Severe Hypocalcemia After Denosumab Treatment Leading to Refractory Ventricular Tachycardia

Document Type

Abstract

Publication Date

9-1-2025

Abstract

Description: Case Report: A 70-year-old man with multiple myeloma developed severe hypocalcemia 1 week after receiving denosumab. Despite calcium supplementation, he developed refractory ventricular tachycardia. Echocardiography showed a preserved ejection fraction, and his calcium levels eventually stabilized after intensive treatment with calcium and vitamin D. Discussion: Denosumab-induced hypocalcemia, though rare, can lead to serious cardiovascular events, including ventricular tachycardia. Prolonged serum denosumab concentrations contribute to persistent hypocalcemia. Early recognition and correction of hypocalcemia are crucial to prevent life-threatening complications. Conclusion: Denosumab-induced hypocalcemia can lead to severe complications like ventricular tachycardia. Early screening, correction of calcium and vitamin D levels, and close monitoring are critical to managing this risk.

Publication Title

Endocrine Practice

Volume

31

Issue

9 Supplement

First Page

S166

Last Page

S166

Comments

AACE Annual Meeting 2025 held 2025-05-15 to 2025-05-17 in Orlando, FL, USA.

Open Access

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