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European Journal of Heart Failure 2001 3(3):373-376; doi:10.1016/S1388-9842(01)00125-8
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© 2001 European Society of Cardiology

Hypocalcaemic Cardiomyopathy; the relationship between myocardial damage, left ventricular function, calcium and ECG changes in a patient with idiopathic hypocalcaemia

N.G. Fisher*, A. Armitage, R.J. McGonigle and T.J. Gilbert

South West Cardiothoracic Centre and Department of Renal Medicine, Derriford Hospital Plymouth, UK

* Corresponding author. Tel.: +1-8042951421; fax: +1-4256717973.. drnickfisher@earthlink.net (N.G. Fisher).

Received November 14, 1999; Revised November 21, 2000; Accepted January 17, 2001

The first 10% of the full text of this article appears below.


   1. Introduction
 
Despite our knowledge of the importance of calcium ions in muscle function there is little documentation of the effect of hypocalcaemia on left ventricular function. In adults, left ventricular failure resulting from hypocalcaemia is rare and is mostly associated with primary hypoparathyroidism or surgical removal of the parathyroid glands [1–4]. This is the first case to clearly demonstrate the relationship between serum calcium concentration (corrected for albumin), creatinine phosphokinase (CPK) levels, ECG changes and left ventricular ejection fraction in a patient with normal coronary arteries, who suffered a transient period of hypocalcaemia following parathyroidectomy.


   2. Case Report
 
A 38 year-old . . . [Full Text of this Article]


   3. Discussion
 

   4. Conclusion
 

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