We explored how magnesium sulfate influences ibutilide's effectiveness in converting atrial flutter. This randomized, placebo-controlled study included 117 patients with typical (TAF) or atypical atrial flutter (AAF).
Results showed that magnesium significantly enhanced conversion rates in TAF patients—85% with magnesium compared to 59% with placebo. However, for AAF patients, the difference was not significant, with conversion rates at 48% versus 56%. Importantly, magnesium did not impact QT interval durations.
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5
Magnesium may reduce arrhythmia duration
Magnesium substitution and postoperative arrhythmias in patients undergoing coronary artery bypass grafting.
We investigated the effects of magnesium sulphate on patients recovering from coronary artery bypass grafting. Over four days, patients received either magnesium or a placebo.
Our findings indicated that while magnesium reduced the duration of atrial flutter, it did not decrease the number of patients experiencing these arrhythmias. Additionally, patients on magnesium had fewer abnormal heartbeats. Despite promising results, magnesium treatment did not significantly alter the electrolyte levels we monitored.
Overall, magnesium appears beneficial in managing the severity of postoperative arrhythmias.
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8
Magnesium enhances ibutilide's effectiveness
Ibutilide with magnesium for conversion of atrial fibrillation or flutter in rheumatic heart disease patients: Ibutilide with magnesium for chemical cardioversion of atrial fibrillation or flutter.
We explored the combination of magnesium and ibutilide to help convert persistent atrial flutter or fibrillation in patients with rheumatic heart disease. In this study with 33 patients, raising magnesium levels significantly improved the rate of conversion to normal sinus rhythm. Astonishingly, 76% of patients successfully transitioned to sinus rhythm post-treatment. The analysis indicated that higher magnesium levels, particularly above 3.8 mg/dl, were linked to increased success rates. This suggests that magnesium could enhance ibutilide’s effectiveness in treating these heart rhythm issues.
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Most Useful Reviews
9
Stabilised health
2 people found this helpful
A couple began using this supplement to enhance vitamin health. Since then, there has been no recurrence of myocardial infarction, "arrhythmia" remains stable, and my wife's "trigger finger" is also under control.
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9
Resolved arrhythmia
I've been taking it for 14 days and have noticed intriguing results! I feel more tranquil, the arrhythmia has disappeared, and I've lost 4 kg. The pills do have a laxative effect, but it isn't severe. My legs have also felt calmer. I truly appreciate the effects and highly recommend it.
We evaluated how magnesium, given intravenously, impacts the effectiveness of ibutilide in converting atrial flutter or fibrillation. In a group of 229 patients, we found that those who received magnesium alongside ibutilide had a significantly higher success rate in chemical conversion—78% more likely than those who did not receive magnesium. A dose of 4 grams seemed to provide the best results. Overall, magnesium appears to enhance the efficacy of ibutilide without major complications.
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9
Ibutilide effectively converts rhythms
Conversion of recent-onset atrial fibrillation or flutter with ibutilide after amiodarone has failed.
We explored the effectiveness of ibutilide in converting atrial flutter or fibrillation after amiodarone treatment didn’t work. In this clinical study conducted in an ICU, we monitored 26 patients with persistent arrhythmias. After giving each patient ibutilide, along with magnesium for better results, we found that 81.5% converted to normal sinus rhythm.
However, while many responded well, 11% experienced some nonsustained heart rhythm complications. This indicates ibutilide can be a reliable option when amiodarone fails, with minimal serious side effects.
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8
Magnesium enhances ibutilide's effectiveness
Ibutilide with magnesium for conversion of atrial fibrillation or flutter in rheumatic heart disease patients: Ibutilide with magnesium for chemical cardioversion of atrial fibrillation or flutter.
We explored the combination of magnesium and ibutilide to help convert persistent atrial flutter or fibrillation in patients with rheumatic heart disease. In this study with 33 patients, raising magnesium levels significantly improved the rate of conversion to normal sinus rhythm. Astonishingly, 76% of patients successfully transitioned to sinus rhythm post-treatment. The analysis indicated that higher magnesium levels, particularly above 3.8 mg/dl, were linked to increased success rates. This suggests that magnesium could enhance ibutilide’s effectiveness in treating these heart rhythm issues.
Read More
8
Magnesium enhances ibutilide safety
Effect of high doses of magnesium on converting ibutilide to a safe and more effective agent.
