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.
Abstract

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