Turgay ULAŞ, Fatma PAKSOY, Mehmet Ali EREN, Hacı Gökhan APUCU, İrfan TURSUN, Adile ÇAKIR, Fatih BORLU

Hipokalsemik kalp yetmezliği: olgu sunumu

Hipokalsemiye bağlı gelişen kalp yetersizliği oldukça nadir görülen bir durumdur. Hipokalsemiye bağlı gelişen kalp yetersizliği konvansiyonel kalp yetersizliği tedavisine dirençlidir. Bu yazıda, hipokalsemiye bağlı kalp yetersizliği gelişen 47 yaşında bayan hasta sunuldu. Hastada ileri derecede hipokalsemi vardı. Ekokardiyografide sol ventrikül genişlemesi, hafif derecede sistolik disfonksiyon (ejeksiyon fraksiyonu %43), hafif derecede perikardial efüzyon tespit edildi. Kalp yetersizliği tedavisine ek olarak kalsiyum ve D3 vitamini desteği ile hastanın kalp yetersizliğine ait semptom ve bulguları hızla geriledi. Serum kalsiyum düzeyi kalp yetersizliği olan her hastada bakılmalı, tedaviye dirençli kalp yetersizliğinde hipokalsemi akla gelmelidir.

Anahtar Kelimeler:

Kalp yetersizliği, hipokalsemi

Hypocalcemic heart failure: a case report

Heart failure due to hypocalcemia is a very rare condition. Ensuring heart failure due to hypocalcemia is refractory to conventional treatment. We reported a 47-year-old woman who developed cardiac failure due to hypocalcemia. Echocardiography showed left ventricular dilatation, mild systolic dysfunction (ejection fraction %43), and pericardial effusion. Serum calcium level was too low. After treatment of heart failure by calcium-vitamin D supplementation, signs and symptoms of heart failure improved rapidly. Serum calcium level should be monitored in every patient with cardiac failure and hypocalcemia should be considered in patients with refractory heart failure.

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