We examined the role of high doses of magnesium in enhancing the safety and effectiveness of ibutilide for converting atrial flutter to normal sinus rhythm.
A study involving 476 patients revealed that those who received magnesium alongside ibutilide had a higher conversion rate to normal rhythm and experienced significantly fewer ventricular complications.
With only 1.2% of magnesium patients developing serious issues compared to 7.4% in those who only got ibutilide, it’s clear that magnesium offers protective benefits.
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8
Magnesium enhances dofetilide effectiveness
Intravenous magnesium sulfate enhances the ability of dofetilide to successfully cardiovert atrial fibrillation or flutter: results of the Dofetilide and Intravenous Magnesium Evaluation.
We investigated whether intravenous magnesium enhances the effectiveness of dofetilide in converting atrial flutter (AFL) or fibrillation (AF) to normal sinus rhythm. The study included 160 patients who received dofetilide, with some also getting magnesium.
While the overall success rate of conversion was 41.9%, those treated with magnesium had a 107% increase in chances of successful cardioversion compared to those who did not receive it. This highlights that magnesium could indeed be beneficial when used alongside dofetilide in managing AF or AFL.
A couple began using this supplement to enhance vitamin health. Since then, there has been no recurrence of myocardial infarction, "arrhythmia" remains stable, and my wife's "trigger finger" is also under control.
Read More
9
Resolved arrhythmia
I've been taking it for 14 days and have noticed intriguing results! I feel more tranquil, the arrhythmia has disappeared, and I've lost 4 kg. The pills do have a laxative effect, but it isn't severe. My legs have also felt calmer. I truly appreciate the effects and highly recommend it.
Read More
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References
Kukendrarajah K, Ahmad M, Carrington M, Ioannou A, Taylor J, et al. External electrical and pharmacological cardioversion for atrial fibrillation, atrial flutter or atrial tachycardias: a network meta-analysis. Cochrane Database Syst Rev. 2024;6:CD013255. 10.1002/14651858.CD013255.pub2
Malkoc A, Phan A, Falatoonzadeh P, Mac O, Sherman W, et al. Gender Differences With Ibutilide Effectiveness and Safety in Cardioversion of Atrial Fibrillation. J Surg Res. 2024;296:10. 10.1016/j.jss.2023.12.002
Malviya A, Kapoor M, Sivam RKN, Khan SA, Pandey R, et al. Ibutilide with magnesium for conversion of atrial fibrillation or flutter in rheumatic heart disease patients: Ibutilide with magnesium for chemical cardioversion of atrial fibrillation or flutter. Indian Heart J. 2020;72:283. 10.1016/j.ihj.2020.07.008
Wang A. Efficacy of class III antiarrhythmics and magnesium combination therapy for atrial fibrillation. Pharm Pract (Granada). 2012;10:65. PubMed
Patsilinakos S, Christou A, Kafkas N, Nikolaou N, Antonatos D, et al. Effect of high doses of magnesium on converting ibutilide to a safe and more effective agent. Am J Cardiol. 2010;106:673. 10.1016/j.amjcard.2010.04.020
Coleman CI, Sood N, Chawla D, Talati R, Ghatak A, et al. Intravenous magnesium sulfate enhances the ability of dofetilide to successfully cardiovert atrial fibrillation or flutter: results of the Dofetilide and Intravenous Magnesium Evaluation. Europace. 2009;11:892. 10.1093/europace/eup084
Steinwender C, Hönig S, Kypta A, Kammler J, Schmitt B, et al. Pre-injection of magnesium sulfate enhances the efficacy of ibutilide for the conversion of typical but not of atypical persistent atrial flutter. Int J Cardiol. 2010;141:260. 10.1016/j.ijcard.2008.12.012
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Jensen BM, Alstrup P, Klitgård NA. Magnesium substitution and postoperative arrhythmias in patients undergoing coronary artery bypass grafting. Scand Cardiovasc J. 1997;31:265. PubMed
Joshi PP, Deshmukh PK, Salkar RG. Efficacy of intravenous magnesium sulphate in supraventricular tachyarrhythmias. J Assoc Physicians India. 1995;43:529. PubMed
Casthely PA, Yoganathan T, Komer C, Kelly M. Magnesium and arrhythmias after coronary artery bypass surgery. J Cardiothorac Vasc Anesth. 1994;8:188. PubMed