enzyme levels showed significant inverse correlations.

引用

页码：561 / 568

页数：8

共 31 条

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