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KMID : 0390620120200040193
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Journal of Cardiovascular Ultrasound
2012 Volume.20 No. 4 p.193 ~ p.196
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Porcelain Heart: Rapid Progression of Cardiac Calcification in a Patient with Hemodialysis
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Lee Hyeon-Uk
Youn Ho-Joong
Shim Byung-Ju
Lee Seung-Jae
Park Mi-Youn
Jeong Jin-Uk
Gu Gwan-Min
Jeon Hui-Kyung
Lee Ji-Eun
Kwon Byung-Jin
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Abstract
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Cardiac calcification usually occurs in patients with end-stage renal disease. However, rapid progression of cardiac calcification is rarely associated with secondary hyperparathyroidism of end-stage renal disease. We report a patient with end-stage renal disease who showed moderate left ventricular hypertrophy at the first echocardiography, and showed severe myocardial calcification and severe mitral valve stenosis 4 years later. We suspected a rapid progression ‘porcelain heart’ cardiomyopathy secondary to hyperparathyroidism of end-stage renal disease. The patient underwent parathyroidectomy, and considered mitral valve replacement.
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KEYWORD
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End stage renal disease , Secondary hyperparathyroidism , Myocardial calcification , Mitral valve stenosis.
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