section name header

Box 88.1

Classification of Plasma Magnesium Concentration

Plasma magnesium concentration (mmol/L)ClassificationClinical and ECG features
>2.50Severe hypermagnesaemia

Seizures, respiratory depression, hypotension

Atrioventricular block, cardiac arrest

1.50–2.50Moderate hypermagnesaemiaNausea, hyporeflexia
1.20–1.50Mild hypermagnesaemiaUsually asymptomatic
0.70–1.20Normal range
0.60–0.70Mild hypomagnesaemiaUsually asymptomatic
0.50–0.60Moderate hypomagnesaemia

Nausea, abdominal pain

Paraesthesiae, muscle cramps

<0.50Severe hypomagnesaemia

Tetany, seizures, muscle weakness, ataxia

ECG: PR prolongation, widened QRS, ST depression, torsade de pointes