Marked Improvement of Left Ventricular Function After Parathyroidectomy in a Hemodialysis Patient With Secondary Hyperparathyroidism and Left Ventricular Dysfunction

Michitaka Nagashima; Kazuki Hashimoto; Takuro Shinsato; Kinya Ashida; Makoto Kobayashi; Hajime Yamashita; Masato Otsuka; Takahiko Naruko; Akira Itoh; Kazuo Haze

doi:10.1253/circj.67.269

Case Report

Marked Improvement of Left Ventricular Function After Parathyroidectomy in a Hemodialysis Patient With Secondary Hyperparathyroidism and Left Ventricular Dysfunction

Michitaka Nagashima, Kazuki Hashimoto, Takuro Shinsato, Kinya Ashida, Makoto Kobayashi, Hajime Yamashita, Masato Otsuka, Takahiko Naruko, Akira Itoh, Kazuo Haze

著者情報

キーワード: Hemodialysis, Left ventricular dysfunction, Parathyroidectomy, Parathyroid hormone

ジャーナルフリー

2003 年 67 巻 3 号 p. 269-272

DOI https://doi.org/10.1253/circj.67.269

詳細

抄録

A 52-year-old woman, a hemodialysis patient, was admitted because of exertional dyspnea. Echocardiography showed left ventricular (LV) dilatation and reduced contraction. Coronary angiography showed no fixed stenosis. She had elevated levels of parathyroid hormone (PTH) as a result of secondary hyperparathyroidism with advanced renal failure. After parathyroidectomy, marked improvement of LV function following immediate decrease of blood levels of PTH was observed. It is suggested that PTH might have a significant role in the pathogenesis of LV dysfunction and that parathyroidectomy might be effective as a therapy for heart failure in some patients with secondary hyperparathyroidism and LV dysfunction. (Circ J 2003; 67: 269 - 272)

責任著者(Corresponding author)

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