Effect of magnesium sulfate on ventricular rate control in atrial fibrillation.


STUDY OBJECTIVES:The objectives of this study were to assess the efficacy of parenteral magnesium sulfate (MgSO4), digoxin, and combined MgSO4-digoxin therapies in acutely lowering ventricular rates in patients with newly recognized atrial fibrillation. DESIGN:A randomized, double-blinded, placebo-controlled clinical study. SETTING:US Army tertiary care facility. PARTICIPANTS:Fifteen adults (mean age, 62 +/- 19 years) presenting with newly recognized atrial fibrillation and rapid ventricular rate (more than 99). INTERVENTIONS:Patients were given an initial parenteral MgSO4 bolus with continuous infusion or placebo. After 30 minutes, all patients were given 0.5 mg IV digoxin and followed for 3.5 hours. MEASUREMENTS AND MAIN RESULTS:Ventricular rates were obtained at baseline, every 5 minutes for the first 30 minutes, and then every 30 minutes for 3.5 hours. At 5 minutes, ventricular rates decreased 16 +/- 7% (P < .02) with MgSO4; this was comparable with rate control with digoxin (18 +/- 9%) at 4 hours. Rate control tended (26 +/- 7%) to improve with combined therapy. CONCLUSION:Parenteral MgSO4 may be useful in the acute management of rapid ventricular rates in patients with atrial fibrillation.


Ann Emerg Med


Hays JV,Gilman JK,Rubal BJ




Has Abstract


1994-07-01 00:00:00














  • Reperfusion arrhythmia: myth or reality?

    abstract::Early reports of "reperfusion arrhythmia" after experimental temporary coronary occlusion raised concern that these arrhythmias, particularly ventricular fibrillation and ventricular tachycardia, might occur in association with reperfusion of an occluded coronary vessel during thrombolysis. Such an occurrence could in...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Burney RE,Walsh D,Kaplan LR,Fraser S,Tung B,Overmyer J

    更新日期:1989-03-01 00:00:00

  • Antibody titers to hepatitis B surface antigen among vaccinated emergency physicians: three years' experience with a wellness booth.

    abstract:STUDY OBJECTIVE:To determine antibody titers to hepatitis B surface antigen (anti-HBsAg) among previously vaccinated emergency physicians and to assess the degree of compliance with Centers for Disease Control and Prevention (CDC) postvaccination guidelines. METHODS:A descriptive analysis was performed of anti-HBsAg t...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Goldberg R,Thomas H,Kuhn G,Moradzadeh D,Mody T,Boss RW,Goodman E

    更新日期:1999-02-01 00:00:00

  • The leukocyte esterase test for detection of cerebrospinal fluid leukocytosis and bacterial meningitis.

    abstract::We conducted a study to assess the efficacy of the dipstick leukocyte esterase test (LET) in the detection of cerebrospinal fluid (CSF) leukocytosis as a quick screen for bacterial meningitis. Nine hundred forty-two CSF samples were collected from 800 patients. The LET was compared in a double-blinded fashion with rou...

    journal_title:Annals of emergency medicine

    pub_type: 临床试验,杂志文章


    authors: DeLozier JS,Auerbach PS

    更新日期:1989-11-01 00:00:00

  • Reversible diaphragmatic eventration following chest tube thoracostomy.

    abstract::This report describes a case of acquired eventration of a hemidiaphragm after insertion of a chest tube for treatment of an iatrogenic pneumothorax. Partial withdrawal of the chest tube resulted in immediate return of the hemidiaphragm to its original position. This is believed to be the first report of the resolution...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,评审


    authors: Salon JE

    更新日期:1995-04-01 00:00:00

  • Should payment policy be changed to allow a wider range of EMS transport options?

    abstract::The Institute of Medicine and other national organizations have asserted that current payment policies strongly discourage emergency medical services (EMS) providers from transporting selected patients who call 911 to non-ED settings (eg, primary care clinics, mental health centers, dialysis centers) or from treating ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Morganti KG,Alpert A,Margolis G,Wasserman J,Kellermann AL

    更新日期:2014-05-01 00:00:00

  • Cool Running Water First Aid Decreases Skin Grafting Requirements in Pediatric Burns: A Cohort Study of Two Thousand Four Hundred Ninety-five Children.

    abstract:STUDY OBJECTIVE:First-aid guidelines recommend the administration of cool running water in the early management of thermal injury. Our objective is to analyze the associations between first aid and skin-grafting requirements in children with burns. METHODS:This cohort study used a prospectively collected registry of p...

