RT Journal Article
SR Electronic
T1 Hypocalcaemic cardiac failure.
JF Postgraduate Medical Journal
JO Postgrad Med J
FD The Fellowship of Postgraduate Medicine
SP 633
OP 636
DO 10.1136/pgmj.54.635.633
VO 54
IS 635
A1 D. P. Brenton
A1 J. Gonzales
A1 A. B. Pollard
YR 1978
UL http://pmj.bmj.com/content/54/635/633.abstract
AB A 35-year-old patient who presented with recurrent chest infection, pulmonary oedema and cardiac failure was found to be grossly hypocalcaemic owing to previously undiagnosed hypoparathyroidism. The cardiac failure was not easily relieved by digoxin and diuretics but it quickly responded when the plasma calcium was restored to normal with dihydrotachysterol. With dihydrotachysterol as sole treatment for more than 2.5 years he had normal exercise tolerance and no features of cardiac failure.