Abstract |
We report a case of hypercalcemia in an elderly patient due to vitamin D intoxication with clinical features and electrocardiogram (ECG) findings mimicking acute myocardial infarction. A 78-year-old man was referred to our department with symptoms of general fatigue, anorexia and chest pain. The ECG demonstrated ST elevation in leads V1 to V3 and diffuse T wave flattening, resulting in myocardial infarction being suspected. However, his symptoms, including chest pain, gradually improved and the ECG returned to normal in accordance with a fall in his serum calcium level. We introduce the use of QaTc interval shortening in differentiating ST-T changes of hypercalcemia from those of true myocardial ischemia.
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Authors | Naoto Ashizawa, Syuji Arakawa, Yuji Koide, Genji Toda, Shinji Seto, Katsusuke Yano |
Journal | Internal medicine (Tokyo, Japan)
(Intern Med)
Vol. 42
Issue 4
Pg. 340-4
(Apr 2003)
ISSN: 0918-2918 [Print] Japan |
PMID | 12729323
(Publication Type: Case Reports, Journal Article)
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Chemical References |
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Topics |
- Aged
- Chest Pain
(chemically induced)
- Diagnosis, Differential
- Electrocardiography
- Humans
- Hypercalcemia
(chemically induced, diagnosis)
- Male
- Myocardial Infarction
(diagnosis)
- Vitamin D
(poisoning)
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