Primary hyperparathyroidism: Incidence of cardiac abnormalities and partial reversibility after successful parathyroidectomy
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2020, International Journal of Surgery Case ReportsCitation Excerpt :Commonly used medications in medical therapy include intravenous fluids, abundant hydration, loop diuretics, calcitonin, intravenous bisphosphonates (pamidronate), and calcimimetic agents such as cinacalcet [11]. A treatment plan must be swiftly made to avoid irreversible complications in the long term, such as nephrocalcinosis, cardiac abnormalities [12], bone resorption or central nervous system changes, and emergency surgery must be performed if medical therapy fails to stabilize clinical and laboratory parameters. Although subtotal parathyroidectomy (3 and a half gland) has been previously regarded as a valid surgical approach, total parathyroidectomy has become the main surgical option afterward.
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