Life Extension Magazine®
Magnesium is a hard-working mineral.
It helps 300 enzymes perform vital functions throughout the body.
Magnesium’s benefits range from building bone to producing energy and synthesizing proteins.1
But it doesn’t stop there.
It also helps prevent an array of cardiovascular disorders.
Dietary surveys have shown deficient intake of magnesium is epidemic in the United States.
Data from the National Health and Nutrition Examination Survey show that 48% of Americans of all ages have intake below the estimated average requirement.1,2
Inadequate magnesium levels have been linked with an increased risk for cardiovascular disease, including stroke, coronary heart disease, heart failure, arrhythmias, and death.3,4
Higher blood levels of magnesium are associated with a lower cardiovascular disease risk.4
Hidden Danger of Low Magnesium
Magnesium is a mineral found in many foods, including leafy vegetables, whole grains, beans, nuts, yogurt, and fish.
But it’s difficult to get and absorb enough from dietary sources alone.
Approximately 64% of all men and 67% of women in the U.S. have inadequate dietary intake of magnesium. Among those above age 71, roughly 81% of men and 82% of women have inadequate dietary intake of magnesium.5,6
That’s a serious problem.
Magnesium is involved in critical metabolic functions.7 This means that myriad bodily systems and functions depend on adequate magnesium and suffer when deficiency occurs.5
Adequate magnesium is especially important for healthy and efficient function of heart muscle and blood vessels.
Recent human studies confirm a strong association between low magnesium levels and higher heart disease risk.5
Correcting Arrhythmias
People with low magnesium levels are more susceptible to developing arrhythmias, potentially fatal disorders of heart rhythm.8
Arrhythmias involve abnormal conduction of the electrical impulses that govern heartbeat, causing a beat that is irregular, too fast, or too slow.9
Atrial fibrillation, an irregular and often rapid heartbeat, is the leading cardiac cause of strokes. This happens when a fluttering atrial chamber in the heart causes a clot (thrombus) to form that travels up a carotid artery and blocks blood flow to a portion of the brain. This is called an ischemic stroke; the term “ischemia” means “no blood flow”.
One large study found that people with the lowest blood magnesium levels were approximately 50% more likely to develop atrial fibrillation than those with thehighest levels. This association occurs even in people without cardiovascular disease.10
Magnesium intake has been shown to correct low-magnesium-related arrhythmias.11,12
For example, intravenous (IV) magnesium is routinely used before many heart surgeries that are known to induce postoperative arrhythmias.13-17
Oral magnesium is often recommended for those with arrhythmias and low magnesium levels.
Fighting Endothelial Dysfunction
Endothelial dysfunction occurs when the cells lining the inside walls of blood vessels (the endothelium) lose normal, healthy function.18
This promotes the formation of artery-blocking plaque, resulting in atherosclerosis, a narrowing of the arteries that restricts blood flow.19,20
In cultured human endothelial cells, magnesium deficiency activates the protein complex NF-kB (nuclear factor kappa B), a major facilitator of atherosclerosis.21
In a randomized, controlled human trial, women aged 40-65, all of whom had high blood pressure and were on diuretic therapy, took either a placebo or 600 mg of magnesium daily.22
After six months, those taking magnesium had significantly improved endothelial function, which led to reductions in blood pressure and increased blood vessel dilation (widening).
Systolic blood pressure fell, on average, from 144 mmHg to 134 mmHg, and diastolic blood pressure decreased from 88 mmHg to 81 mmHg.
In addition, the thickness of the carotid artery—a measure of unhealthy arterial thickening—rose in placebo patients but remained unchanged in magnesium- treated patients.22 Thickening of the carotid artery indicates progression of atherosclerosis.
Preventing Heart Failure
Heart failure occurs when the heart doesn’t pump enough blood to meet the body’s needs.
