Refractory hypotension associated with hypocalcemia and renal disease

Am J Kidney Dis. 1994 Mar;23(3):430-2. doi: 10.1016/s0272-6386(12)81007-9.


A 35-year-old hypertensive man presented with chronic renal insufficiency, congestive heart failure, and refractory hypotension. He had metabolic acidosis and profound hypocalcemia. Left ventricular function and blood pressure worsened after intravenous infusion of saline and bicarbonate, but improved dramatically after intravenous calcium administration. This case illustrates that hypocalcemia is a cause of refractory hypotension and heart failure.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Heart Failure / etiology*
  • Humans
  • Hypocalcemia / complications*
  • Hypotension / etiology*
  • Kidney Failure, Chronic / complications*
  • Male