Open AccessHypocalcemic cardiomyopathy presenting as cardiogenic shock
Author(s) -
Pankaj Gupta,
Munesh Tomar,
S. Radhakrishnan,
Savitri Shrivastava
Publication year - 2011
Publication title -
annals of pediatric cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.292
H-Index - 19
eISSN - 0974-2069
pISSN - 0974-5149
DOI - 10.4103/0974-2069.84655
Subject(s) - cardiogenic shock , medicine , cardiology , cardiomyopathy , shock (circulatory) , heart failure , dilated cardiomyopathy , myocardial infarction
Hypocalcemia is a less known but treatable cause for dilated cardiomyopathy, leading to severe heart failure in children. Cardiogenic shock related to hypocalcemic cardiomyopathy is a rare event. We describe 5 infants presenting with cardiogenic shock over 3 years, who were found to have severe hypocalcemia as a sole cause of myocardial dysfunction. The patients responded to calcium and vitamin D supplementation promptly and left ventricular systolic function normalized within months of treatment. In any case of cardiogenic shock, hypocalcemia should be included in the differential diagnosis and must be investigated.