Circulating magnesium as a potential risk stratification tool for sudden cardiac death: a systematic review

Background Sudden cardiac death (SCD) is one of the main causes of cardiovascular mortality and accounts for 15–20% of deaths worldwide. The current stratification strategy using depressed left ventricular ejection fraction is insufficient to stratify the risk of SCD, especially in the general popul...

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Veröffentlicht in:Herzschrittmachertherapie & Elektrophysiologie 2023-06, Vol.34 (2), p.153-160
Hauptverfasser: Davis, Edward, Fernando, Bernard C., Jusni, Louis Fabio Jonathan, Hendryan, Kevin R., Kuatama, Rexel, Ridjab, Denio A.
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container_issue 2
container_start_page 153
container_title Herzschrittmachertherapie & Elektrophysiologie
container_volume 34
creator Davis, Edward
Fernando, Bernard C.
Jusni, Louis Fabio Jonathan
Hendryan, Kevin R.
Kuatama, Rexel
Ridjab, Denio A.
description Background Sudden cardiac death (SCD) is one of the main causes of cardiovascular mortality and accounts for 15–20% of deaths worldwide. The current stratification strategy using depressed left ventricular ejection fraction is insufficient to stratify the risk of SCD, especially in the general population. In recent years, there has been increasing evidence showing the antiarrhythmic properties of magnesium. In this systematic review, the authors aim to determine circulating magnesium as a potential risk stratification tool for SCD. Methods This systematic review was based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and was conducted in July 2021 with sources from Google Scholar, PubMed, Science Direct, EBSCO Medline, and ProQuest. Results A total of six studies were included in this review. Three studies conducted in the general population consistently showed lower risk of SCD in populations with high circulating magnesium. There was no association between circulating magnesium level and risk of SCD in intensive cardiac care unit (ICCU) patients, whilst the results were conflicting in congestive heart failure (CHF) patients. Conclusion High circulating magnesium might have the potential to be utilized as a risk stratification tool for SCD, especially in the general population. However, further study is needed to support this evidence.
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The current stratification strategy using depressed left ventricular ejection fraction is insufficient to stratify the risk of SCD, especially in the general population. In recent years, there has been increasing evidence showing the antiarrhythmic properties of magnesium. In this systematic review, the authors aim to determine circulating magnesium as a potential risk stratification tool for SCD. Methods This systematic review was based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and was conducted in July 2021 with sources from Google Scholar, PubMed, Science Direct, EBSCO Medline, and ProQuest. Results A total of six studies were included in this review. Three studies conducted in the general population consistently showed lower risk of SCD in populations with high circulating magnesium. There was no association between circulating magnesium level and risk of SCD in intensive cardiac care unit (ICCU) patients, whilst the results were conflicting in congestive heart failure (CHF) patients. Conclusion High circulating magnesium might have the potential to be utilized as a risk stratification tool for SCD, especially in the general population. 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There was no association between circulating magnesium level and risk of SCD in intensive cardiac care unit (ICCU) patients, whilst the results were conflicting in congestive heart failure (CHF) patients. Conclusion High circulating magnesium might have the potential to be utilized as a risk stratification tool for SCD, especially in the general population. 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subjects Cardiac Imaging
Cardiac Surgery
Cardiology
Death, Sudden, Cardiac - etiology
Humans
Magnesium
Medicine
Medicine & Public Health
Reviews
Risk Assessment
Risk Factors
Stroke Volume
Ventricular Function, Left
title Circulating magnesium as a potential risk stratification tool for sudden cardiac death: a systematic review
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