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Oral magnesium therapy, exercise heart rate, exercise tolerance, and myocardial function in coronary artery disease
R Pokan1, P Hofmann, S P von Duvillard
1Department of Sport and Exercise Physiology, University of Vienna, Vienna, Austria.
Insights
Oral magnesium therapy improved exercise tolerance and left ventricular function in patients with coronary artery disease (CAD). This study highlights magnesium
Area of Science:
- Cardiology
- Cardiovascular Research
- Nutritional Science
Background:
- Coronary artery disease (CAD) patients exhibit abnormal heart rate (HR) performance curves linked to reduced left ventricular function under stress.
- Magnesium supplementation is known to enhance endothelial function, exercise capacity, and reduce chest pain in CAD patients.
Purpose of the Study:
- To investigate the impact of oral magnesium therapy on exercise-induced heart rate response.
- To evaluate the effects of magnesium on exercise tolerance and resting myocardial function in stable CAD patients.
Main Methods:
- A 6-month double-blind, placebo-controlled trial involving 53 male patients with stable CAD.
- Participants received either oral magnesium (15 mmol twice daily) or a placebo.
- Key outcome measures included maximal oxygen uptake (VO2max), heart rate performance curve factor (k), and left ventricular ejection fraction (LVEF).
Main Results:
- Magnesium therapy significantly increased intracellular magnesium levels and VO2max.
- A significant improvement was observed in the heart rate performance curve factor (k) and left ventricular ejection fraction (LVEF) in the magnesium group compared to placebo.
- Placebo group showed no significant changes in these parameters.
Conclusions:
- Oral magnesium intake demonstrates favorable effects on exercise tolerance in stable CAD patients.
- Magnesium supplementation positively impacts left ventricular function both at rest and during exercise in this population.
Background:
Previous studies have demonstrated that in patients with coronary artery disease (CAD) upward deflection of the heart rate (HR) performance curve can be observed and that this upward deflection and the degree of the deflection are correlated with a diminished stress dependent left ventricular function. Magnesium supplementation improves endothelial function, exercise tolerance, and exercise induced chest pain in patients with CAD.
Purpose:
We studied the effects of oral magnesium 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 randomised to either oral magnesium 15 mmol twice daily (n = 28, age 61+/-9 years, height 171+/-7 cm, body weight 79+/-10 kg, previous myocardial infarction, n = 7) or placebo (n = 25, age 58+/-10 years, height 172+/-6 cm, body weight 79+/-10 kg, previous myocardial infarction, 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<0 (upward deflection), and the left ventricular ejection fraction (LVEF) were the outcomes measured.
Results:
Magnesium therapy for 6 months significantly increased intracellular magnesium levels (32.7+/-2.5 v 35.6+/-2.1 mEq/l, p<0.001) compared to placebo (33.1+/-3.1.9 v 33.8+/-2.0 mEq/l, NS), VO2max (28.3+/-6.2 v 30.6+/-7.1 ml/kg/min, p<0.001; 29.3+/-5.4 v 29.6+/-5.2 ml/kg/min, NS), factor k (-0.298+/-0.242 v -0.208+/-0.260, p<0.05; -0.269+/-0.336 v -0.272+/-0.335, NS), and LVEF (58+/-11 v 67+/-10%, p<0.001; 55+/-11 v 54+/-12%, NS).
Conclusion:
The present study supports the intake of oral magnesium and its favourable effects on exercise tolerance and left ventricular function during rest and exercise in stable CAD patients.
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