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    authors: Griffin BR,Frear CC,Babl F,Oakley E,Kimble RM

    更新日期:2020-01-01 00:00:00

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    abstract:STUDY OBJECTIVE:Radiology-performed transabdominal pelvic ultrasound, used to evaluate female patients with suspected pelvic pathology in the pediatric emergency department (ED), is often delayed by the need to fill the bladder. We seek to determine whether point-of-care ultrasound assessment of bladder fullness can pr...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,随机对照试验


    authors: Dessie A,Steele D,Liu AR,Amanullah S,Constantine E

    更新日期:2018-11-01 00:00:00

  • A comprehensive view of parental satisfaction with pediatric emergency department visits.

    abstract:STUDY OBJECTIVE:We develop a comprehensive view of aspects of care associated with parental satisfaction with pediatric emergency department (ED) visits, using both quantitative and qualitative data. METHODS:This was a retrospective observational study using data from an institution-wide system to measure patient sati...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Byczkowski TL,Fitzgerald M,Kennebeck S,Vaughn L,Myers K,Kachelmeyer A,Timm N

    更新日期:2013-10-01 00:00:00

  • Vertex epidural hematoma: a diagnostic challenge.

    abstract::We present the case of a 27-year-old man who sustained a minor head injury and presented with complaints of headache and vomiting. The diagnosis of vertex epidural hematoma is discussed. ...

    journal_title:Annals of emergency medicine

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    authors: Plotkin FR,Burke TF

    更新日期:1994-08-01 00:00:00

  • Electronic control device exposure: a review of morbidity and mortality.

    abstract::The use of electronic control devices has expanded worldwide during the last few years, the most widely used model being the Taser. However, the scientific knowledge about electronic control devices remains limited. We reviewed the medical literature to examine the potential implications of electronic devices in terms...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,评审


    authors: Pasquier M,Carron PN,Vallotton L,Yersin B

    更新日期:2011-08-01 00:00:00

  • A randomized, controlled trial of the use of music during laceration repair.

    abstract:STUDY OBJECTIVES:To determine whether music significantly reduces the pain and anxiety associated with laceration repair in the emergency department. PARTICIPANTS AND SETTING:Adult patients presenting to the ED at an urban teaching hospital for laceration repair. Exclusion criteria included patients less than 18 years...

    journal_title:Annals of emergency medicine

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Menegazzi JJ,Paris PM,Kersteen CH,Flynn B,Trautman DE

    更新日期:1991-04-01 00:00:00

  • Derivation of a decision rule for the use of radiography in acute knee injuries.

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    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Stiell IG,Greenberg GH,Wells GA,McKnight RD,Cwinn AA,Cacciotti T,McDowell I,Smith NA

    更新日期:1995-10-01 00:00:00

  • Alveolar-arterial oxygen gradients in elderly patients with suspected pulmonary embolism.

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    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Jones JS,VanDeelen N,White L,Dougherty J

    更新日期:1993-07-01 00:00:00

  • Electrical injuries in a pediatric emergency department.

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    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Garcia CT,Smith GA,Cohen DM,Fernandez K

    更新日期:1995-11-01 00:00:00

  • The efficacy of metoclopramide in the treatment of migraine headache.

    abstract:STUDY OBJECTIVES:By evaluating the efficacy of metoclopramide alone and in combination with ibuprofen versus placebos, this study was designed to both evaluate the efficacy of metoclopramide and elucidate its mechanism of action in the treatment of migraine headache. DESIGN:The study was conducted over a two-year peri...

    journal_title:Annals of emergency medicine

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Ellis GL,Delaney J,DeHart DA,Owens A

    更新日期:1993-02-01 00:00:00

  • Motorcycle helmets and spinal injuries: dispelling the myth.

    abstract:STUDY OBJECTIVE:To determine the relationship between spinal injuries and helmet use in motorcycle trauma. DESIGN:Retrospective case series. SETTING:Twenty-eight hospitals in four midwestern states--Illinois, Iowa, Nebraska and Wisconsin--representing urban, suburban, and rural settings. PATIENTS AND OTHER PARTICIPA...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,多中心研究


    authors: Orsay EM,Muelleman RL,Peterson TD,Jurisic DH,Kosasih JB,Levy P

    更新日期:1994-04-01 00:00:00

  • Accuracy of Emergency Department Clinical Findings for Diagnosis of Coronavirus Disease 2019.

