Heart of Stone: Rare Case of Incidentally Detected Endocardial Calcification

A 76-year-old female with hypertension and hyperlipidemia was evaluated for incidental left ventricular calcification. Despite recent exertional chest pain, she was largely asymptomatic. Cardiac imaging revealed extensive endomyocardial calcifications without significant coronary artery stenosis. La...

Full description

Saved in:
Bibliographic Details
Main Authors: Vaibhav Sharma, Vishakha Maheshwari, Biswajit Kar
Format: Article
Language:English
Published: Houston Methodist DeBakey Heart & Vascular Center 2025-02-01
Series:Methodist DeBakey Cardiovascular Journal
Subjects:
Online Access:https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1529
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849330038186442752
author Vaibhav Sharma
Vishakha Maheshwari
Biswajit Kar
author_facet Vaibhav Sharma
Vishakha Maheshwari
Biswajit Kar
author_sort Vaibhav Sharma
collection DOAJ
description A 76-year-old female with hypertension and hyperlipidemia was evaluated for incidental left ventricular calcification. Despite recent exertional chest pain, she was largely asymptomatic. Cardiac imaging revealed extensive endomyocardial calcifications without significant coronary artery stenosis. Laboratory tests excluded hypercalcemia, hyperparathyroidism, and sarcoidosis, leading to a diagnosis of idiopathic calcific cardiomyopathy. This case highlights the importance of comprehensive cardiac imaging in detecting subtle abnormalities, even in asymptomatic patients from non-tropical regions. It emphasizes considering both metastatic and dystrophic causes of endomyocardial calcification, regardless of geographical location. Given the patient’s asymptomatic status and the condition’s benign nature, a conservative management approach with regular monitoring was adopted. This case contributes to the limited literature on incidental endomyocardial calcification and may inform future strategies for similar presentations.
format Article
id doaj-art-03475d8a30a54cfeb94a9be8c667bcc9
institution Kabale University
issn 1947-6108
language English
publishDate 2025-02-01
publisher Houston Methodist DeBakey Heart & Vascular Center
record_format Article
series Methodist DeBakey Cardiovascular Journal
spelling doaj-art-03475d8a30a54cfeb94a9be8c667bcc92025-08-20T03:47:06ZengHouston Methodist DeBakey Heart & Vascular CenterMethodist DeBakey Cardiovascular Journal1947-61082025-02-012111510.14797/mdcvj.15291507Heart of Stone: Rare Case of Incidentally Detected Endocardial CalcificationVaibhav Sharma0https://orcid.org/0009-0009-1471-354XVishakha Maheshwari1https://orcid.org/0009-0004-9398-2206Biswajit Kar2https://orcid.org/0000-0002-4777-5466University of Texas Health Science Center, Houston, TexasUniversity of Texas Health Science Center, Houston, TexasUniversity of Texas Health Science Center, Houston, TexasA 76-year-old female with hypertension and hyperlipidemia was evaluated for incidental left ventricular calcification. Despite recent exertional chest pain, she was largely asymptomatic. Cardiac imaging revealed extensive endomyocardial calcifications without significant coronary artery stenosis. Laboratory tests excluded hypercalcemia, hyperparathyroidism, and sarcoidosis, leading to a diagnosis of idiopathic calcific cardiomyopathy. This case highlights the importance of comprehensive cardiac imaging in detecting subtle abnormalities, even in asymptomatic patients from non-tropical regions. It emphasizes considering both metastatic and dystrophic causes of endomyocardial calcification, regardless of geographical location. Given the patient’s asymptomatic status and the condition’s benign nature, a conservative management approach with regular monitoring was adopted. This case contributes to the limited literature on incidental endomyocardial calcification and may inform future strategies for similar presentations.https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1529endomyocardial calcificationasymptomaticcardiac imagingincidental findingconservative management
spellingShingle Vaibhav Sharma
Vishakha Maheshwari
Biswajit Kar
Heart of Stone: Rare Case of Incidentally Detected Endocardial Calcification
Methodist DeBakey Cardiovascular Journal
endomyocardial calcification
asymptomatic
cardiac imaging
incidental finding
conservative management
title Heart of Stone: Rare Case of Incidentally Detected Endocardial Calcification
title_full Heart of Stone: Rare Case of Incidentally Detected Endocardial Calcification
title_fullStr Heart of Stone: Rare Case of Incidentally Detected Endocardial Calcification
title_full_unstemmed Heart of Stone: Rare Case of Incidentally Detected Endocardial Calcification
title_short Heart of Stone: Rare Case of Incidentally Detected Endocardial Calcification
title_sort heart of stone rare case of incidentally detected endocardial calcification
topic endomyocardial calcification
asymptomatic
cardiac imaging
incidental finding
conservative management
url https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1529
work_keys_str_mv AT vaibhavsharma heartofstonerarecaseofincidentallydetectedendocardialcalcification
AT vishakhamaheshwari heartofstonerarecaseofincidentallydetectedendocardialcalcification
AT biswajitkar heartofstonerarecaseofincidentallydetectedendocardialcalcification