{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T04:59:28Z","timestamp":1790312368527,"version":"4.1.0"},"reference-count":9,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Noninvasive Electrocardiol"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>We report a 35\u2010year\u2010old woman at 31\u2009weeks and 5\u2009days' gestation with severe pre\u2010eclampsia and acute kidney injury who developed symptomatic hypermagnesemia (4.49\u2009mmol\/L) and 2:1 second\u2010degree atrioventricular block after receiving a standard Pritchard magnesium sulfate regimen. Magnesium sulfate was discontinued, intravenous calcium gluconate was administered, and emergency cesarean delivery was performed. The atrioventricular block resolved completely, and the mother recovered well. This case highlights a rare but reversible manifestation of magnesium toxicity and the importance of early recognition in patients with deteriorating renal function.<\/jats:p>","DOI":"10.1111\/anec.70233","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T10:15:06Z","timestamp":1788171306000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Reversible High\u2010Degree Atrioventricular Block Associated With Magnesium Toxicity in Severe Pre\u2010Eclampsia"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6563-0503","authenticated-orcid":false,"given":"Alex F.","family":"Lwiza","sequence":"first","affiliation":[{"name":"Department of Anesthesiology Kilimanjaro Christian Medical Centre  Moshi Tanzania"},{"name":"Faculty of Medicine, KCMC University  Moshi Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Kilimanjaro Christian Medical Centre  Moshi Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nasra","family":"Batchu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Kilimanjaro Christian Medical Centre  Moshi Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lilian G.","family":"Mmbaga","sequence":"additional","affiliation":[{"name":"Cancer Care Centre Kilimanjaro Christian Medical Centre  Moshi Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7094-3720","authenticated-orcid":false,"given":"Simon C.","family":"Peter","sequence":"additional","affiliation":[{"name":"Department of Cardiology Kilimanjaro Christian Medical Centre  Moshi Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7812-8042","authenticated-orcid":false,"given":"Abid M.","family":"Sadiq","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, KCMC University  Moshi Tanzania"},{"name":"Department of Cardiology Kilimanjaro Christian Medical Centre  Moshi Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003891"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.108.527788"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.preghy.2021.09.008"},{"key":"e_1_2_11_5_1","unstructured":"NICE.2019.\u201cHypertension in Pregnancy: Diagnosis and Management NICE Guideline.\u201d"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471\u20100528.13753"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.101584"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.72302"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/kidneydial4010001"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.15761\/COGRM.1000316"}],"container-title":["Annals of Noninvasive Electrocardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/anec.70233","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/anec.70233","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/anec.70233","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T04:18:06Z","timestamp":1790309886000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/anec.70233"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":9,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/anec.70233"],"URL":"https:\/\/doi.org\/10.1111\/anec.70233","archive":["Portico"],"relation":{},"ISSN":["1082-720X","1542-474X"],"issn-type":[{"value":"1082-720X","type":"print"},{"value":"1542-474X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,31]]},"assertion":[{"value":"2026-07-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-31","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70233"}}