Osman BETON, Ömer AKYÜREK, Timuçin ALTIN, Çetin EROL

Sick sinus syndrome secondary to primary hyperparathyroidism

Hiperkalseminin kalp üzerine olan etkileri ve sonucunda gelişen elektrokardiyografik değişiklikler iyi bilinmektedir. Fakat literatürde, primer hiperparatiroidiye bağlı ciddi aritmi gelişimi ile ilgili sınırlı sayıda bildiri bulunmaktadır. Bu olguda, primer hiperparatirodiye sekonder gelilen orta dereceli hiperkalsemi varlığında, semptomatik hasta sinüs sendromu gelişen bir hasta sunulmuştur. Primer hiperparatiroidiye yönelik yapılan cerrahi operasyon sonrası, serum kalsiyum düzeyi no rmal sınırlara döndü ve hastanın şikayetleri ve aritmik bulguları düzeldi. Takip eden 13 yıl boyunca hasta asemptomatik kaldı.

Primer hiperparatiroidiye sekonder gelişen hasta sinüs sendromu

The effects of hypercalcemia on the heart and the resulting alternations of the electrocardiogram have been well established. However, there are only limited number of reports in the literature on primary hyperparathyroidism leading to clinically significant arrhythmias. We present a patient who was diagnosed with symptomatic sick sinus syndrome in the setting of moderate hypercalc emia secondary to primary hyperparathyroidism in this case report. After the surgical operation for primary hyperparathyroidism, serum calcium level returned to normal range and patient's co mplaints and arrhytmic findings recovered. The patient was asymptoma tic for the following 13 years.

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