Cardiac Complications Post Parathyroidectomy: A Systematic Review.

Indian Journal of Endocrinology and Metabolism Pub Date : 2025-03-01 Epub Date: 2025-04-29 DOI:10.4103/ijem.ijem_312_24

Arun K R Pande, Ashish Jhaa, Navneet Tripathi, Arvind Kanchan

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引用次数: 0

Abstract

Parathyroidectomy (PTX) treats hyperparathyroidism, but it can lead to significant cardiac complications. This systematic review analyses the incidence, types, risk factors, pathophysiological mechanisms, and management strategies of cardiac complications following PTX. Following PRISMA guidelines, a systematic search of PubMed and Europe PMC up to May 2024 included 62 studies. Cardiac complications identified included early and delayed reversible cardiac failure, tachyarrhythmias (such as atrial fibrillation and ventricular tachyarrhythmia), chest pain, myocardial infarction mimic, hypotension, and other two rare complications. Rapid calcium level changes and thyrotoxicosis post-surgery were the significant contributors to the complications. Vigilant monitoring and management are essential for favourable outcomes post-PTX. Comprehensive preoperative evaluation, meticulous intraoperative monitoring, and tailored postoperative care are crucial. Further research is needed to refine management protocols and improve patient safety.

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甲状旁腺切除术后心脏并发症：系统回顾。

甲状旁腺切除术（PTX）治疗甲状旁腺功能亢进，但它可能导致严重的心脏并发症。本文系统分析了PTX术后心脏并发症的发生率、类型、危险因素、病理生理机制和处理策略。遵循PRISMA指南，系统检索PubMed和Europe PMC，截至2024年5月，包括62项研究。确定的心脏并发症包括早期和延迟的可逆性心力衰竭、快速心律失常（如心房颤动和室性快速心律失常）、胸痛、心肌梗死模拟、低血压和其他两种罕见并发症。术后快速的钙水平变化和甲状腺毒症是导致并发症的重要因素。警惕的监测和管理对于ptx后的有利结果至关重要。全面的术前评估、细致的术中监测和量身定制的术后护理至关重要。需要进一步研究以完善管理方案并提高患者安全。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian Journal of Endocrinology and Metabolism Medicine-Endocrinology, Diabetes and Metabolism

CiteScore

2.10

自引率

0.00%

发文量

期刊介绍： The Indian Journal of Endocrinology and Metabolism (IJEM) aims to function as the global face of Indian endocrinology research. It aims to act as a bridge between global and national advances in this field. The journal publishes thought-provoking editorials, comprehensive reviews, cutting-edge original research, focused brief communications and insightful letters to editor. The journal encourages authors to submit articles addressing aspects of science related to Endocrinology and Metabolism in particular Diabetology. Articles related to Clinical and Tropical endocrinology are especially encouraged. Sub-topic based Supplements are published regularly. This allows the journal to highlight issues relevant to Endocrine practitioners working in India as well as other countries. IJEM is free access in the true sense of the word, (it charges neither authors nor readers) and this enhances its global appeal.