Sobhani Ali Reza, Farshidi Hossein, Azarkish Fariba, Eslami Mahdiya, Eftekhar Ebrahim, Keshavarz Mansoor, Soltani Nepton
Clinical Pathology Department, Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Cardiovascular Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Clin Pharmacol. 2020 Sep 25;12:159-169. doi: 10.2147/CPAA.S261264. eCollection 2020.
Given the beneficial effect of MgSO on the cardiovascular system, this study was designed to investigate the effect of MgSO administration on suppressing some atherosclerotic risk factors in moderate coronary artery disease patients with one or two atherosclerotic vessels.
In a randomized double-blind placebo-controlled clinical trial study, 64 patients with moderate coronary artery disease (55-69% stenosis) were selected according to angiography findings. Patients were divided into four groups including patients with one or two atherosclerotic vessels treated with MgSO (Mg-treated-VR1, Mg-treated-VR2, respectively), placebo treated patients with one or two atherosclerotic vessels (Control-VR1, Control-VR2, respectively). The patients received either placebo or MgSO supplement capsule containing 300 mg MgSO for six months on a daily basis. ESR, Ca/Mg ratio, urine Mg level, serum Mg, fibrinogen, homocysteine, uric acid, Na, K, Ca, CRP, T3, T4, TSH, BUN, and Cr concentrations were measured at baseline and every three months.
Serum T3, Ca, K, homocysteine, CRP, and Mg concentrations were significantly improved in Mg-treated groups compared to placebo groups.
The results of this study showed that despite the slight change in serum magnesium level, oral administration of MgSOfor six months could slightly reduce the serum levels of some inflammatory and vascular factors in moderate coronary artery disease patients.
鉴于硫酸镁对心血管系统的有益作用,本研究旨在探讨给予硫酸镁对抑制单支或双支冠状动脉病变的中度冠心病患者某些动脉粥样硬化危险因素的影响。
在一项随机双盲安慰剂对照临床试验研究中,根据血管造影结果选择了64例中度冠心病(狭窄55%-69%)患者。患者被分为四组,包括分别接受硫酸镁治疗的单支或双支动脉粥样硬化血管病变患者(分别为硫酸镁治疗-VR1组、硫酸镁治疗-VR2组),以及分别接受安慰剂治疗的单支或双支动脉粥样硬化血管病变患者(分别为对照组-VR1组、对照组-VR2组)。患者每日接受安慰剂或含300mg硫酸镁的补充胶囊,持续6个月。在基线时以及每3个月测量血沉、钙/镁比值、尿镁水平、血清镁、纤维蛋白原、同型半胱氨酸、尿酸、钠、钾、钙、C反应蛋白、三碘甲状腺原氨酸、甲状腺素、促甲状腺激素、尿素氮和肌酐浓度。
与安慰剂组相比,硫酸镁治疗组的血清三碘甲状腺原氨酸、钙、钾、同型半胱氨酸、C反应蛋白和镁浓度有显著改善。
本研究结果表明,尽管血清镁水平变化轻微,但口服硫酸镁6个月可使中度冠心病患者的一些炎症和血管因子血清水平略有降低。