Evidence map›Paper›PMID 41216399›Full record

ReviewCirculation reports2025

Safety and Efficacy of Intravenous Magnesium for Torsade de Pointes - A Scoping Review.

Mutsuko Sangawa, Hiroki Shiomi, Eiji Hiraoka, Kazuo Sakamoto, Kenichi Iijima, Tetsuma Kawaji, Takayuki Kitai, Yukio Hosaka, Masashi Yokose, Teruo Noguchi and 7 more

Abstract readReview
In one paragraph

Review in Circulation reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Mutsuko SangawaDepartment of Cardiology, Takamatsu Red Cross Hospital Kagawa Japan.
Hiroki ShiomiDepartment of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University Kyoto Japan.
Eiji HiraokaDepartment of Internal Medicine, Tokyo Bay Urayasu Ichikawa Medical Center Chiba Japan.
Kazuo SakamotoDepartment of Cardiology/Coronary Care Unit, Kyushu University Hospital Fukuoka Japan.
Kenichi IijimaDepartment of Cardiovascular Biology and Medicine, Juntendo University Hospital Tokyo Japan.
Tetsuma KawajiDepartment of Cardiology, Mitsubishi Kyoto Hospital Kyoto Japan.
Takayuki KitaiDepartment of Cardiovascular Medicine, Sapporo Cardio Vascular Clinic Sapporo Japan.
Yukio HosakaDepartment of Cardiology, Niigata City General Hospital Niigata Japan.
Masashi YokoseDepartment of Diagnostic and Generalist Medicine, Dokkyo Medical University Tochigi Japan.
Teruo NoguchiDepartment of Cardiovascular Medicine, National Cerebral and Cardiovascular Center Osaka Japan.
Hiroshi TakahashiDepartment of Cardiovascular Medicine, and Emergency, Steel Memorial Muroran Hospital Hokkaido Japan.
Tetsuya MatobaDepartment of Cardiovascular Medicine, Kyushu University Graduate School of Medical Sciences Fukuoka Japan.
Migaku KikuchiDepartment of Cardiovascular Medicine, Emergency and Critical Care Center, Dokkyo Medical University Tochigi Japan.
Yoshio TaharaDepartment of Cardiovascular Medicine, National Cerebral and Cardiovascular Center Osaka Japan.
Hiroshi NonogiPharmaceutical Sciences, University of Shizuoka Shizuoka Japan.
Toshikazu FunazakiKawaguchi Cupola Rehabilitation Hospital Saitama Japan.
Japan Resuscitation Council (JRC) Emergency Cardiovascular Care (ECC) Arrhythmia Task Force and the Guideline Editorial Committee on behalf of the Japanese Circulation Society (JCS) Emergency and Critical Care Committee

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intravenous magnesium is commonly used in clinical practice for treating Torsade de Pointes (TdP), although supporting evidence remains limited. This scoping review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension guidelines. Four online databases were searched for relevant studies published as of November 27, 2024, but only 4 observational studies met the inclusion criteria. TdP resolved in a substantial proportion of patients treated with intravenous magnesium (78.3% [N=36/46]), although most studies lacked a control group. No serious adverse events related to magnesium were reported (0% [N=0/46]). Despite several limitations that preclude firm conclusions, intravenous magnesium appears to be a relatively safe and effective treatment for TdP. However, TdP progressed to ventricular fibrillation (VF) in 21.7% (N=10/46) of patients, underscoring the need for readiness to perform immediate electrical defibrillation during treatment. Further high-quality studies are warranted to validate these findings.

Indexed as

Intravenous magnesiumTorsade de PointesVentricular fibrillation

Identifiers

PMID41216399
PMCPMC12597394

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.