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1.
Kardiologiia ; 58(4): 22-35, 2018 Nov 18.
Artigo em Inglês | MEDLINE | ID: mdl-30704380

RESUMO

The states characterized by pronounced hypercoagulable components (deep vein thrombosis, cardio- and cerebro-vascular pathologies) are caused by multiple pathophysiological factors, including insufficient supply of magnesium (Mg) and other micronutrients. AIM: to present results of analysis of the Institute of Microelements Data Base (IMDB) performed from point of view of interrelationships of Mg deficit and hypercoagulable states in adults treated in medico-preventive facilities of Central, Northwestern, Northern, and Siberian federal districts of Russia. METHODS: The analysis was realized as analysis of data obtained in a cross-sectional study. In the cohort of patients (n=1453) formed from the IMBD adequacy of Mg supply was assessed by magnesium levels in blood plasma (MgBP) (0.69±0.15 mmol/L) and estimates of daily Mg consumption according to dietary diaries (MgD) (185±90 mg/day). RESULTS: Mg supply was adequate (MgBP >0.80 mmol/L, MgD >300 mg/day) in not more than 6% of patients. Presence of "Hypercoagulation" label in data base was associated with greater number of chronic diseases (2.3±2.1 and 0.83±0.8 with and without this label, respectively, р=0.0006) and elevated risk of the presence on 4 comorbid pathologies (odds ratio [OR] 18, 95% confidence interval [CI] 10-25, р=0.0006). Mg deficit (MgBP.


Assuntos
Dieta , Deficiência de Magnésio , Adolescente , Adulto , Estudos Transversais , Humanos , Magnésio , Pessoa de Meia-Idade , Razão de Chances , Federação Russa , Adulto Jovem
2.
Kardiologiia ; 56(10): 80-89, 2016 10.
Artigo em Russo | MEDLINE | ID: mdl-28290899

RESUMO

Administration of preparations of potassium and magnesium to patients with arterial hypertension is an accepted therapeutic practice. In this paper we examine relationships between the content of potassium and magnesium in the body and levels of arterial pressure. Results of relevant fundamental and clinical studies are also presented. In hypertension and hypotension modulating effects of potassium and magnesium develop with the use of their small doses compensating deficit of these elements.


Assuntos
Pressão Sanguínea , Hipertensão , Magnésio/metabolismo , Potássio/metabolismo , Humanos , Hipertensão/etiologia , Hipertensão/metabolismo , Masculino
3.
Ter Arkh ; 87(8): 16-28, 2015.
Artigo em Russo | MEDLINE | ID: mdl-26824813

RESUMO

AIM: To detect chronic diseases comorbid to magnesium (Mg) deficiency (ICD-10 E61.2) by the data of heart rate variability (HRV). SUBJECTS AND METHODS: The investigation enrolled 398 student patients from a university preventorium (52% youngsters; mean age, 18±9 years; height, 157±28 cm; weight, 54±20 kg). The database for each patient included anthropometric, dynamometric, electrooculometric, HRV and blood pressure monitoring data, plasma levels of vitamins, and collected scores of all stress items of the IDIX scale, MFI-20, asthenia rating scale, HAM test, a questionnaire for deficiency of Mg, vitamins, etc., i.e. a total of 521 parameters. A data sample for 398 patents was randomized into a learning subsample (n = 198) that was used to calculate the discussed sets of logical rules and an independent control sample (n = 200) that was employed to test the obtained sets of logical rules in order to determine their sensitivity and specificity. RESULTS: Based on the analysis of the collected database, the investigators established the pattern of diseases comorbid to Mg deficiency in the examined sample, elaborated diagnostic rules for a number of abnormalities, and checked the obtained sets of rules on the control subsample. The presence of more than half the diagnoses given below may be recognized on the basis of HRV and dynamometric, clinical, and laboratory findings and history data with a sensitivity of 70-95% and a specificity of 75-95%. It is shown that HRV data allow detection of a number of chronic diseases comorbid to Mg deficiency (ICD-10 E61.2) with a high degree of accuracy (on average of 80%) and selectivity (about 80%). CONCLUSION: The diagnostic method based on HRV measured by cardiointervalography has been developed, which, among other processes, permits the noninvasive evaluation of electrolyte balance and the identification of Mg, K, Na, and Ca deficiencies. The advantage of this method is that it can assess the body's overall functional possibilities in health, as well as early abnormalities that may gradually progress to serious diseases if no necessary preventive measures are implemented. The practical value of the developed method is demonstrated, by using Magnerot in vegetative dystonia concurrent with hypomagnesium.

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