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KMID : 0368120130430080573
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Korean Circulation Journal
2013 Volume.43 No. 8 p.573 ~ p.577
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Takotsubo Cardiomyopathy Associated with Severe Hypocalcemia Secondary to Idiopathic Hypoparathyroidism
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Rhee Ho-Sung
Lee Se-Whan
Jung Young-Kyu
Jeon Ung
Park Sang-Ho
Lee Seung-Jin
Sin Won-Yong
Jin Dong-Kyu
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Abstract
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The etiology and pathophysiology of takotsubo cardiomyopathy have not yet been fully clarified. We report a case of takotsubo cardiomyopathy associated with severe hypocalcemia secondary to hypoparathyroidism. A 69-year-old woman presented with acute pulmonary edema caused by severe left ventricular dysfunction with apical ballooning compatible with takotsubo cardiomyopathy. Laboratory tests revealed severe hypocalcemia secondary to idiopathic hypoparathyroidism. Coronary angiography showed normal coronary artery function. Her symptoms and signs of heart failure improved dramatically with the correction of hypocalcemia through calcium and calcitriol replacement.
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KEYWORD
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Takotsubo cardiomyopathy, Hypocalcemia, Hypoparathyroidism
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