Currently there are about 6.2 million adults in the U.S. with heart failure.23
In one study of 22 patients with symptomatic chronic heart failure, an 800 mg/day dose of magnesium for three months produced a significant increase in arterial compliance (a measure of how well an artery can relax and contract in response to blood flow).24
This suggests improved endothelial function and improved ability of the arteries to deliver oxygen-rich blood to target organs.
Blood levels of magnesium are also strongly associated with cardiovascular risk.
An epidemiological study of 3,523 men aged 60-79, with no prior history of cardiovascular disease, demonstrated that risk for heart failure declined steadily with rising magnesium levels.25
What you need to know
The Cardiovascular Benefits of Magnesium
- Magnesium is a mineral needed for at least 300 enzymes throughout the body to perform their metabolic functions.
- Human studies confirm a strong association between low magnesium levels and higher risks of cardiovascular diseases.
- Almost half of Americans of all ages are below the estimated average requirement for magnesium.
- Human studies demonstrate that taking oral magnesium helps ward off cardiovascular problems and supports overall heart health.
Heartburn Drugs Linked to Dangerously Low Magnesium
The U.S. Food and Drug Administration has advised doctors to check patients’ magnesium levels before prescribing medications known as proton-pump inhibitors or PPIs.38
Proton-pump inhibitors like Prevacid®, Prilosec®, and Nexium® are taken for the treatment of heartburn, also known as gastroesophageal reflux disease (GERD). They are also used to treat peptic ulcer disease.
A scientific review of 35 studies from 2010 to 2018 suggests that, in some people, taking proton-pump inhibitors causes low magnesium levels.39
These low levels are associated with increased risk of cardiac arrhythmias, and with one often-deadly type in particular, torsade de pointes (or TdP), which can result in sudden cardiac arrest.39
Talk to a doctor about whether to check your magnesium levels before taking proton- pump inhibitors.
Those with the highest magnesium blood levels had a 44% lower risk of heart failure than those with the lowest levels. Higher magnesium levels in this study were associated with reduced markers of inflammation and endothelial dysfunction.25
Reducing High Blood Pressure
Excess body weight, lack of physical activity, diabetes, and normal aging increase the chances of developing high blood pressure.26,27
A link between magnesium and hypertension has been shown in several human clinical trials.28-30
These studies show that the lower the magnesium level in patients, the higher the systolic blood pressure.
One meta-analysis of trials that enrolled more than 2,000 subjects, found that supplementation with magnesium reduced systolic and diastolic blood pressure in hypertensive patients.31
Those who fail to achieve optimal systolic blood pressure under 120 to 130 mm Hg should consider an anti-hypertension drug like telmisartan.
Lowering Heart Attack and Stroke Risk
Human studies also demonstrate an association between low magnesium and increased risk of heart attack and stroke.6,32-35
In one analysis of human trials that included a whopping 241,378 participants, researchers found that every 100 mg of magnesium in the daily diet was associated with an 8% lower risk of stroke.34
A similar association was found in a later published meta-analysis.35
Combating Coronary Artery Disease
Coronary artery disease occurs when the arteries to the heart become narrowed due to atherosclerotic plaque. This reduces blood flow and significantly boosts the risk of a heart attack.
It is the leading cause of death in men and women in the U.S.36
Magnesium intake has been shown to improve heart function and exercise tolerance in patients with coronary artery disease.
In one study, scientists gave 53 men with coronary artery disease 365 mg of oral magnesium citrate twice daily. After six months, they had improved oxygen utilization during exercise and greater pumping action in their left ventricle, the heart’s main pumping chamber.37
These effects indicate that magnesium improved blood flow and oxygen delivery in these patients.
Summary
The mineral magnesium is vital for heart health.
More than 80% of people over age 71 have inadequate dietary intake of magnesium, placing them at risk for serious cardiovascular events.
Cardiovascular disease, including stroke, coronary heart disease, heart failure, arrhythmias, and even death, has been associated with inadequate magnesium levels.
Low-cost magnesium supplements offer an easy solution to replenish this essential mineral.
