Evidence map›Paper›PMID 36615893›Full record

ArticleNutrients2023

Ionized Magnesium: Interpretation and Interest in Atrial Fibrillation.

Jean-Baptiste Bouillon-Minois, Louisa Khaled, Florence Vitte, Ludovic Miraillet, Romain Eschalier, Matthieu Jabaudon, Vincent Sapin, Lucas Derault, Samy Kahouadji, Marina Brailova and 6 more

Open access · goldAbstract read
In one paragraph

Article in Nutrients, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.9field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Article
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  8. Hypermagnesemia in Clinical Practice.Medicina (Kaunas, Lithuania) · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 2 institutions in 1 country.

Jean-Baptiste Bouillon-MinoisEmergency Department, Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.ORCID 0000-0002-6556-4187
Louisa KhaledAnesthesiology and Critical Care Department, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.
Florence VitteService des Urgences, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.
Ludovic MirailletService des Urgences, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.
Romain EschalierCardiology Department, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.
Matthieu JabaudonDepartment of Anesthesiology, Critical Care and Perioperative Medicine, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.ORCID 0000-0002-8121-1680
Vincent SapinDepartment of Medical Biochemistry and Molecular Genetics, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.ORCID 0000-0002-7452-315X
Lucas DeraultBiochemistry and Molecular Genetic Department, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.
Samy KahouadjiBiochemistry and Molecular Genetic Department, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.ORCID 0000-0002-5918-1315
Marina BrailovaBiochemistry and Molecular Genetic Department, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.ORCID 0000-0002-3574-3707
Julie DurifBiochemistry and Molecular Genetic Department, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.
Jeannot SchmidtEmergency Department, Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.ORCID 0000-0003-3424-337X
Fares MoustafaService des Urgences, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.ORCID 0000-0003-0949-1558
Bruno PereiraBiostatistics Unit (DRCI), CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.ORCID 0000-0003-3778-7161
Emmanuel FutierDepartment of Anesthesiology, Critical Care and Perioperative Medicine, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.ORCID 0000-0002-6454-271X
Damien BouvierDepartment of Medical Biochemistry and Molecular Genetics, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.ORCID 0000-0002-2707-4320
Centre Hospitalier Universitaire de Clermont-Ferrand · FRCentre National de la Recherche Scientifique · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMagnesium (Mg) is often used to manage de novo atrial fibrillation (AF) in the emergency department (ED) and intensive care unit (ICU). Point of care measurement of ionized magnesium (iMg) allows a rapid identification of patients with impaired magnesium status, however, unlike ionized calcium, the interpretation of iMg is not entirely understood. Thus, we evaluated iMg reference values, correlation between iMg and plasmatic magnesium (pMg), and the impact of pH and albumin variations on iMg levels. Secondary objectives were to assess the incidence of hypomagnesemia in de novo AF.

methodsA total of 236 emergency department and intensive care unit patients with de novo AF, and 198 control patients were included. Reference values were determined in the control population. Correlation and concordance between iMg and pMg were studied using calcium (ionized and plasmatic) as a control in the whole study population. The impact of albumin and pH was assessed in the discordant iMg and pMg values. Lastly, we assessed the incidence of ionized hypomagnesemia (hypoMg) among de novo AF.

resultsThe reference range values established in our study for iMg were: 0.48-0.65 mmol/L (the manufacturers were: 0.45-0.60 mmol/L). A strong correlation was observed between pMg and iMg (r = 0.85), but, unlike for calcium values, there was no significant impact of pH and albumin in iMg/pMg interpretation. The incidence of hypoMg among de novo AF patients was 8.5% (12.7% using our ranges). When using our ranges, we found a significant link (

conclusionWe highlight the need for more accurate reference range values of iMg. Furthermore, our results suggest that blood Mg content is not identical to that of calcium. The incidence of ionized hypomagnesemia among de novo AF patients in our study is 8.5%.

Indexed as

Atrial FibrillationMagnesiumAlbuminsCalciumCalcium, DietaryElectrolytesHumansAlbuminsCalciumCalcium, DietaryElectrolytesMagnesiumatrial fibrillationcardiologycritical careemergency medicineionized magnesium

Identifiers

PMID36615893
PMCPMC9823795
OpenAlexW4313519550

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.