1. The Harder the Heart, the Harder It Breaks: A Case of Complete Atrioventricular Block Secondary to Tertiary Hyperparathyroidism
- Author
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Ramanakumar Anam, Mauricio Tellez, Matthew Lozier, Jose E Collado, and Ameen Waheed
- Subjects
medicine.medical_specialty ,Heart block ,medicine.medical_treatment ,Cardiology ,Parathyroid hormone ,Tertiary hyperparathyroidism ,End stage renal disease ,Internal medicine ,mitral annular calcification ,medicine ,cardiovascular diseases ,end stage renal disease ,hemodialysis ,business.industry ,General Engineering ,Endocrinology/Diabetes/Metabolism ,tertiary hyperparathyroidism ,medicine.disease ,Nephrology ,cardiovascular system ,Hemodialysis ,atrioventricular conduction block ,Mitral annulus calcification ,business ,Atrioventricular block ,hormones, hormone substitutes, and hormone antagonists ,Calcification - Abstract
The appearance of first-degree atrioventricular block and mitral annulus calcification in an end-stage renal failure patient with elevated parathyroid hormone levels should raise the suspicion of metastatic cardiac calcification. Measures should be taken to normalize the parathyroid hormone, calcium, and phosphorus levels to limit the progression of atrioventricular block. Exploration or removal of parathyroid glands should be considered if heart block worsens.
- Published
- 2021