Reversal of Diastolic Dysfunction by Intravenous Magnesium Chloride
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Objective: To treat diastolic dysfunction in patients with coronary artery disease (CAD).
Design: Open study of the intravenous injection of 5 mL of a solution containing 17% magnesium chloride (equal to 100 mg of elemental magnesium) during routine coronary angiography in patients with a raised left ventricular end-diastolic pressure (LVEDP).
Setting: A hospital department of cardiac hemodynamics.
Subjects: Ten patients with angiographically documented CAD.
Results: After magnesium chloride injection, the LVEDP was significantly reduced in all patients, from a mean of 24 +/- 3 to 16 +/- 3 mmHg (P < 0.001).
Conclusions: Under the short term conditions of the study, the injection of magnesium chloride effectively improved left ventricular diastolic function. Further study of the long term effect is required.
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