Extreme hypercalcemia secondary to parathyroid adenoma obscured by excessive coffee consumption and premature ventricular complexes

Abstract Severe hypercalcemia has an arrhythmogenic effect. We present a case of a young male falsely diagnosed with premature ventricular complexes attributed to heavy coffee consumption, while symptoms and electrocardiographic findings of hypercalcemia were disregarded. Delayed work‐up identified...

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Main Authors: Yuval Avidan, Sameer Kassem
Format: Article
Language:English
Published: Wiley 2025-05-01
Series:Journal of General and Family Medicine
Subjects:
Online Access:https://doi.org/10.1002/jgf2.754
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author Yuval Avidan
Sameer Kassem
author_facet Yuval Avidan
Sameer Kassem
author_sort Yuval Avidan
collection DOAJ
description Abstract Severe hypercalcemia has an arrhythmogenic effect. We present a case of a young male falsely diagnosed with premature ventricular complexes attributed to heavy coffee consumption, while symptoms and electrocardiographic findings of hypercalcemia were disregarded. Delayed work‐up identified extreme hypercalcemia, and subsequently, parathyroid adenoma was diagnosed. Medical and surgical management resulted in complete resolution. The misdiagnosis led to a substantial diagnostic delay.
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spelling doaj-art-a5e4d699a6f744449822fa127386fae82025-08-20T02:17:13ZengWileyJournal of General and Family Medicine2189-79482025-05-0126326326610.1002/jgf2.754Extreme hypercalcemia secondary to parathyroid adenoma obscured by excessive coffee consumption and premature ventricular complexesYuval Avidan0Sameer Kassem1Department of Cardiology Lady Davis Carmel Medical Center Haifa IsraelDepartment of Medicine Lady Davis Carmel Medical Center Haifa IsraelAbstract Severe hypercalcemia has an arrhythmogenic effect. We present a case of a young male falsely diagnosed with premature ventricular complexes attributed to heavy coffee consumption, while symptoms and electrocardiographic findings of hypercalcemia were disregarded. Delayed work‐up identified extreme hypercalcemia, and subsequently, parathyroid adenoma was diagnosed. Medical and surgical management resulted in complete resolution. The misdiagnosis led to a substantial diagnostic delay.https://doi.org/10.1002/jgf2.754coffee consumptiondiagnosis biaselectrocardiogramhypercalcemiapremature ventricular complexes
spellingShingle Yuval Avidan
Sameer Kassem
Extreme hypercalcemia secondary to parathyroid adenoma obscured by excessive coffee consumption and premature ventricular complexes
Journal of General and Family Medicine
coffee consumption
diagnosis bias
electrocardiogram
hypercalcemia
premature ventricular complexes
title Extreme hypercalcemia secondary to parathyroid adenoma obscured by excessive coffee consumption and premature ventricular complexes
title_full Extreme hypercalcemia secondary to parathyroid adenoma obscured by excessive coffee consumption and premature ventricular complexes
title_fullStr Extreme hypercalcemia secondary to parathyroid adenoma obscured by excessive coffee consumption and premature ventricular complexes
title_full_unstemmed Extreme hypercalcemia secondary to parathyroid adenoma obscured by excessive coffee consumption and premature ventricular complexes
title_short Extreme hypercalcemia secondary to parathyroid adenoma obscured by excessive coffee consumption and premature ventricular complexes
title_sort extreme hypercalcemia secondary to parathyroid adenoma obscured by excessive coffee consumption and premature ventricular complexes
topic coffee consumption
diagnosis bias
electrocardiogram
hypercalcemia
premature ventricular complexes
url https://doi.org/10.1002/jgf2.754
work_keys_str_mv AT yuvalavidan extremehypercalcemiasecondarytoparathyroidadenomaobscuredbyexcessivecoffeeconsumptionandprematureventricularcomplexes
AT sameerkassem extremehypercalcemiasecondarytoparathyroidadenomaobscuredbyexcessivecoffeeconsumptionandprematureventricularcomplexes