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10.1016/j.cardfail.2006.11.015 http://scihub22266oqcxt.onion/10.1016/j.cardfail.2006.11.015 17448413!ä!17448413 Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 253.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 253.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       J+Card+Fail 2007 ; 13 (3): 170-7 Nephropedia Template TP {{tp|p=17448413|t=2007. Spironolactone reduced arrhythmia and maintained magnesium homeostasis in patients with congestive heart failure |pdf=|usr=}}{{17448413}} gab.com Text Spironolactone reduced arrhythmia and maintained magnesium homeostasis in patients with congestive heart failure JO: J Card Fail http://www.kidney.de/pget.php?&tw=1&pmid=17448413 #FOAvip BACKGROUND: Patients with congestive heart failure (CHF) often have increased aldosterone activity that leads to hypomagnesemia. Hypomagnesemia can induce arrhythmias, an important cause of death in patients with CHF. We determined whether the aldosterone receptor antagonist spironolactone improved magnesium homeostasis and reduced arrhythmias in patients with CHF. METHODS AND RESULTS: We randomized 116 consecutive patients with CHF into placebo control group (n = 58) and spironolactone group (20 mg daily, n = 58) in addition to conventional therapy. Plasma magnesium concentration (PMC), erythrocyte magnesium concentration (EMC), and erythrocyte magnesium efflux were not different between the 2 groups of patients before treatment. Compared with control patients, patients treated with spironolactone for 6 months had increased PMC and EMC and decreased erythrocyte magnesium efflux. Patients on spironolactone therapy also had a marked decrease of 24-hour mean heart rate, ventricular and atrial premature beats, and the risk of atrial fibrillation/flutter. Pooled data from the 116 patients showed that patients with a higher EMC or a lower sodium-dependent erythrocyte magnesium efflux had a slower heart rate, fewer ventricular premature beats, and a lower risk of atrial fibrillation/flutter. CONCLUSIONS: Our results suggest that reducing cellular magnesium efflux and loss may contribute to the spironolactone-reduced arrhythmias in patients with CHF. Twit Text FOAVip Spironolactone reduced arrhythmia and maintained magnesium homeostasis in patients with congestive heart failure ????J Card Fail http://www.kidney.de/pget.php?&tw=1&pmid=17448413 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=17448413 #FOAvip English Wikipedia <ref>{{Cite pmid|17448413}}</ref> Spironolactone reduced arrhythmia and maintained magnesium homeostasis in patients with congestive heart failure #MMPMID17448413 Gao X; Peng L; Adhikari CM; Lin J; Zuo Z J Card Fail 2007[Apr]; 13 (3): 170-7 PMID17448413show ga BACKGROUND: Patients with congestive heart failure (CHF) often have increased aldosterone activity that leads to hypomagnesemia. Hypomagnesemia can induce arrhythmias, an important cause of death in patients with CHF. We determined whether the aldosterone receptor antagonist spironolactone improved magnesium homeostasis and reduced arrhythmias in patients with CHF. METHODS AND RESULTS: We randomized 116 consecutive patients with CHF into placebo control group (n = 58) and spironolactone group (20 mg daily, n = 58) in addition to conventional therapy. Plasma magnesium concentration (PMC), erythrocyte magnesium concentration (EMC), and erythrocyte magnesium efflux were not different between the 2 groups of patients before treatment. Compared with control patients, patients treated with spironolactone for 6 months had increased PMC and EMC and decreased erythrocyte magnesium efflux. Patients on spironolactone therapy also had a marked decrease of 24-hour mean heart rate, ventricular and atrial premature beats, and the risk of atrial fibrillation/flutter. Pooled data from the 116 patients showed that patients with a higher EMC or a lower sodium-dependent erythrocyte magnesium efflux had a slower heart rate, fewer ventricular premature beats, and a lower risk of atrial fibrillation/flutter. CONCLUSIONS: Our results suggest that reducing cellular magnesium efflux and loss may contribute to the spironolactone-reduced arrhythmias in patients with CHF. |Arrhythmias, Cardiac/etiology/*prevention & control[MESH] |Dose-Response Relationship, Drug[MESH] |Double-Blind Method[MESH] |Erythrocytes/metabolism[MESH] |Exercise Tolerance/drug effects[MESH] |Female[MESH] |Heart Failure/blood/*complications/*drug therapy[MESH] |Heart Function Tests/drug effects[MESH] |Homeostasis/drug effects[MESH] |Humans[MESH] |Magnesium Deficiency/blood/*complications/*drug therapy[MESH] |Magnesium/blood[MESH] |Male[MESH] |Middle Aged[MESH] |Mineralocorticoid Receptor Antagonists/*therapeutic use[MESH] |Potassium/blood[MESH] |Spironolactone/*therapeutic use[MESH]Spironolactone reduced arrhythmia and maintained magnesium homeostasis(epmc).pdf DeepDyve Pubget Overpricing