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    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Peyrony O,Marbeuf-Gueye C,Truong V,Giroud M,Rivière C,Khenissi K,Legay L,Simonetta M,Elezi A,Principe A,Taboulet P,Ogereau C,Tourdjman M,Ellouze S,Fontaine JP

    更新日期:2020-10-01 00:00:00

  • Hands-Only Cardiopulmonary Resuscitation Education: A Comparison of On-Screen With Compression Feedback, Classroom, and Video Education.

    abstract:STUDY OBJECTIVE:We compare 3 methods of hands-only cardiopulmonary resuscitation (CPR) education, using performance scores. A paucity of research exists on the comparative effectiveness of different types of hands-only CPR education. This study also includes a novel kiosk approach that has not previously been studied, ...

    journal_title:Annals of emergency medicine

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    更新日期:2019-06-01 00:00:00

  • A randomized trial on subject tolerance and the adverse effects associated with higher- versus lower-flow oxygen through a standard nasal cannula.

    abstract:STUDY OBJECTIVE:Experts advocate the use of a standard nasal cannula to provide oxygen at flow rates of up to 15 L/minute during emergency intubation. However, because of concerns about potential patient discomfort, some providers avoid providing nasal cannula oxygen at flow rates greater than 6 L/minute. This trial is...

    journal_title:Annals of emergency medicine

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    authors: Brainard A,Chuang D,Zeng I,Larkin GL

    更新日期:2015-04-01 00:00:00

  • Emergency medicine in the Bahamas.

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    journal_title:Annals of emergency medicine

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    authors: Ezenkwele UA,Burnett-Garraway C,Green GB

    更新日期:2001-12-01 00:00:00

  • Analysis of parental estimates of children's weights in the ED.

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    journal_title:Annals of emergency medicine

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    authors: Leffler S,Hayes M

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    journal_title:Annals of emergency medicine

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    authors: Ross MA,Hemphill RR,Abramson J,Schwab K,Clark C

    更新日期:2010-07-01 00:00:00

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    abstract::As the AIDS epidemic progresses, the number of ED patients with HIV-related illness will continue to increase. As reviewed in this article, much of the existing clinical research in HIV-related illness has an impact on the diagnostic and management issues that arise in the ED. Many of the patterns of disease, subtleti...

    journal_title:Annals of emergency medicine

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    authors: Talan DA,Kennedy CA

    更新日期:1991-12-01 00:00:00

  • Heat-related illness and the automobile.

    abstract::To evaluate the heat burden in parked cars, a study was done to measure inside car temperatures in different situations. A large car and a small car were parked in direct sunlight and in shade. In direct sun, the highest temperatures recorded in the small and large cars were 78 C and 65 C, respectively. The highest te...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Surpure JS

    更新日期:1982-05-01 00:00:00

  • Hospice care and the emergency department: rules, regulations, and referrals.

    abstract::Emergency clinicians often care for patients with terminal illness who are receiving hospice care and many more patients who may be in need of such care. Hospice care has been shown to successfully address the multidimensional aspects of the end-of-life concerns of terminally ill patients: dying with dignity, dying wi...

    journal_title:Annals of emergency medicine

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    authors: Lamba S,Quest TE

    更新日期:2011-03-01 00:00:00

  • Use of End Tidal Oxygen Monitoring to Assess Preoxygenation During Rapid Sequence Intubation in the Emergency Department.

    abstract:STUDY OBJECTIVE:Preoxygenation is important to prevent oxygen desaturation during emergency airway management. The purpose of this study is to describe the use of end tidal oxygen (eto2) during rapid sequence intubation in the emergency department. METHODS:This study was carried out in 2 academic centers in Sydney, Au...

    journal_title:Annals of emergency medicine

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    authors: Caputo ND,Oliver M,West JR,Hackett R,Sakles JC

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    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Kurzel RB,Chaudhuri G,Hall D

    更新日期:1981-09-01 00:00:00

  • Comparison of intramuscular analgesic activity of butorphanol and morphine in patients with sickle cell disease.

    abstract::This double-blind study compared the analgesic effects of morphine with those of butorphanol in patients who presented with pain because of sickle cell crisis. Patients were placed at bed rest, administered IV hydration, and randomly assigned on each visit to receive either 2 mg IM butorphanol or 6 mg IM morphine ever...

    journal_title:Annals of emergency medicine

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Gonzalez ER,Ornato JP,Ware D,Bull D,Evens RP

    更新日期:1988-08-01 00:00:00

  • Core content survey of undergraduate education in emergency medicine.

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    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Sanders AB,Criss E,Witzke D

    更新日期:1986-01-01 00:00:00

  • Determination of cerebral cortical blood flow: a thermal technique.

    abstract::A mathematical model for tissue thermodilution was developed to study cerebral cortical perfusion before and after controlled perfusion arrest. Cerebral cortical perfusion rates are readily determined by this method. A thermistor was introduced into the subdural space and secured in direct contact with the frontal cor...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Hoehner PJ,Krause GS,White BC,Gadzinski DS

    更新日期:1983-01-01 00:00:00