Hypocalcemic heart failure masquerading as dilated cardiomyopathy.

Abstract:

:Hypocalcemia is a rare, but reversible, cause of congestive heart failure. We report a 4-month-old boy diagnosed as dilated cardiomyopathy who had prolonged QoTc with low blood levels of calcium, normal phosphate, elevated alkaline phosphatase and findings suggestive of rickets. In view of non response to calcium and vitamin D3, a possible diagnosis of VDDR I (Vitamin D-dependent rickets) was made and he was treated with calcium and calcitriol. The serum calcium levels normalised within 10 days, along with resolution of the signs and symptoms of heart failure, near normal left ventricular function and normalisation of QoTc. Pediatricians should be aware of the association of hypocalcemia with cardiac dysfunction and should keep it as a possible reversible cause of heart failure in children.

journal_name

Indian J Pediatr

authors

Gulati S,Bajpai A,Juneja R,Kabra M,Bagga A,Kalra V

doi

10.1007/BF02723209

keywords:

subject

Has Abstract

pub_date

2001-03-01 00:00:00

pages

287-90

issue

3

eissn

0019-5456

issn

0973-7693

journal_volume

68

pub_type

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