胸闷心悸加强钙剂补充后治愈一例报道

One case report of repeated chest tightness and palpitation cured after strengthening calcium supplementation

甲状旁腺功能增强发病率高,临床表现多样,部分患者以胸闷心悸为主要不适,可能与负钙平衡所致甲状旁腺功能增强相关低钙血症和高钙血症有关。本文报道了一例53岁男性甲状旁腺功能增强患者,确诊骨质疏松后常规剂量补充维生素D和钙剂,出现胸闷心悸等不适,心内科检查未见明显异常,随访仍反复胸闷心悸。经加强补充钙剂1月后,患者胸闷心悸症状完全消失,继续积极补充钙和维生素D,1年后随访病情稳定未复发,各项指标正常。

The incidence of parathyroid hyperfunction is high and its clinical manifestations are diverse.Some patients develop chest tightness and palpitations as the main discomfort,which may be caused by the hypocal-cemia and hypercalcemia related to negative calcium balance and parathyroid hyperfunction.We report a case of 53 years old male with parathyroid hyperfunction who was diagnosed with osteoporosis before and received conven-tional regular supplementation of vitamin D and calcium supplements.However,his condition worsened and he de-veloped chest tightness and palpitation.After 1 month of sufficient supplementation of calcium,the symptoms of chest tightness and palpitation disappeared completely.Then we continued to provide the patients enough vitamin D and calcium supplementation actively.After 1 year of follow-up,the patient's condition was stable.His discom-fort of chest tightness and palpitation never recurred,and all the bone metabolism indicators returned to normal.