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Two Cases of Liver Transplantation With a High Ionized Magnesium to Total Magnesium Ratio
Magnesium (Mg), an important cation, is involved in the activation of enzymes important for life support. The incidence of hypomagnesemia in critically ill patients admitted to the intensive care unit (ICU) is high and has been reported to be a factor in worsening prognosis. Ionized magnesium (iMg)...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9038446/ https://www.ncbi.nlm.nih.gov/pubmed/35494992 http://dx.doi.org/10.7759/cureus.23524 |
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author | Okubo, Kunihide Kato, Takao Shiko, Yuki Kawasaki, Yohei Inoda, Ayako Koyama, Kaoru |
author_facet | Okubo, Kunihide Kato, Takao Shiko, Yuki Kawasaki, Yohei Inoda, Ayako Koyama, Kaoru |
author_sort | Okubo, Kunihide |
collection | PubMed |
description | Magnesium (Mg), an important cation, is involved in the activation of enzymes important for life support. The incidence of hypomagnesemia in critically ill patients admitted to the intensive care unit (ICU) is high and has been reported to be a factor in worsening prognosis. Ionized magnesium (iMg) is physiologically active, although total magnesium (tMg) is often used to evaluate the concentration of magnesium because of the limited availability of instruments that can measure iMg. However, the changes in tMg and iMg are not correlated in critically ill patients. We obtained considerable data on the simultaneous measurements of iMg and tMg in two patients with severe liver disease who underwent liver transplantation. In both patients, the iMg/tMg values were high, suggesting the influence of hypoalbuminemia associated with liver dysfunction. Mg correction using tMg as a guide may lead to overdose. Furthermore, when considering the data for each case, the correlation between iMg and tMg was very high, which suggested that the iMg/tMg ratio may be a value unique to each individual or disease. Investigating in a large-scale study the correlation between iMg levels and clinical symptoms and prognosis is necessary in the future. |
format | Online Article Text |
id | pubmed-9038446 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-90384462022-04-27 Two Cases of Liver Transplantation With a High Ionized Magnesium to Total Magnesium Ratio Okubo, Kunihide Kato, Takao Shiko, Yuki Kawasaki, Yohei Inoda, Ayako Koyama, Kaoru Cureus Anesthesiology Magnesium (Mg), an important cation, is involved in the activation of enzymes important for life support. The incidence of hypomagnesemia in critically ill patients admitted to the intensive care unit (ICU) is high and has been reported to be a factor in worsening prognosis. Ionized magnesium (iMg) is physiologically active, although total magnesium (tMg) is often used to evaluate the concentration of magnesium because of the limited availability of instruments that can measure iMg. However, the changes in tMg and iMg are not correlated in critically ill patients. We obtained considerable data on the simultaneous measurements of iMg and tMg in two patients with severe liver disease who underwent liver transplantation. In both patients, the iMg/tMg values were high, suggesting the influence of hypoalbuminemia associated with liver dysfunction. Mg correction using tMg as a guide may lead to overdose. Furthermore, when considering the data for each case, the correlation between iMg and tMg was very high, which suggested that the iMg/tMg ratio may be a value unique to each individual or disease. Investigating in a large-scale study the correlation between iMg levels and clinical symptoms and prognosis is necessary in the future. Cureus 2022-03-26 /pmc/articles/PMC9038446/ /pubmed/35494992 http://dx.doi.org/10.7759/cureus.23524 Text en Copyright © 2022, Okubo et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Anesthesiology Okubo, Kunihide Kato, Takao Shiko, Yuki Kawasaki, Yohei Inoda, Ayako Koyama, Kaoru Two Cases of Liver Transplantation With a High Ionized Magnesium to Total Magnesium Ratio |
title | Two Cases of Liver Transplantation With a High Ionized Magnesium to Total Magnesium Ratio |
title_full | Two Cases of Liver Transplantation With a High Ionized Magnesium to Total Magnesium Ratio |
title_fullStr | Two Cases of Liver Transplantation With a High Ionized Magnesium to Total Magnesium Ratio |
title_full_unstemmed | Two Cases of Liver Transplantation With a High Ionized Magnesium to Total Magnesium Ratio |
title_short | Two Cases of Liver Transplantation With a High Ionized Magnesium to Total Magnesium Ratio |
title_sort | two cases of liver transplantation with a high ionized magnesium to total magnesium ratio |
topic | Anesthesiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9038446/ https://www.ncbi.nlm.nih.gov/pubmed/35494992 http://dx.doi.org/10.7759/cureus.23524 |
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