Overview

Hypercalcemia happens when you have higher-than-normal levels of calcium in your blood. Hypercalcemia can be mild or severe and temporary or chronic (lifelong).

Calcium is one of the most important and common minerals in your body. Most of your body’s calcium is stored in your bones, but you need calcium in your blood as well. The calcium in your blood helps:

  • Your nerves work.
  • Make your muscles squeeze together so you can move.
  • Your blood clot if you’re bleeding.
  • Your heart work properly.

Two hormones called parathyroid hormone and calcitonin control the levels of calcium in your blood and bones. Vitamin D also plays an important role in maintaining calcium levels because your body needs it to absorb calcium from the food you eat.

Your body normally carefully controls the level of calcium in your blood, but certain medications and conditions can result in high blood calcium levels (hypercalcemia).

What is the difference between hypocalcemia and hypercalcemia?

Hypercalcemia and hypocalcemia are medical conditions that both have to do with the amount of calcium in your blood — the difference is how much.

In the medical world, the prefix “hyper-” means “high” or “too much.” Hypercalcemia means you have higher-than-normal calcium in your blood.

The prefix “hypo-” means “low” or “not enough.” Hypocalcemia means you have lower-than-normal levels of calcium in your blood.

Who does hypercalcemia affect?

Hypercalcemia can affect anyone at any age, but it’s most common in people assigned female at birth over age 50 (after menopause). In most cases, this is due to an overactive parathyroid gland.

How common is hypercalcemia?

Hypercalcemia affects approximately 1% to 2% of the general population. Most of the cases — about 90% — are due to primary hyperparathyroidism and cancer-related hypercalcemia (hypercalcemia of malignancy).

Is hypercalcemia life-threatening?

Most cases of hypercalcemia aren’t life-threatening and many people don’t have any symptoms. Healthcare providers often catch it early from routine blood tests.

But severe hypercalcemia can cause more serious problems, including:

  • Kidney failure.
  • Abnormal heart rhythm (arrhythmia).
  • Confusion.
  • Coma.
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Symptoms

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Complications

Blood clots are a dangerous complication of atrial fibrillation (AFib). Blood clots can lead to stroke.
The risk of stroke from AFib increases as you grow older. Other health conditions also may increase the risk of a stroke due to AFib. These conditions include:
  • High blood pressure.
  • Diabetes.
  • Heart failure.
  • Some types of heart valve disease.
Blood thinners are commonly prescribed to prevent blood clots and strokes in people with atrial fibrillation.

Prevention

Healthy lifestyle choices can reduce the risk of heart disease and may prevent atrial fibrillation (AFib). Here are some basic heart-healthy tips:
  • Control high blood pressure, high cholesterol and diabetes.
  • Don't smoke or use tobacco.
  • Eat a diet that's low in salt and saturated fat.
  • Exercise at least 30 minutes a day on most days of the week unless your health care team says not to.
  • Get good sleep. Adults should aim for 7 to 9 hours daily.
  • Maintain a healthy weight.
  • Reduce and manage stress.


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