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镁在心血管疾病和慢性肾脏病中的作用、低镁血症的影响以及镁补充剂的益处

Role of Magnesium, Effects of Hypomagnesemia, and Benefits of Magnesium Supplements in Cardiovascular and Chronic Kidney Diseases.

作者信息

Panta Raju, Regmi Subash

机构信息

Physiology and Pathology, Burrell College of Osteopathic Medicine, Melbourne, USA.

Critical Care Medicine, University of Southern Carolina, Columbia, USA.

出版信息

Cureus. 2024 Jul 12;16(7):e64404. doi: 10.7759/cureus.64404. eCollection 2024 Jul.

Abstract

Cardiovascular diseases (CVDs) account for nearly half of chronic kidney disease (CKD)-related deaths. Hypomagnesemia has been associated with various cardiovascular conditions and predicts a decline in renal function leading to end-stage renal disease (ESRD). The objective of this review is to delve into and discuss the significance of magnesium (Mg) in cardiovascular and renal functions, the clinical consequences of hypomagnesemia on CVD and CKD, and the benefits of Mg supplementation in managing CVD and CKD. This review is the result of an extensive search for pertinent articles in databases like PubMed, Medline, PubMed Central, and Google Scholar. Based on the literature search conducted in this review, we concluded that Mg protects against various CVDs and delays the progression of CKD. Mg can regulate pathways associated with inflammation, oxidative stress, and fibrosis. Therefore, maintaining slightly elevated Mg levels and timely Mg supplementation may benefit patients with CVD and CKD. There is a need for additional prospective randomized controlled trials to fully comprehend the therapeutic effects of Mg on CVD and CKD along with setting individualized target levels for serum Mg in such patients.

摘要

心血管疾病(CVDs)占慢性肾脏病(CKD)相关死亡人数的近一半。低镁血症与多种心血管疾病有关,并预示着肾功能下降,进而导致终末期肾病(ESRD)。本综述的目的是深入探讨并讨论镁(Mg)在心血管和肾功能中的重要性、低镁血症对CVD和CKD的临床影响,以及补充镁在管理CVD和CKD方面的益处。本综述是在PubMed、Medline、PubMed Central和谷歌学术等数据库中广泛搜索相关文章的结果。基于本综述中的文献检索,我们得出结论,镁可预防各种CVD,并延缓CKD的进展。镁可以调节与炎症、氧化应激和纤维化相关的途径。因此,维持略高的镁水平并及时补充镁可能对CVD和CKD患者有益。需要进行更多的前瞻性随机对照试验,以全面了解镁对CVD和CKD的治疗效果,并为此类患者设定血清镁的个体化目标水平。

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