Oral magnesium therapy, exercise heart rate, exercise tolerance, and myocardial function in coronary artery disease patients.
Br J Sports Med. 2006 Jul 6;
Authors: Pokan R, Hofmann P, von Duvillard SP, Smekal G, Wonisch M, Lettner K, Schmid P, Shechter M, Silver B, Bachl N
Previous studies have demonstrated that in patients with coronary artery disease (CAD) an upward deflection of the heart rate (HR) performance curve can be observed and that this upward deflection and the degree of the deflection is correlated with a diminished stress-dependent left ventricular function. Magnesium (Mg) supplementation improves endothelial function, exercise tolerance, and exercise-induced chest pain in patients with CAD. Purpose: We studied the effects of oral Mg therapy on exercise dependent HR as related to exercise tolerance and resting myocardial function in patients with CAD. METHODS: In a double-blind controlled trial, 53 male patients with stable CAD, were randomized to either oral Mg 15 mmol twice daily (N = 28, age = 61 inverted exclamation markÓ9 yrs, height = 171 inverted exclamation markÓ7, body weight = 79 inverted exclamation markÓ10 kg, previous myocardial infarction (MI), N = 7) or placebo (N = 25, age = 58 inverted exclamation markÓ10 yrs, height = 172 inverted exclamation markÓ6, body weight = 79 inverted exclamation markÓ10 kg, previous MI, N = 6) for 6 months. Maximal oxygen uptake (VO2max), the degree and direction of the deflection of the HR performance curve described as factor k f not 0 (upward deflection) and the left ventricular ejection fraction (LVEF), were the outcomes measured. RESULTS: Six-month Mg therapy significantly increased intracellular Mg levels (32.7 inverted exclamation markÓ2.5 vs. 35.6 inverted exclamation markÓ2.1 mEq/L, p<0.001) compared to placebo (33.1 inverted exclamation markÓ3.1.9 vs. 33.8 inverted exclamation markÓ 2.0 mEq/L, n.s.), VO2max (28.3 inverted exclamation markÓ6.2 vs. 30.6 inverted exclamation markÓ7.1 ml/kg/min, p<0.001; 29.3 inverted exclamation markÓ5.4 vs. 29.6 inverted exclamation markÓ5.2 ml/kg/min, n.s.), factor k (-0.298 inverted exclamation markÓ0.242 vs. -0.208 inverted exclamation markÓ0.260, p<0.05; -0.269 inverted exclamation markÓ0.336 vs. -0.272 inverted exclamation markÓ0.335, n.s.), LVEF (58 inverted exclamation markÓ11 vs. 67 inverted exclamation markÓ10 %, p<0.001; 55 inverted exclamation markÓ11 vs. 54 inverted exclamation markÓ12 %, n.s.). CONCLUSION: The present study supports the intake of oral Mg and its favorable effects on exercise tolerance and left ventricular function during rest and exercise in stable CAD patients.
PMID: 16825271 [PubMed - as supplied by publisher]