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      Exacerbation of Latent Heart Failure by Mild Hypocalcemia after Parathyroidectomy in a Long-Term Hemodialysis Patient

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          Abstract

          A 60-year-old uremic patient treated with hemodialysis for 13 years developed acute hypotension during hemodialysis and overt heart failure subsequently in a period of relatively mild hypocalcemia after parathyroidectomy. Blood pressure during hemodialysis was maintained by continuous calcium infusion alone. Cardiomegaly was improved by normalization of serum calcium. The cardiac complication is considered to be exacerbation of the underlying myocardial dysfunction by the acute decline of serum calcium which might be a feature of the ‘hungry bone’ syndrome. Latent myocardial dysfunction might be exacerbated by only mild hypocalcemia after parathyroidectomy in long-term hemodialysis patients.

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          Author and article information

          Journal
          NEF
          Nephron
          10.1159/issn.1660-8151
          Nephron
          S. Karger AG
          1660-8151
          2235-3186
          1992
          1992
          11 December 2008
          : 60
          : 4
          : 482-486
          Affiliations
          aDepartment of Artificial Organ Treatment, bDepartment of Geriatrics, Endocrinology and Metabolism and cSecond Department of Surgery, Shinshu University School of Medicine, Matsumoto; dKashiwabara Clinic, Kashiwabara-Kanbara, Minamiazumi-gun, Japan
          Article
          186813 Nephron 1992;60:482–486
          10.1159/000186813
          1584326
          © 1992 S. Karger AG, Basel

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          Page count
          Pages: 5
          Categories
          Case Report

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