Serum creatine phosphokinase elevation in patients treated with intravenous magnesium sulfate
Objective: During the treatment of pre-term labor with magnesium sulfate, we noted an abnormal elevation of maternal serum creatine phosphokinase. This study was aimed at evaluating the relationship between tocolysis with MgSO 4 and maternal serum CPK elevation, which represents the possible damage...
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| Published in: | International journal of gynecology and obstetrics Vol. 76; no. 3; pp. 257 - 266 |
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| Main Authors: | , |
| Format: | Journal Article |
| Language: | English |
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Elsevier Ireland Ltd
01-03-2002
Elsevier Science |
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| Abstract | Objective: During the treatment of pre-term labor with magnesium sulfate, we noted an abnormal elevation of maternal serum creatine phosphokinase. This study was aimed at evaluating the relationship between tocolysis with MgSO
4 and maternal serum CPK elevation, which represents the possible damage of muscles by magnesium sulfate.
Methods: Clinical records of 45 women treated with magnesium sulfate and beta-sympathomimetics for the treatment of pre-term labor were retrospectively examined.
Results: Serum CPK was abnormally elevated in 32 out of 45 cases (71.1%), but in only one out of 21 in the control group. In three cases, the decrease of serum creatine phosphokinase after cessation of magnesium sulfate was demonstrated, despite the continuous infusion of beta-sympathomimetics.
Conclusions: Magnesium sulfate may cause muscular damage and abnormal elevation of maternal serum creatine phosphokinase. Special attention must be paid to patients when drugs acting on muscle cells, for example succinyl choline, are going to be used. |
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| AbstractList | Objective: During the treatment of pre-term labor with magnesium sulfate, we noted an abnormal elevation of maternal serum creatine phosphokinase. This study was aimed at evaluating the relationship between tocolysis with MgSO
4 and maternal serum CPK elevation, which represents the possible damage of muscles by magnesium sulfate.
Methods: Clinical records of 45 women treated with magnesium sulfate and beta-sympathomimetics for the treatment of pre-term labor were retrospectively examined.
Results: Serum CPK was abnormally elevated in 32 out of 45 cases (71.1%), but in only one out of 21 in the control group. In three cases, the decrease of serum creatine phosphokinase after cessation of magnesium sulfate was demonstrated, despite the continuous infusion of beta-sympathomimetics.
Conclusions: Magnesium sulfate may cause muscular damage and abnormal elevation of maternal serum creatine phosphokinase. Special attention must be paid to patients when drugs acting on muscle cells, for example succinyl choline, are going to be used. Objective: During the treatment of pre‐term labor with magnesium sulfate, we noted an abnormal elevation of maternal serum creatine phosphokinase. This study was aimed at evaluating the relationship between tocolysis with MgSO4 and maternal serum CPK elevation, which represents the possible damage of muscles by magnesium sulfate. Methods: Clinical records of 45 women treated with magnesium sulfate and beta‐sympathomimetics for the treatment of pre‐term labor were retrospectively examined. Results: Serum CPK was abnormally elevated in 32 out of 45 cases (71.1%), but in only one out of 21 in the control group. In three cases, the decrease of serum creatine phosphokinase after cessation of magnesium sulfate was demonstrated, despite the continuous infusion of beta‐sympathomimetics. Conclusions: Magnesium sulfate may cause muscular damage and abnormal elevation of maternal serum creatine phosphokinase. Special attention must be paid to patients when drugs acting on muscle cells, for example succinyl choline, are going to be used. During the treatment of pre-term labor with magnesium sulfate, we noted an abnormal elevation of maternal serum creatine phosphokinase. This study was aimed at evaluating the relationship between tocolysis with MgSO4 and maternal serum CPK elevation, which represents the possible damage of muscles by magnesium sulfate. Clinical records of 45 women treated with magnesium sulfate and beta-sympathomimetics for the treatment of pre-term labor were retrospectively examined. Serum CPK was abnormally elevated in 32 out of 45 cases (71.1%), but in only one out of 21 in the control group. In three cases, the decrease of serum creatine phosphokinase after cessation of magnesium sulfate was demonstrated, despite the continuous infusion of beta-sympathomimetics. Magnesium sulfate may cause muscular damage and abnormal elevation of maternal serum creatine phosphokinase. Special attention must be paid to patients when drugs acting on muscle cells, for example succinyl choline, are going to be used. |
