Is there an association between intradialytic hypotension and serum magnesium changes?

Hemodialysis International

Volumn 14, Issue 4, 2010, Pages 492-497

  Pakfetrat, Maryam ^a,b,d   Roozbeh Shahroodi, Jamshid ^a,b,d   Malekmakan, Leila ^b,d   Zare, Najaf ^c,d   Nasab, Mahshid Hashemi ^b,d   Hossein Nikoo, Mohamad ^a,d  

^a Department of Internal Medicine ^*  (Iran)

^b SHIRAZ UNIVERSITY OF MEDICAL SCIENCES   (Iran)

^c Faculty of Medicine   (Iran)

^d SHIRAZ UNIVERSITY OF MEDICAL SCIENCES   (Iran)

Author keywords

Hemodialysis; Intradialytic hypotension; Magnesium

Indexed keywords

ALBUMIN; MAGNESIUM;

ADULT; AGED; ARTICLE; BLOOD PRESSURE MEASUREMENT; DISEASE ASSOCIATION; FEMALE; GLOMERULONEPHRITIS; HEMODIALYSIS; HEMODIALYSIS PATIENT; HUMAN; HYPOTENSION; INTRADIALYTIC HYPOTENSION; KIDNEY POLYCYSTIC DISEASE; MAGNESIUM BLOOD LEVEL; MAJOR CLINICAL STUDY; MALE; NEPHROLITHIASIS; NEPHROSCLEROSIS; TREATMENT OUTCOME;

ADOLESCENT; ADULT; AGED; BLOOD PRESSURE; CROSS-SECTIONAL STUDIES; FEMALE; HUMANS; HYPOTENSION; KIDNEY FAILURE, CHRONIC; MAGNESIUM; MALE; MIDDLE AGED; RENAL DIALYSIS; YOUNG ADULT;

EID: 77958565529     PISSN: 14927535     EISSN: 15424758     Source Type: Journal    
DOI: 10.1111/j.1542-4758.2010.00477.x     Document Type: Article

References (33)

