Key result
Parathyroidectomy resolves first-degree AV block in a patient with primary hyperparathyroidism.
Why the study?
Primary hyperparathyroidism affects multiple organ systems including the cardiovascular system, but the impact of parathyroidectomy on arrhythmia resolution is not well documented.
Case Report (n=1)
Successful parathyroidectomy for primary hyperparathyroidism may resolve associated cardiac arrhythmias such as first-degree AV block.
Parathyroidectomy may resolve first-degree AV block in primary hyperparathyroidism; leaves open whether this extends beyond isolated case reports.
The prevalence of primary hyperparathyroidism (PHPT) is increasing as routine laboratory testing for calcium and parathyroid hormone becomes more prevalent due to heightened awareness of the disease. PHPT affects multiple organ systems including the cardiovascular system. This case report highlights a patient with first degree atrio-ventricular block pre-operatively that resolved after resection of her parathyroid adenoma. This case emphasizes the importance of treating asymptomatic hyperparathyroidism to optimize cardiac function.
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Arowojolu et al. (2023) conducted a case report in Primary hyperparathyroidism with first degree atrio-ventricular block (n=1). Parathyroidectomy was evaluated on Resolution of first degree atrio-ventricular block. Resection of a parathyroid adenoma in a patient with primary hyperparathyroidism resulted in the resolution of pre-operative first degree atrio-ventricular block.
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