ArticleAnnals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc2026
Reversible High-Degree Atrioventricular Block Associated With Magnesium Toxicity in Severe Pre-Eclampsia.
Article in Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
We report a 35-year-old woman at 31 weeks and 5 days' gestation with severe pre-eclampsia and acute kidney injury who developed symptomatic hypermagnesemia (4.49 mmol/L) and 2:1 second-degree atrioventricular block after receiving a standard Pritchard magnesium sulfate regimen. Magnesium sulfate was discontinued, intravenous calcium gluconate was administered, and emergency cesarean delivery was performed. The atrioventricular block resolved completely, and the mother recovered well. This case highlights a rare but reversible manifestation of magnesium toxicity and the importance of early recognition in patients with deteriorating renal function.
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