Abstract
I recently read an article by Madias et al1entitled "Admission Serum Magnesium Level Does Not Predict the Hospital Outcome of Patients With Acute Myocardial Infarction," which appeared in the August 12/ 26, 1996, issue of theArchives. While the determination of magnesium (Mg) levels may be very useful to a practicing clinician, not only in patients with myocardial infarction but also in patients with other problems such as bronchial asthma and fibromyalgia,2,3it should be pointed out that just because a serum Mg level is within normal range the patient's total body Mg status may not be normal. In a patient with myocardial infarction, one should be interested not only in the serum Mg levels but also in the myocardial (ie, tissue) Mg level. I am a rheumatologist and have found that my patients with fibromyalgia as a group have a lower mean red blood cell Mg
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