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Hypocalcemic cardiomyopathy as initial presentation of primary hypoparathyroidism
Author(s) -
Velayuthan Sujithra,
Gungor Neslihan,
McVie Robert
Publication year - 2014
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/ped.12378
Subject(s) - medicine , hypoparathyroidism , cardiomyopathy , dilated cardiomyopathy , presentation (obstetrics) , restrictive cardiomyopathy , myocarditis , cardiology , heart transplantation , heart failure , hypertrophic cardiomyopathy , cardiac function curve , pediatrics , surgery
Cardiomyopathy is a rare but life‐threatening condition in children. Myocarditis is the leading cause of dilated cardiomyopathy ( DCM ) and prognosis is generally poor without heart transplantation. We report a rare case of hypocalcemic DCM due to primary hypoparathyroidism in a male infant. In our patient, aggressive management of hypoparathyroidism significantly improved the manifestations of DCM . He is currently 10 years old and has no symptoms of exercise intolerance. Latest echocardiogram revealed near‐normal cardiac function. Our case emphasizes that early diagnosis of this treatable cause of cardiomyopathy prevents serious sequelae.