New research on IV Magnesium and Potassium to increase chance of terminating an episode of paroxysmal AF in A&

[Bagrat]

medscape.com/viewarticle/98...

I know you have to join Medscape to view this so will try to add a screen shot

It does say this purely exploratory at present and no application yet in clinical practice,but interesting.

[Gumbie_Cat]

I was given a magnesium sulphate drip on one of my trips to A&E. As it didn’t work at that point, I was given 1.25mg of Bisoprolol and sent home.

Around 5 hours later I went back into sinus rhythm - actually felt it happen and went light headed for a second.

Although that might sound a long time to some folk, for me that was quite a rapid return to NSR. I go on for blinking days usually. Tend to go a month in rhythm then it hits again. I’m convinced that the following episode was shorter, but now I’m in the middle of a marathon episode - day 12. Crossing fingers it reverts with meds, but roll on the cryoablation. (I know they’re not for everyone.)

[Bagrat in reply to Gumbie_Cat]

Just written long reply which wouldn't post. That sounds grim, hope you soon get sorted. My last A and E trip. Reg wouldn't try amiodarone as he was chest physician and didn't like it.

I converted on CCU and in spite of drugs given in A&E consultant said it was spontaneous as drugs given would only have kept me in normal rhythm not got me out of AF. I take daily magnesium taurate.

[Gumbie_Cat in reply to Bagrat]

I’ve decided to give that a try. So wary when I’m already on medications, but hopefully it won’t harm. Having watched the York Cardiology videos.

I’ve not been told I’m low on anything when they do blood tests, apart from one slightly low sodium reading, of all things 😂 My husband got one of those too, just before an op. He is chief cook and never adds salt. Though I can’t face potatoes and eggs without a little sprinkled on and actually like some salty foods. But it must have slowly lowered things, and I must admit that when eating out, the soup is always too salty!

Just goes to show that we need a little of even the things we need to be careful with!

[Bartyparty00 in reply to Bagrat]

Hi Bagrat, interesting article. I had an enlightening chat with a Zimbabwean paramedic while I was at a&e ( for a seriously sprained foot!) He was asking about my medical history and I told him about my fast AF and cardioversion in resus... he said maybe the team wanted to practice (?) and he'dve given me a load of magnesium first...its what he used in Zimbabwe! He said cheap and effective....

Can I ask how much Magnesuim Taurate you have daily please? Thankyou

[Bagrat in reply to Bartyparty00]

I was taking the equivalent of 150mg a day (total mag taurate 1720 mg) 40% NRV

Am just swapping to another brand which says 112 mg magnesium mag taurate 1500mg this is 30% nrv.

But I eat a lot of nuts and seeds and wholemeal bread..

[Bartyparty00 in reply to Bagrat]

thankyou, same as I take...by a company called ethical nutrition, on offer at the moment. Im trying to.find a good Coq10 also as Ive read thats heart friendly too.

[Bagrat in reply to Bartyparty00]

Yes from Ethical nutrition .Only swapping to support local health food shop!

[Ppiman]

That’s interesting as I thought that IV (parenteral) magnesium sulphate had long been used for this purpose in emergency settings?

Steve

[Bagrat]

Yes me too!! W

[ozziebob]

You can join Medscape for free. No probs. Lots of useful articles.

I have no financial interest in Medscape.

[Bagrat in reply to ozziebob]

Yes just white lie about health professional or have they binned that? I've been a member since the 90s!

Plenty of rubbish articles too!

[Threecats]

That’s interesting Bagrat, thank you for posting. I have been taking magnesium for some time but I’ve certainly noticed my heart is a lot calmer since I started adding potassium to my repertoire, too.

[Belle11]

Thanks for this. It sounds promising.

I went into persistent AF shortly after steroid knee injections in 2019. I found research on cattle who developed AF after the same steroid I was injected with, "Atrial fibrillation associated with dexamethasone in dairy cattle". They were treated with a mineral solution - including potassium - and they recovered. link.springer.com/article/1...

I did wonder why humans are not treated with a similar simple treatment!

I also found some Dutch research linking steroid treatment with AF, and suggesting it may be because steroids cause a loss of potassium from the heart, causing arrhythmia in some.. "This population-based study shows that current use of high-dose corticosteroids is associated with an increased risk of new-onset AF". link.springer.com/article/1...

[Bagrat in reply to Belle11]

Thanks that is interesting!