If you have any questions on the scientific content of this article, please call a Life Extension® Wellness Specialist at 1-866-864-3027.
References
- Available at: https://ods.od.nih.gov/factsheets/Magnesium-HealthProfessional/. Accessed December 9, 2020.
- Available at: https://www.ars.usda.gov/ARSUserFiles/80400530/pdf/usual/Usual_Intake_gender_WWEIA_2013_2016.pdf. Accessed December 9, 2020.
- DiNicolantonio JJ, Liu J, O’Keefe JH. Magnesium for the prevention and treatment of cardiovascular disease. Open Heart. 2018;5(2):e000775.
- Rosique-Esteban N, Guasch-Ferre M, Hernandez-Alonso P, et al. Dietary Magnesium and Cardiovascular Disease: A Review with Emphasis in Epidemiological Studies. Nutrients. 2018 Feb 1;10(2):168.
- Kostov K, Halacheva L. Role of Magnesium Deficiency in Promoting Atherosclerosis, Endothelial Dysfunction, and Arterial Stiffening as Risk Factors for Hypertension. Int J Mol Sci. 2018 Jun 11;19(6).
- Qu X, Jin F, Hao Y, et al. Magnesium and the risk of cardiovascular events: a meta-analysis of prospective cohort studies. PLoS One. 2013;8(3):e57720.
- Workinger JL, Doyle RP, Bortz J. Challenges in the Diagnosis of Magnesium Status. Nutrients. 2018 Sep 1;10(9):1202.
- Tangvoraphonkchai K, Davenport A. Magnesium and Cardiovascular Disease. Adv Chronic Kidney Dis. 2018 May;25(3):251-60.
- Available at: https://www.nhlbi.nih.gov/health-topics/arrhythmia. Accessed December 9, 2020.
- Khan AM, Lubitz SA, Sullivan LM, et al. Low serum magnesium and the development of atrial fibrillation in the community: the Framingham Heart Study. Circulation. 2013 Jan 1;127(1):33-8.
- Agus ZS. Hypomagnesemia. J Am Soc Nephrol. 1999 Jul;10(7):1616-22.
- Efstratiadis G, Sarigianni M, Gougourelas I. Hypomagnesemia and cardiovascular system. Hippokratia. 2006 Oct;10(4):147-52.
- Classen HG, Grober U, Kisters K. [Drug-induced magnesium deficiency]. Med Monatsschr Pharm. 2012 Aug;35(8):274-80.
- Miller S, Crystal E, Garfinkle M, et al. Effects of magnesium on atrial fibrillation after cardiac surgery: a meta-analysis. Heart. 2005 May;91(5):618-23.
- Shechter M. Magnesium and cardiovascular system. Magnes Res. 2010 Jun;23(2):60-72.
- Lee HY, Ghimire S, Kim EY. Magnesium supplementation reduces postoperative arrhythmias after cardiopulmonary bypass in pediatrics: a metaanalysis of randomized controlled trials. Pediatr Cardiol. 2013 Aug;34(6):1396-403.
- Orenes-Pinero E, Montoro-Garcia S, Banerjee A, et al. Pre and post-operative treatments for prevention of atrial fibrillation after cardiac surgery. Mini Rev Med Chem. 2012 Nov;12(13):1419-31.
- Sun HJ, Wu ZY, Nie XW, et al. Role of Endothelial Dysfunction in Cardiovascular Diseases: The Link Between Inflammation and Hydrogen Sulfide. Front Pharmacol. 2019;10:1568.
- Cunha AR, Umbelino B, Correia ML, et al. Magnesium and vascular changes in hypertension. Int J Hypertens. 2012;2012:754250.
- Mudau M, Genis A, Lochner A, et al. Endothelial dysfunction: the early predictor of atherosclerosis. Cardiovasc J Afr. 2012 May;23(4):222-31.
