A Study of Serum Magnesium Levels in Acute Myocardial Infarction
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2017, Vol 2, Issue 4
Abstract
Coronary artery disease is the most common cause of premature deaths. It is characterized pathologically by atheromatous plaque which may stenose the coronary arterial system sufficiently to cause exertional myocardial ischemia. There are reports in the literature over patients with acute myocardial infraction have lower magnesium levels. Supplementation of magnesium salts may reduce the incidence of fatal and on fatal arrhythmias after an infarct and thereby decreased the mortality in AMI. The present study was undertaken to determine whether changes occur in the serum magnesium level in acute myocardial infarction and to plot its time course during the acute illness and if changes occurred,were they related to the occurrence of arrhythmias and its prognostic values. The present study was conducted on 37 patients of acute myocardial infarction admitted to ICCU. Patients presenting with chest pain suggestive of myocardial infarction, who showed E.C.G evidence of acute infarction changes were assessed by detailed history and physical examination . The infarction was confirmed by elevated CPK/SGOT levels. Serum magnesium is estimated within first 24 hours of chest pain 1st day and on 9th day as well. Eight controls were chosen in the age group of35 to 70 years. Simultaneously serum potassium levels were estimated. The individual values of Serum Magnesium and Potassium in controls and in patients with acute myocardial was estimated. statistical analysis was done. Of the thirty seven cases of acute myocardial infarction, ten patients were hypomagnesemic on the first day of A.M.I. In the other twenty seven cases acute myocardial infarction studied, Serum Magnesium concentrations were within normal range. It is evident from the above results, that a statistically significant decrease in mean serum magnesium levels was noted in patient with AMI as compared to control levels.
Authors and Affiliations
Dr Akshay Berad
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