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November 7, 2000CirculationOpen Access

Oral Magnesium Therapy Improves Endothelial Function in Patients With Coronary Artery Disease

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Why the study?

Does oral magnesium therapy improve endothelial function and exercise tolerance in patients with stable coronary artery disease?

Population

50 stable coronary artery disease patients

Comparison

Oral magnesium 30 mmol/d for 6 months vs Matching placebo for 6 months

Design

RCT, randomized, double-blind, placebo-controlled

Follow-up

6 months

Key result

Oral magnesium therapy for 6 months significantly improved postintervention flow-mediated vasodilation (15.5% vs 4.4%) and exercise tolerance (9.3 vs 7.3 minutes, P=0.05) in stable CAD patients.

Authors

MSMichael ShechterMSMichael SharirMLMaura J. Paul Labrador

Discussion

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Overview

Supports oral magnesium in stable CAD; extends prior data with RCT confirmation of endothelial and exercise benefits.

Study Design

Type

RCT (n=50)

Blinding

Double-blind

Randomization

randomized

Structured PICO

Does oral magnesium therapy improve endothelial function and exercise tolerance in patients with stable coronary artery disease?

P
Population
50 stable coronary artery disease (CAD) patients (41 men and 9 women, mean+/-SD age 67+/-11 years, age range 42 to 82 years)
I
Intervention
Oral magnesium 30 mmol/d for 6 months
C
Comparator
Matching placebo for 6 months
O
Outcome
Endothelium-dependent brachial artery flow-mediated vasodilation (FMD) and endothelium-independent NTG-mediated vasodilation assessed with high-resolution ultrasound at 6 monthssurrogate

Main Result

Absolute Event Rate: 15.5% vs 4.4%

Oral magnesium therapy for 6 months significantly improves brachial artery endothelial function and exercise tolerance in patients with stable coronary artery disease.

Cite This Study

Shechter et al. (2000) conducted an RCT in stable coronary artery disease (CAD) (n=50). Magnesium vs. Placebo was evaluated on postintervention endothelium-dependent brachial artery flow-mediated vasodilation (FMD). Oral magnesium therapy for 6 months significantly improved postintervention flow-mediated vasodilation (15.5% vs 4.4%) and exercise tolerance (9.3 vs 7.3 minutes, P=0.05) in stable CAD patients.

synapsesocial.com/papers/6a1c851aecffbcc5fca17201https://doi.org/10.1161/01.cir.102.19.2353
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