Document Detail


Electrophysiologic effects of magnesium sulfate infusion in patients with cardiac conduction defects.
MedLine Citation:
PMID:  1506602     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report the electrocardiographic and electrophysiologic effects of magnesium (Mg) sulfate infusion in 25 normomagnesemic patients (16 men and 9 women, aged 22-74 years; mean +/- SD, 60.4 +/- 11.9) with different cardiac conduction impairments. Ten patients had chronic ischemic heart disease, two had idiopathic dilated cardiomyopathy, two had hypertensive heart disease, three had valvular heart disease, five had sclerodegenerative heart disease and three had no clinical evidence of cardiac disease. Five patients had trifascicular block [first degree atrioventricular (A-V) block+right bundle branch block (RBBB)+left anterior hemiblock (LAH)], eight had bifascicular block (6 RBBB+LAH, 2 first degree A-V block+RBBB), four had isolated first degree A-V block and eight had bundle branch block [5 RBBB, 3 left bundle branch block (LBBB)]. Before and during Mg infusion (50 mg/min/60 min) we evaluated the A-V (P-R), intraatrial (P-A), suprahisian (A-H), infrahisian (H-V) conduction times, electrical ventricular systole (Q-T), Q-T index (Q-Tc) intraventricular conduction time (QRS) and heart rate. At the end of infusion the P-R, P-A, A-H, H-V increased from 215.4 +/- 36.6, 33.6 +/- 9.1, 112.8 +/- 37.3, 69.0 +/- 12.8 ms to 217.6 +/- 37.1 (p less than 0.002), 33.8 +/- 9.4 (NS), 114.2 +/- 38.1 (p less than 0.005), 69.6 +/- 13.3 (NS) ms. QRS complex did not change (125 +/- 16.9 ms).(ABSTRACT TRUNCATED AT 250 WORDS)
Authors:
F Perticone; R Ceravolo; R Costa; P L Mattioli
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American College of Nutrition     Volume:  11     ISSN:  0731-5724     ISO Abbreviation:  J Am Coll Nutr     Publication Date:  1992 Aug 
Date Detail:
Created Date:  1992-09-24     Completed Date:  1992-09-24     Revised Date:  2008-06-23    
Medline Journal Info:
Nlm Unique ID:  8215879     Medline TA:  J Am Coll Nutr     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  405-9     Citation Subset:  IM    
Affiliation:
Department of Medicina Sperimentale e Clinica, Medical School, University of Reggio, Catanzaro, Calabria, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cardiomyopathy, Dilated / physiopathology
Coronary Disease / physiopathology
Electrocardiography
Electrophysiology
Female
Heart / drug effects,  physiopathology
Heart Block / physiopathology*
Heart Conduction System / drug effects,  physiopathology
Heart Rate
Heart Valve Diseases / physiopathology
Humans
Magnesium Sulfate / pharmacology*,  therapeutic use
Male
Middle Aged
Chemical
Reg. No./Substance:
7487-88-9/Magnesium Sulfate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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