| Author | Kuno, N Ishikawa, K |
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| Issue | 3 |
| Keywords | Tocolysis Magnesium CPK Human Magnesium sulfate Treatment Intravenous administration Pregnancy disorders Enzyme Creatine kinase Transferases Female Threatened premature delivery Tocolytic |
| Language | English |
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| References_xml | – volume: 12 start-page: 249 year: 1990 end-page: 252 ident: BIB24 article-title: Hypocalcemic hyper-CK-emia in hypoparathyroidism publication-title: Brain Dev contributor: fullname: Manzai – volume: 7 start-page: 366 year: 1990 end-page: 369 ident: BIB1 article-title: Safety and efficacy of combined ritodrine and magnesium sulfate for preterm labor: a method for reduction of complications publication-title: Am J Perinatol contributor: fullname: Coleman – volume: 25 start-page: 49 year: 1985 end-page: 61 ident: BIB15 article-title: Magnesium sulphate as a tocolytic agent publication-title: Contemp Obstet Gynecol contributor: fullname: Elliot – volume: 30 start-page: 192 year: 1980 end-page: 195 ident: BIB21 article-title: Hypoparathyroidism and elevated muscle enzymes publication-title: Neurology contributor: fullname: Bilezikian – volume: 69 start-page: 317 year: 1987 end-page: 322 ident: BIB9 article-title: Efficacy of combined administration of magnesium sulfate 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Vol 1 contributor: fullname: Banker – volume: 13 start-page: 61 year: 1993 end-page: 63 ident: BIB20 article-title: Rhabdomyolysis in a patient with hypocalcemia due to hypoparathyroidism publication-title: Am J Nephrol contributor: fullname: Akmal – volume: 181 start-page: 1259 year: 1999 end-page: 1262 article-title: Cardiac troponin T levels in umbilical cord blood publication-title: Am J Obstet Gynecol – volume: 69 start-page: 317 year: 1987 end-page: 322 article-title: Efficacy of combined administration of magnesium sulfate and ritodrine in the treatment of premature labor publication-title: Obstet Gynecol – volume: 30 start-page: 192 year: 1980 end-page: 195 article-title: Hypoparathyroidism and elevated muscle enzymes publication-title: Neurology – volume: 52 start-page: 652 year: 1997 end-page: 658 article-title: Evidence for magnesium sulfate as a tocolytic agent publication-title: Obstet Gynecol Surv – volume: 78 start-page: 611 year: 1991 end-page: 614 article-title: Magnesium tocolysis and neonatal bone abnormalities: a controlled study publication-title: Obstet Gynecol – volume: 93 start-page: 1539 year: 2000 end-page: 1541 article-title: Unexpected hyperkalemia following succinylcholine administration in prolonged immobilized parturients treated with magnesium and ritodrine publication-title: Anesthesiology – volume: 1 start-page: 1058 year: 1981 article-title: Cardiopulmonary arrest due to acute maternal hypermagnesaemia publication-title: Lancet – volume: 94 start-page: 869 year: 1999 end-page: 877 article-title: Tocolytics for preterm labor: a systematic review publication-title: Obstet Gynecol – volume: 253 start-page: 580 year: 1990 end-page: 585 article-title: Tocolytic agents act on calcium channel current in single smooth muscle cells of pregnant rat uterus publication-title: J Pharmacol Exp Ther – volume: 7 start-page: 366 year: 1990 end-page: 369 article-title: Safety and efficacy of combined ritodrine and magnesium sulfate for preterm labor: a method for reduction of complications publication-title: Am J Perinatol – volume: 156 start-page: 103 year: 1987 end-page: 107 article-title: Adjunctive magnesium sulfate infusion does not alter metabolic changes associated with ritodrine tocolysis publication-title: Am J Obstet Gynecol – volume: 156 start-page: 631 year: 1987 end-page: 637 article-title: Magnesium sulfate and ritodrine hydrochloride: a randomized comparison publication-title: Am J Obstet Gynecol – volume: 47 start-page: S‐432 issue: (suppl.) year: 