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Ventricular tachycardia in a patient with primary hyperparathyroidism.
Chang CJ,
Chen SA,
Tai CT,
Yu WC,
Chen YJ,
Tsai CF,
Hsieh MH,
Ding YA,
Chang MS.
Department of Medicine, National Yang-Ming University, School of Medicine, Taipei, Taiwan.
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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