Cardiac Dysrhythmias and Neurological Dysregulation: Manifestations of Profound Hypomagnesemia

Magnesium is the second most common intracellular cation and serves as an important metabolic cofactor to over 300 enzymatic reactions throughout the human body. Among its various roles, magnesium modulates calcium entry and release from sarcoplasmic reticulum and regulates ATP pumps in myocytes and...

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Main Authors: Sagger Mawri, Edward Gildeh, Namita Joseph, Bobak Rabbani, Bryan Zweig
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2017/6250312
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author Sagger Mawri
Edward Gildeh
Namita Joseph
Bobak Rabbani
Bryan Zweig
author_facet Sagger Mawri
Edward Gildeh
Namita Joseph
Bobak Rabbani
Bryan Zweig
author_sort Sagger Mawri
collection DOAJ
description Magnesium is the second most common intracellular cation and serves as an important metabolic cofactor to over 300 enzymatic reactions throughout the human body. Among its various roles, magnesium modulates calcium entry and release from sarcoplasmic reticulum and regulates ATP pumps in myocytes and neurons, thereby regulating cardiac and neuronal excitability. Therefore, deficiency of this essential mineral may result in serious cardiovascular and neurologic derangements. In this case, we present the clinical course of a 76-year-old woman who presented with marked cardiac and neurological signs and symptoms which developed as a result of severe hypomagnesemia. The patient promptly responded to magnesium replacement once the diagnosis was established. We herein discuss the clinical presentation, pathophysiology, diagnosis, and management of severe hypomagnesemia and emphasize the implications of magnesium deficiency in the cardiovascular and central nervous systems. Furthermore, this case highlights the importance of having high vigilance for hypomagnesemia in the appropriate clinical setting.
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institution Kabale University
issn 2090-6404
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publishDate 2017-01-01
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series Case Reports in Cardiology
spelling doaj-art-3d17d9077fa945ceba3f45d6d42675292025-02-03T05:59:32ZengWileyCase Reports in Cardiology2090-64042090-64122017-01-01201710.1155/2017/62503126250312Cardiac Dysrhythmias and Neurological Dysregulation: Manifestations of Profound HypomagnesemiaSagger Mawri0Edward Gildeh1Namita Joseph2Bobak Rabbani3Bryan Zweig4Heart & Vascular Institute, Henry Ford Hospital, Detroit, MI, USADepartment of Medicine, Henry Ford Hospital, Detroit, MI, USADepartment of Medicine, Henry Ford Hospital, Detroit, MI, USAHeart & Vascular Institute, Henry Ford Hospital, Detroit, MI, USAHeart & Vascular Institute, Henry Ford Hospital, Detroit, MI, USAMagnesium is the second most common intracellular cation and serves as an important metabolic cofactor to over 300 enzymatic reactions throughout the human body. Among its various roles, magnesium modulates calcium entry and release from sarcoplasmic reticulum and regulates ATP pumps in myocytes and neurons, thereby regulating cardiac and neuronal excitability. Therefore, deficiency of this essential mineral may result in serious cardiovascular and neurologic derangements. In this case, we present the clinical course of a 76-year-old woman who presented with marked cardiac and neurological signs and symptoms which developed as a result of severe hypomagnesemia. The patient promptly responded to magnesium replacement once the diagnosis was established. We herein discuss the clinical presentation, pathophysiology, diagnosis, and management of severe hypomagnesemia and emphasize the implications of magnesium deficiency in the cardiovascular and central nervous systems. Furthermore, this case highlights the importance of having high vigilance for hypomagnesemia in the appropriate clinical setting.http://dx.doi.org/10.1155/2017/6250312
spellingShingle Sagger Mawri
Edward Gildeh
Namita Joseph
Bobak Rabbani
Bryan Zweig
Cardiac Dysrhythmias and Neurological Dysregulation: Manifestations of Profound Hypomagnesemia
Case Reports in Cardiology
title Cardiac Dysrhythmias and Neurological Dysregulation: Manifestations of Profound Hypomagnesemia
title_full Cardiac Dysrhythmias and Neurological Dysregulation: Manifestations of Profound Hypomagnesemia
title_fullStr Cardiac Dysrhythmias and Neurological Dysregulation: Manifestations of Profound Hypomagnesemia
title_full_unstemmed Cardiac Dysrhythmias and Neurological Dysregulation: Manifestations of Profound Hypomagnesemia
title_short Cardiac Dysrhythmias and Neurological Dysregulation: Manifestations of Profound Hypomagnesemia
title_sort cardiac dysrhythmias and neurological dysregulation manifestations of profound hypomagnesemia
url http://dx.doi.org/10.1155/2017/6250312
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