Effect of serum magnesium level on carotid intima media thickness in hemodialysis patients

Abstract Background We aimed to examine whether serum magnesium level is related to cardiovascular events in hemodialysis patients by investigating the relationship between serum magnesium (Mg) level and carotid intima media thickness (CIMT). Methods In this cross-sectional study, we evaluated 88 he...

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Main Authors: Ali Veysel Kara, Ridvan Ozdemir, Hamza Inan, Beyza Ozerten Ozdemir, Serhat Hayme, Muharrem Said Cosgun
Format: Article
Language:English
Published: BMC 2025-05-01
Series:BMC Nephrology
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Online Access:https://doi.org/10.1186/s12882-025-04168-2
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Summary:Abstract Background We aimed to examine whether serum magnesium level is related to cardiovascular events in hemodialysis patients by investigating the relationship between serum magnesium (Mg) level and carotid intima media thickness (CIMT). Methods In this cross-sectional study, we evaluated 88 hemodialysis patients. The mean CIMT of these patients was measured and recorded by doppler ultrasonography. Patients were divided into two groups according to their serum magnesium level. Correlation analysis and linear regression analysis were used to define the relationship between study parameters. We divided our patients into 2 groups according to Mg value as group 1 (Mg ≥ 2.3 mg/dl) and group 2 (Mg < 2.3 mg/dl). Results The mean CIMT of patients with group 1 and group 2 were respectively 0.93 ± 0.22 mm and 1.03 ± 0.22 mm. There was statistically significant difference between two groups in terms of the mean CIMT value (p = 0.045). We found negative, low-level, statistically significant correlations between Mg and mean CIMT ​​(r=-0.272; p = 0.010), calcium and mean CIMT (r: -0.221, p: 0.039) and hemoglobin and mean CIMT (r: -0.215, p: 0.044). According to regression analysis, serum magnesium level and age were found independent risk factors for mean CIMT value (p: 0.004 and p: 0.045). Conclusions We found a significant relationship between serum Mg level and CIMT, which indicates carotid atherosclerosis.
ISSN:1471-2369