1. Electrocardiographic J Wave as a Result of Hypercalcemia Aggravated by Thiazide Diuretics in a Case of Primary Hyperparathyroidism
- Author
-
Ramazan Topsakal, Namık Kemal Eryol, Servet Çetin, Hayrettin Saglam, and Huseyin Arinc
- Subjects
medicine.medical_specialty ,endocrine system diseases ,Sodium Chloride Symporter Inhibitors ,medicine.medical_treatment ,Parathyroid hormone ,Benzothiadiazines ,QT interval ,Bone and Bones ,Electrocardiography ,Internal medicine ,medicine ,Humans ,ST segment ,cardiovascular diseases ,Diuretics ,Thiazide ,Aged ,J wave ,Hyperparathyroidism ,business.industry ,medicine.disease ,Endocrinology ,Parathyroid Hormone ,Hypercalcemia ,Cardiology ,Calcium ,Female ,Diuretic ,Cardiology and Cardiovascular Medicine ,business ,Primary hyperparathyroidism ,medicine.drug - Abstract
Electrocardiographically, the QT interval is shortened, ST segment is depressed, and T wave becomes negative in hypercalcemia. The use of diuretics in cases with hyperparathyroidism decreases the excretion of calcium, causes changes in bone-calcium turnover and parathyroid hormone activity, and forms hypercalcemia. A 67 year-old Turkish female patient in whom we electrocardiographically observed a J wave is presented as a hypercalcemic case with primary, hyperparathyroidism aggravated by the use of a thiazide diuretic.
- Published
- 2003