Cardiac failure secondary to hypocalcaemia of nutritional osteomalacia.

Avery, P G; Arnold, I R; Hubner, P J; Iqbal, S J · Eur Heart J · 1992

case_report · Level V

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Abstract

A 41-year-old Asian woman presented with mild congestive cardiac failure, initially controlled with a small dose of diuretic. Subsequently there was a marked deterioration in her condition with severe cardiac failure resistant to treatment. At this time biochemistry revealed a hyperphosphataemic variety of osteomalacia. Her cardiac failure improved promptly on correcting the hypocalcemia. Although hypocalcaemia is a recognised cause of cardiac failure it has not been described in privational osteomalacia.

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