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Congestive Heart Failure Secondary to Idiopathic Hypoparathyroidism

Iraj Aryanpur, MD; Abolhassan Farhoudi, MD; Fereydoun Zangeneh, MD
Am J Dis Child. 1974;127(5):738-739. doi:10.1001/archpedi.1974.02110240124020.
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A 14-year-old girl with a four-year history of convulsions was found to have congestive heart failure, severe cardiomegaly and hypocalcemia, as well as other signs of idiopathic hypoparathyroidism. Her electrocardiogram showed a prolonged QT interval. Treatment with gluconate calcium and vitamin D cured the heart failure, and normalized the heart size and the QT interval. There was no evidence of any other type of heart disease. Hypocalcemia is one of the few promptly curable causes of cardiomegaly and congestive heart failure in childhood.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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