Why the study?
Does resection of parathyroid adenoma prevent ventricular tachycardia in a patient with primary hyperparathyroidism and hypercalcemia?
Does resection of parathyroid adenoma prevent ventricular tachycardia in a patient with primary hyperparathyroidism and hypercalcemia?
Resection of a parathyroid adenoma can resolve hypercalcemia-induced ventricular tachycardia in patients with primary hyperparathyroidism.
Parathyroid adenoma resection may eliminate recurrent VT after calcium normalization; hypothesis-generating and requires confirmation in larger cohorts.
We present a case of primary hyperparathyroidism with hypercalcemia in a patient who had spontaneous attacks of ventricular tachycardia. Right ventricular burst pacing reproducibly induced ventricular tachycardia in the electrophysiological laboratory after intravenous administration of calcium-gluconate, and verapamil could terminate the tachycardia. After resection of the parathyroid adenoma, the calcium level was restored to normal, and ventricular tachycardia did not occur again during the follow-up period.
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CHANG et al. (2000) studied this question.
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