Relation Between Severity of Magnesium Deficiency and Frequency of Anginal Attacks in Men With Variant Angin

Objectives. We evaluated whether the severity of magnesium deficiency was correlated with the frequency of attacks of variant angina. Background. Magnesium deficiency may be associated with the development of variant angina. However, the relation between the activity of variant angin and magnesium deficiency remains to be elucidated. Methods. We assessed the body magnesium status of 18 men with variant angina: Group 1 (≥4 attacks/week, n = 7) and Group 2 (<4 attacks/week, n = 11). Concentrations of magnesium were determined in serum, urine, mononuclear cells and erythrocytes, and the 24-h magnesium retention rate was determined. Results. Group 1 showed higher 24-h magnesium retention rate (mean ± SEM 63.5 ± 7.6% vs. 24.9 ± 2.7%, p < 0.01) and lower intracellular concentration of magnesium in mononuclear cells and erythrocytes than did Group 2 (respectively, 156.3 ± 13.5 vs. 212.1 ± 6.9 fg/cell, p < 0.01; and 3.5 ± 0.5 vs. 5.2 ± 0.4 fg/cell, p < 0.05), demonstrating the presence of magnesium deficiency in Group 1. The 24-h magnesium retention rate and intracellular concentrations of magnesium in mononuclear cells and erythrocytes correlated well with the frequency of anginal attacks (r = 0.78, p < 0.01; r = −0.78, p < 0.01; r = −0.62, p < 0.01, respectively) for all patients. Conclusions. Dat suggest that the magnesium status of men with variant angin is closely related to disease activity.