- Ferre S, Baldoli E, Leidi M, et al. Magnesium deficiency promotes a pro-atherogenic phenotype in cultured human endothelial cells via activation of NFkB. Biochim Biophys Acta. 2010 Nov;1802(11):952-8.
- Cunha AR, D’El-Rei J, Medeiros F, et al. Oral magnesium supplementation improves endothelial function and attenuates subclinical atherosclerosis in thiazide-treated hypertensive women. J Hypertens. 2017 Jan;35(1):89-97.
- Virani SS, Alonso A, Benjamin EJ, et al. Heart Disease and Stroke Statistics-2020 Update: A Report From the American Heart Association. Circulation. 2020 Mar 3;141(9):e139-e596.
- Fuentes JC, Salmon AA, Silver MA. Acute and chronic oral magnesium supplementation: effects on endothelial function, exercise capacity, and quality of life in patients with symptomatic heart failure. Congest Heart Fail. 2006 Jan-Feb;12(1):9-13.
- Wannamethee SG, Papacosta O, Lennon L, et al. Serum magnesium and risk of incident heart failure in older men: The British Regional Heart Study. Eur J Epidemiol. 2018 Sep;33(9):873-82.
- Available at: https://www.cdc.gov/dhdsp/data_statistics/fact_sheets/fs_bloodpressure.htm. Accessed January 28, 2018.
- Available at: https://www.webmd.com/hypertension-high-blood-pressure/guide/blood-pressure-causes. Accessed January 28, 2019.
- Ma J, Folsom AR, Melnick SL, et al. Associations of serum and dietary magnesium with cardiovascular disease, hypertension, diabetes, insulin, and carotid arterial wall thickness: the ARIC study. Atherosclerosis Risk in Communities Study. J Clin Epidemiol. 1995 Jul;48(7):927-40.
- Rosanoff A. Magnesium supplements may enhance the effect of antihypertensive medications in stage 1 hypertensive subjects. Magnes Res. 2010 Mar;23(1):27-40.
- Whang R, Chrysant S, Dillard B, et al. Hypomagnesemia and hypokalemia in 1,000 treated ambulatory hypertensive patients. J Am Coll Nutr. 1982;1(4):317-22.
- Zhang X, Li Y, Del Gobbo LC, et al. Effects of Magnesium Supplementation on Blood Pressure: A Meta-Analysis of Randomized Double-Blind Placebo-Controlled Trials. Hypertension. 2016 Aug;68(2):324-33.
- DiNicolantonio JJ, O’Keefe JH, Wilson W. Subclinical magnesium deficiency: a principal driver of cardiovascular disease and a public health crisis. Open Heart. 2018;5(1):e000668.
- Grober U, Schmidt J, Kisters K. Magnesium in Prevention and Therapy. Nutrients. 2015 Sep 23;7(9):8199-226.
- Larsson SC, Orsini N, Wolk A. Dietary magnesium intake and risk of stroke: a meta-analysis of prospective studies. Am J Clin Nutr. 2012 Feb;95(2):362-6.
- Zhao B, Hu L, Dong Y, et al. The Effect of Magnesium Intake on Stroke Incidence: A Systematic Review and Meta-Analysis With Trial Sequential Analysis. Front Neurol. 2019;10:852.
- Available at: https://medlineplus.gov/coronaryarterydisease.html. Accessed December 9, 2020.
- Pokan R, Hofmann P, von Duvillard SP, et al. Oral magnesium therapy, exercise heart rate, exercise tolerance, and myocardial function in coronary artery disease patients. Br J Sports Med. 2006 Sep;40(9):773-8.
- Available at: https://www.fda.gov/drugs/drug-safety-and-availability/fda-drug-safety-communication-low-magnesium-levels-can-be-associated-long-term-use-proton-pump. Accessed December 9, 2020.
- Chrysant SG. Proton pump inhibitor-induced hypomagnesemia complicated with serious cardiac arrhythmias. Expert Rev Cardiovasc Ther. 2019 May;17(5):345-51.