This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
To the Editor.—
Hypomagnesemia as a cause of serious arrhythmias was brought to the attention of the readers in the article, "Life-Threatening Ventricular Tachyarrhythmias in Delirium Tremens" by Fisher and Abrams (137:1238-1241, 1977). However, I was concerned by the implication that Fankushen's 1964 report had raised some doubt about the need to treat hypomagnesemia. If these case summaries are read in detail, it is seen that a normal serum magnesium level developed on the 87th day in case 1; patient 3 improved enough to be discharged on the 54th day; patient 4 was tremulous and lethargic and died on the 12th day; patient 5 continued to be lethargic and confused until the 26th day; thereafter his condition improved and he was discharged on the 44th day. It is known that if the intake of alcohol is stopped and the patient receives a good diet, magnesium repletion can occur. Therefore, these
Moore MJ. Magnesium Deficiency as a Cause of Serious Arrhythmias. Arch Intern Med. 1978;138(5):825. doi:10.1001/archinte.1978.03630290105038
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: