Case Report
Copyright ©The Author(s) 2025.
World J Cardiol. May 26, 2025; 17(5): 105670
Published online May 26, 2025. doi: 10.4330/wjc.v17.i5.105670
Table 1 Clinical information for the patient in this report

The first hospitalization before PTX (January 2020)
The second hospitalization before PTX (July 2021)
After PTX (May 2023)
Left ventricular ejection fraction (%)132253
Left ventricular end-diastolic diameter (mm)656547
Right ventricle (mm)292620
Left atrium (mm)424436
Right atrium (mm)53 × 4952 × 4444 × 37
Parathyroid hormone (pg/mL)20628456.4
Brain natriuretic peptide (pg/mL)2555.52583.9
Corrected calcium(mmol/L)2.852.782.44
Phosphate (mmol/L)1.170.95
Creatinine (μmol/L)160.7210.4171.2
Estimated glomerular filtration rate (mL/minute)42.430.238.2
Table 2 Clinical features of the present patient and the two patients already reported in the literature

Age and gender
Clinical characteristics
Serum calcium (mmol/L)
Treatment of primary hyperparathyroidism
Pathologic diagnosis
Postoperative efficacy
Our patient52-year-old maleDyspnea, fatigue, anorexia and abdominal distention2.78-3.03SurgeryParathyroid adenomaImprovement of cardiac function
Koch et al[4]55-year-old maleDyspnea, diarrhea and arrhythmia3.0-3.2SurgeryParathyroid adenomaImprovement of cardiac function and arrhythmia decreased
Kiernan et al[5]65-year-old femaleCardiogenic shock, dyspnea, anorexia, nausea and fatigue3.2---