1995 article-title: Tocolysis and abnormal CPK elevation publication-title: Acta Obstet Gynecol Jpn – volume: 78 start-page: 27 year: 1959 end-page: 32 article-title: The effect of magnesium therapy on the duration of labor publication-title: Am J Obstet Gynecol – volume: 13 start-page: 61 year: 1993 end-page: 63 article-title: Rhabdomyolysis in a patient with hypocalcemia due to hypoparathyroidism publication-title: Am J Nephrol – volume: 148 start-page: 951 year: 1984 end-page: 963 article-title: The Parkland Memorial Hospital protocol for treatment of eclampsia: evaluation of 245 cases publication-title: Am J Obstet Gynecol – volume: 136 start-page: 688 year: 1976 end-page: 691 article-title: Hypocalcemia after therapeutic use of magnesium sulfate publication-title: Arch Intern Med – volume: 163 start-page: 767 year: 1990 end-page: 772 article-title: Randomized investigation of magnesium sulfate for prevention of preterm birth publication-title: Am J Obstet Gynecol – volume: 40 start-page: 942 year: 1989 end-page: 948 article-title: Effects of external calcium, magnesium, and temperature on spontaneous contractions of pregnant human myometrium publication-title: Biol Reprod – start-page: 395 year: 1986 end-page: 396 – volume: 184 start-page: 185 year: 2001 end-page: 190 article-title: Long‐term magnesium sulfate treatment as protection against hypoxic‐ischemic brain injury in seven‐day‐old rats publication-title: Am J Obstet Gynecol – volume: 113 start-page: 1078 year: 1988 end-page: 1082 article-title: Congenital rickets associated with magnesium sulfate infusion for tocolysis publication-title: J Pediatr – volume: 49 start-page: 1619 year: 1970 end-page: 1629 article-title: Evidence for suppression of parathyroid gland activity by hypermagnesemia publication-title: J Clin Invest – volume: 12 start-page: 249 year: 1990 end-page: 252 article-title: Hypocalcemic hyper‐CK‐emia in hypoparathyroidism publication-title: Brain Dev – volume: 25 start-page: 49 year: 1985 end-page: 61 article-title: Magnesium sulphate as a tocolytic agent publication-title: Contemp Obstet Gynecol – volume: 162 start-page: 1141 year: 1990 end-page: 1145 article-title: Magnesium sulfate is the ideal anticonvulsant in preeclampsia–eclampsia publication-title: Am J Obstet Gynecol – volume: 78 start-page: 611 year: 1991 ident: e_1_2_5_27_2 article-title: Magnesium tocolysis and neonatal bone abnormalities: a controlled study publication-title: Obstet Gynecol contributor: fullname: Holcomb W.L – ident: e_1_2_5_17_2 doi: 10.1016/S0140-6736(81)92225-X – ident: e_1_2_5_15_2 doi: 10.1095/biolreprod40.5.942 – ident: e_1_2_5_11_2 doi: 10.1016/0002-9378(90)91065-K – ident: e_1_2_5_4_2 doi: 10.1097/00006250-199911001-00043 – volume: 25 start-page: 49 year: 1985 ident: e_1_2_5_16_2 article-title: Magnesium sulphate as a tocolytic agent publication-title: Contemp Obstet Gynecol contributor: fullname: Elliot J.P – ident: e_1_2_5_6_2 doi: 10.1016/S0002-9378(99)70119-5 – ident: e_1_2_5_9_2 doi: 10.1097/00006254-199710000-00023 – ident: e_1_2_5_14_2 doi: 10.1016/0002-9378(87)90066-4 – ident: e_1_2_5_18_2 doi: 10.1016/0002-9378(84)90538-6 – ident: e_1_2_5_28_2 doi: 10.1067/mob.2001.108343 – ident: e_1_2_5_2_2 doi: 10.1055/s-2007-999525 – start-page: 395 volume-title: Myology — Basic and Clinical. 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| Snippet | Objective: During the treatment of pre-term labor with magnesium sulfate, we noted an abnormal elevation of maternal serum creatine phosphokinase. This study... Objective: During the treatment of pre‐term labor with magnesium sulfate, we noted an abnormal elevation of maternal serum creatine phosphokinase. This study... During the treatment of pre-term labor with magnesium sulfate, we noted an abnormal elevation of maternal serum creatine phosphokinase. This study was aimed at... |
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| SubjectTerms | Biological and medical sciences CPK Creatine Kinase - blood Female Genital system. Reproduction Humans Magnesium Magnesium Sulfate - adverse effects Magnesium Sulfate - therapeutic use Medical sciences Obstetric Labor, Premature Pharmacology. Drug treatments Pregnancy Retrospective Studies Sympathomimetics - therapeutic use Tocolysis Tocolytic Agents - adverse effects Tocolytic Agents - therapeutic use |
| Title | Serum creatine phosphokinase elevation in patients treated with intravenous magnesium sulfate |
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