Hypocalcemia causing acute coronary syndrome

Abstract

Hypocalcemia usually causes heart failure and rarely causes acute coronary syndrome. This is a case where hypoparathyroidism and hypocalcemia presented as acute coronary syndrome. A 37 year old gentleman presented with angina having ST/T changes, elevated troponin levels and wall motion abnormality on echocardiography. He had non-obstructive coronaries. After correction of the calcium his chest pain subsided. This is a case where hypocalcemia presented as coronary artery spasm and very few cases have been reported due to it.

Keywords

• Hypocalcemia
• Coronary artery spasm
• Acute coronary syndrome
• Non obstructive coronary artery diasease