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Electrocardiographic, cardiac enzymes, and magnesium in patients with severe acute pancreatitis.
MedLine Citation:
PMID:  22847284     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Severe acute pancreatitis (SAP) can lead to multiple-organ dysfunction syndrome (MODS). Electrocardiographic (ECG), cardiac enzyme, and serum magnesium abnormalities occur after SAP. Electrocardiographic and cardiac enzyme abnormalities are described as variables in SAP patients, which contribute to the effects of MODS. Hypomagnesium is also closely associated with ECG abnormalities; therefore, hypomagnesium was also considered to be a variable in this study. A consecutive series of 54 patients admitted within 72 hours after SAP occurred was studied. A standard 12-lead ECG, cardiac enzyme, and serum magnesium measurement were routinely performed at admission. Linear correlation was used to analyze the relationship between hypomagnesemia and sinus tachycardia. The nonparametic binomial test was used to analyze dichotomized dependent variables (premature beat, atrial fibrillation, ST-segment depression, abnormal T wave, and long QT interval). Hypomagnesemia was present in 15 patients (28%), who subsequently had sinus tachycardia. There was a significant negative relationship (-1 < r <0) between hypomagnesemia and sinus tachycardia (p < .05). There were 14 (17%) premature beat, 7 (8%) atrial fibrillation, 21 (25%) ST-segment depression, 18 (21%) abnormal T wave, and 17 (31%) long QT-interval events in 54 SAP patients. Hypomagnesemia is a reason for ECG abnormalities. Electrocardiographic and cardiac enzyme abnormalities are considered to be transitory variables that are present in patients with SAP.
Authors:
Liya Huang; Binwu Ma; Fang He; Shaoqi Yang
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates     Volume:  35     ISSN:  1538-9766     ISO Abbreviation:  Gastroenterol Nurs     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-07-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8915377     Medline TA:  Gastroenterol Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  256-60     Citation Subset:  N    
Affiliation:
LiYa Huang, PhD, is with Department of Gastroenterology, Affiliated Hospital of NingXia Medical University, Yinchuan, China. BinWu Ma, MD, is with Department of Neurology, Affiliated Hospital of NingXia Medical University, Yinchuan, China. Fang He, MM, is with Department of Gastroenterology, Affiliated Hospital of NingXia Medical University, Yinchuan, China. ShaoQi Yang, MD, is with Department of Gastroenterology, Affiliated Hospital of NingXia Medical University, Yinchuan, China.
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