METHODS: A 63 years old male, affected by permanent post-surgical hypoparathyroidism, was hospitalized in the cardiology department because of a dehiscence of the subcutaneous housing of the double-chambered implantable cardioverter-defibrillator. Chronic replacement therapy for hypoparathyroidism was poorly controlled and, during hospitalization, severe hypocalcemia occurred together with electrocardiographic and echocardiogram life-threatening alterations.
CONCLUSIONS: Constant and targeted long-term replacement therapy with calcium and particularly calcitriol is necessary to avoid major consequences on patients\' health, especially during acute events and in the presence of other comorbidities.
方法:63岁男性,受永久性术后甲状旁腺功能减退的影响,由于双腔可植入心脏复律除颤器的皮下外壳开裂,在心脏科住院。甲状旁腺功能减退症的慢性替代疗法控制不佳,住院期间,严重的低钙血症伴随着危及生命的心电图和超声心动图改变.
结论:必须使用钙,特别是骨化三醇进行持续和有针对性的长期替代疗法,以避免对患者健康造成重大后果,特别是在急性事件和存在其他合并症的情况下。