000 02556cam a2200253 4500500
005 20250123095924.0
041 _afre
042 _adc
100 1 0 _aGunay-Polatkan, Seyda
_eauthor
700 1 0 _a Caliskan, Serhat
_eauthor
700 1 0 _a Sigirli, Deniz
_eauthor
245 0 0 _aRelationship of magnesemia with myocardial damage and mortality in patients with COVID-19
260 _c2021.
500 _a75
520 _aBackground: Magnesium (Mg) is the second most abundant intracellular cation and plays a significant role in immune system and cardiac protection. Mg deficiency contributes to chronic low-grade inflammation leading to cardiovascular diseases, and low Mg level exacerbates virus-induced inflammation. Aim: The aim of the study was to investigate whether serum magnesium level is associated with myocardial damage and prognosis of COVID-19. Method: This was a single-center, observational retrospective study of patients with COVID-19. The study population was divided into two groups according to in-hospital mortality: a survivor group (SG) and a non-survivor group (NSG). Myocardial damage was defined as blood levels of cardiac troponin I (cTnI) above the 99th percentile upper reference limit. Magnesium, variables regarding inflammation, and myocardial damage were compared between the groups. Results: A total of 629 patients with COVID-19 were included. Mortality rate was 11.85% (n = 82). There were 61 (74.4%) and 294 male patients (53.7%) in NSG and SG, respectively (p = 0.001). The median age of NSG was 64.5 years (min-max: 37–93) and the median age of SG was 56.0 years (min-max: 22–92) (p < 0.001). Median serum magnesium levels of NSG and SG were 1.94 mg/dL (min-max: 1.04-2.87) and 2.03 mg/dL (min-max: 1.18–2.88), respectively (p = 0.027). Median cTnI levels of NSG and SG were 25.20 pg/mL (min-max: 2.10–2240.80) and 4.50 pg/mL (min-max: 0.50–984.3), respectively (p < 0.001). The cTnI levels were lower in those patients whose serum Mg levels were higher than 1.94. Conclusion: Although serum magnesium level was not a predictor for in-hospital mortality, there was a significant negative correlation between magnesemia and myocardial damage.
690 _atroponin
690 _aCOVID-19
690 _adamage
690 _amagnesium
690 _amyocardium
690 _amortality
786 0 _nMagnesium Research | 34 | 3 | 2021-07-01 | p. 93-102 | 0953-1424
856 4 1 _uhttps://shs.cairn.info/revue-magnesium-research-2021-3-page-93?lang=fr&redirect-ssocas=7080
999 _c755413
_d755413