1. Daurgirdas JT. Pathophysiology of dialysis hypotension: An update. Am J Kidney Dis. 2001; 38:11-17.
2. Shoji T, Tsubakihara Y, Fujii M, et al. Hemodialysis-associated hypotension as an independent risk factor for two-year mortality in hemodialysis patients. Kidney Int. 2004; 66:1212-1220.
3. Daurgirdas JT. Dialysis hypotension. A hemodynamic analysis. Kidney Int. 1991; 39:323-346.
4. Kersh ES, Kronfield SJ, Unger A, et al. Autonomic insufficiency in uremia as a cause of hemodialysis-induced hypotension. N Engl J Med. 1974; 290:650-653.
5. De Paula FM, Peixoto AJ, Pinto LV, et al. Clinical consequences of an individualized dialysate sodium prescription in hemodialysis patients. Kidney Int. 2004; 66:1232-1238.
6. Pelosi G, Emdin M, Carpeggiani C, et al. Impaired sympathetic response before intradialytic hypotension: A study based on spectral analysis of heart rate and pressure variability. Clin Sci. 1999; 96:23-31.
7. Barnas MG, Boer WH, Koomans HA. Hemodynamic patterns and spectral analysis of heart rate variability during dialysis hypotension. J Am Soc Nephrol. 1999; 10:2577-2584.
8. Lee PT, Fang HC, Chen CL, et al. High vibration perception threshold and autonomic dysfunction in hemodialysis patients with intradialysis hypotension. Kidney Int. 2003; 64:1089-1094.
9. Colí L, Ursino M, Donati G, et al. Clinical application of sodium profiling in the treatment of intradialytic hypotension. Int J Artif Organs. 2003; 6:715-722.
10. Churchill DN. Sodium and water profiling in chronic uraemia. Nephrol Dial Transplant. 1996; 11:38-41.
11. Henrich WL, Hunt JM, Nixon JV. Increased ionized calcium and left ventricular contractility during hemodialysis. N Engl J Med. 1984; 310:19-23.
12. Lang RM, Fellner SK, Neumann A, et al. Left ventricular contractility varies directly with blood ionized calcium. Ann Intern Med. 1988; 108:524-529.
13. Marta MJ, Da Silva AP, Llobet S, et al. Ionized calcium and magnesium as interdependent variables in blood pressure origin in healthy adolescents. Rev Port Cardiol. 2002; 21:57-61.
14. Peacock JM, Folsom AR, Arnett DK, et al. Relationship of serum and dietary magnesium to incident hypertension: The Atherosclerosis Risk in Communities (ARIC) Study. Ann Epidemiol. 1999; 9:159-165.
15. Altura BM, Zhang A, Altura BT. Magnesium, hypertensive vascular diseases, and atherogenesis, subcellular compartmentation of Ca2+ and Mg2+ and vascular contractility. Miner Electrolyte Metab. 1993; 19:323-336.
16. Laurant P, Touyz RM. Physiological and pathophysiological role of magnesium in the cardiovascular system: Implications in hypertension. J Hypertens. 2000; 18:1177-1191.
17. Kyriazis J, Kalogeropoulou K, Bilirakis L, et al. Dialysate magnesium level and blood pressure. Kidney Int. 2004; 66:1221-1231.
18. Elsharkawy MM, Youssef AM, Zayoon MY. Intradialytic changes of serum magnesium and their relation to hypotensive episodes in hemodialysis patients on different dialysates. Hemodial Int. 2006; 10:16-23.
19. Kroll MH, Elin RJ. Relationships between magnesium and protein concentrations in serum. Clin Chem. 1985; 31:244-246.
20. Brown RA, Crawford M, Natavio M, et al. Dietary magnesium supplementation attenuates ethanolinduced myocardial dysfunction. Alcohol Clin Exp Res. 1998; 22:2062-2072.
21. Wold LE, Norby FL, Hintz KK, et al. Prenatal ethanol exposure alters ventricular myocyte contractile function in the offspring of rats: Influence of maternal Mg2+ supplementation. Cardiovasc Toxicol. 2001; 1:215-224.
22. Nair P, Nair RR. Alteration in cardiomyocyte mechanics by suboptimal levels of extracellular magnesium. Biol Trace Elem Res. 2000; 73:193-200.
23. Shi B, Heavner JE, Boylan LM, et al. Dietary magnesium deficiency increases Gi alpha levels in the rat heart after myocardial infarction. Cardiovasc Res. 1995; 30:923-929.
24. Altura BM, Barbour RL, Dowd TL, et al. Low extracellular magnesium induces intracellular free Mg deficits, ischemia, depletion of high-energy phosphates and cardiac failure in intact working rat hearts: A 31P-NMR study. Biochim Biophys Acta. 1993; 1182:329-332.
25. Turlapaty PD, Altura BM. Magnesium deficiency produces spasms of coronary arteries: Relationship to etiology of sudden death ischemic heart disease. Science. 1980; 208:198-200.
26. Altura BM, Gebrewold A, Btand A, et al. Magnesium depletion impairs myocardial carbohydrate and lipid metabolism and cardiac bioenergetics and raises myocardial calcium content in vivo: Relationship to etiology of cardiac diseases. Biochem Mol Biol Int. 1996; 40:1183-1190.
27. Scardo JA, Hogg BB, Newman RB. Favorable hemodynamic effects of magnesium sulfate in preeclampsia. Am J Obstet Gynecol. 1995; 173:1249-1253.
28. Zheng D, Upton RN, Ludbrock GL, et al. Acute cardiovascular effects of magnesium and their relationship to systemic and myocardial magnesium concentrations after short infusion in awake sheep. Pharmacol Exp Ther. 2001; 297:1176-1183.
29. Lu JF, Nightingale CH. Magnesium sulfate in eclampsia and preeclampsia: Pharmacokinetic principles. Clin Pharmacokinet. 2000; 38:305-314.
30. Rasmussen HS, Videbaek R, Melchior T, et al. Myocardial contractility and performance capacity after magnesium infusions in young healthy persons: A double-blind, placebo-controlled, crossover study. Clin Cardiol. 1988; 11:541-545.
31. Mass H, Santoni F, Feliciano L, et al. Parenteral magnesium sulphate restores regional contractile function in the post-ischaemic canine myocardium. Magnes Res. 1994; 7:255-266.
32. Adrian M, Chanut E, Laurant P, et al. Along-Term moderate Magnesium-deficient diet aggravates cardiovascular risks associated with aging and increases mortality in rats. J hypertens. 2008; 26:44-52.
33. Pakfetrat M, Malekmakan L, Roozbeh J, et al. Magnesium and its relationship to C-reactive protein among hemodialysis patients. Magnes Res. 2008; 21:167-170.