Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
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Case Report

Volume 4, Number 6, June 2013, pages 389-392

Cinacalcet and Acute Heart Failure on Dialysis - A New Association


Figure 1.
Figure 1. Serial assessment of LV function during treatment with cinacalcet and 4 months after withdrawal. Panels A-B: End-diastolic and end-systolic frames of LV angiogram performed during treatment with cinacalcet following presentation with heart failure symptoms. Panel C-D: Short axis steady state free precession (SSFP) cardiac MR images at the mid ventricular level obtained during treatment Panel C: End-diastolic frame; Panel D: End-systolic frame. The arrow indicates a left sided pleural effusion. Panels E-H: 2 chamber and mid ventricular short axis SSFP cardiac MR images obtained 4 months after discontinuation of cinacalcet. Panels E and G are end-diastolic frames whilst panels F and H are end-systolic frames.


Table 1. Left Ventricular Volumes and Ejection Fraction Obtained From Serial Cardiac Magnetic Resonance Imaging
During cinacalcet treatmentPost withdrawal
LV, left ventricular.
LV ejection fraction (%)21.549.5
LV stroke volume (mL)53130
End systolic LV volume (mL)197133
End diastolic LV volume (mL)250263