A Magnesium Deficiency Can Cause An Abnormal ECG Test
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A Magnesium Deficiency Can Cause An Abnormal ECG Test
It just occurred to me that there may another (uncatalogued) marker of magnesium deficiency that physicians are overlooking. The following notes are from electrocardiogram (ECG) tests. The first test was done when I went to the ER because of an acute magnesium deficiency (of course neither I nor my doctors realized that was the reason for my symptoms at the time), and the second set of notes is from a test done a little over 4 months after I figured out that a magnesium deficiency was the problem (IOW, after I had been taking more magnesium for a little over 4 months). The reason for the ER visit was because my guts stopped working (ileus) after I ate some peanuts.
1. 04/22/2015
DX: 794.31 Abnormal EKG
Normal sinus rhythm
Right bundle branch block
Abnormal ECG
When compared with ECG of 05-MAY-2010 02:06,
Right bundle branch block is now Present
2. 08/31/2015
DX: 789.07 Abdominal pain, generalized
Normal sinus rhythm
Incomplete right bundle branch block
When compared with ECG of 22-APR-2015 13:39,
Right bundle branch block is no longer Present
The red emphasis is mine. But the point is, it's pretty clear from the report that my magnesium deficiency caused the right bundle branch block noted in the first test report, and taking more magnesium resolved the abnormal ECG as noted in the second test report.
How about that? Has anyone else here been told that they have a right bundle branch block on an ECG report? I'll bet a GF cookie that if this happened to you, you were probably magnesium deficient at the time.
Tex
1. 04/22/2015
DX: 794.31 Abnormal EKG
Normal sinus rhythm
Right bundle branch block
Abnormal ECG
When compared with ECG of 05-MAY-2010 02:06,
Right bundle branch block is now Present
2. 08/31/2015
DX: 789.07 Abdominal pain, generalized
Normal sinus rhythm
Incomplete right bundle branch block
When compared with ECG of 22-APR-2015 13:39,
Right bundle branch block is no longer Present
The red emphasis is mine. But the point is, it's pretty clear from the report that my magnesium deficiency caused the right bundle branch block noted in the first test report, and taking more magnesium resolved the abnormal ECG as noted in the second test report.
How about that? Has anyone else here been told that they have a right bundle branch block on an ECG report? I'll bet a GF cookie that if this happened to you, you were probably magnesium deficient at the time.
Tex
It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
Re: A Magnesium Deficiency Can Cause An Abnormal ECG Test
Hello Tex! Mike here from Cleveland, OH. I was just notified this past week that I too have a right bundle branch block, at only 31 years of age. I initially went to Urgi and based on the EKG, was advised to immediately go to the ER. They ran the same test and it was consistent with the first. I was then notified that a separate EKG done two months prior showed the same reading, but was not told at the time. They told me it is not of major concern and nothing can be done. Very reassuring.tex wrote:It just occurred to me that there may another (uncatalogued) marker of magnesium deficiency that physicians are overlooking. The following notes are from electrocardiogram (ECG) tests. The first test was done when I went to the ER because of an acute magnesium deficiency (of course neither I nor my doctors realized that was the reason for my symptoms at the time), and the second set of notes is from a test done a little over 4 months after I figured out that a magnesium deficiency was the problem (IOW, after I had been taking more magnesium for a little over 4 months). The reason for the ER visit was because my guts stopped working (ileus) after I ate some peanuts.
1. 04/22/2015
DX: 794.31 Abnormal EKG
Normal sinus rhythm
Right bundle branch block
Abnormal ECG
When compared with ECG of 05-MAY-2010 02:06,
Right bundle branch block is now Present
2. 08/31/2015
DX: 789.07 Abdominal pain, generalized
Normal sinus rhythm
Incomplete right bundle branch block
When compared with ECG of 22-APR-2015 13:39,
Right bundle branch block is no longer Present
The red emphasis is mine. But the point is, it's pretty clear from the report that my magnesium deficiency caused the right bundle branch block noted in the first test report, and taking more magnesium resolved the abnormal ECG as noted in the second test report.
How about that? Has anyone else here been told that they have a right bundle branch block on an ECG report? I'll bet a GF cookie that if this happened to you, you were probably magnesium deficient at the time.
Tex
On an aside, due to symptoms of vertigo during this time and chronic daily headaches that I've suffered with for years, I was instructed by a neurologist to take 400mg of magnesium. I have hope that the magnesium can also treat, and possibly cure, the RBBB. Just curious, what form of magnesium did you take at the time and also how much per day during this span of 4 months? I am currently taking magnesium glycinate, but curious if you have had better results with a different type. I question its tolerability at times. Anyhow, very glad to hear you were able to treat it successfully!
Thank you kindly,
Ferg
Hello Ferg,
Welcome to the group. If I recall correctly, that's exactly what my doctors told me (that nothing could be done about it) when the right bundle branch block showed up. I was surprised (and so were my doctors) when it disappeared.
As I recall, I was taking a misrepresented product when the magnesium deficiency developed. I was taking 200 mg of magnesium glycinate from Vitacost. I found out later (after they lost a lawsuit) that the magnesium was "buffered" with about 50 % magnesium oxide. The explanation can be read here).
The reason why I was taking 200 mg when I thought I was taking 400 mg is because I misread the label. It said 200 mg on the front label, so I assumed that each tablet contained 200 mg of magnesium glycinate. But this was a mistake. It actually contained 100 mg per tablet (200 mg was considered the dose) and 50 % of that was magnesium oxide. Magnesium oxide is virtually worthless as a supplement because humans can absorb only about 4 % of it. So for years, even though I thought I was getting 400 mg of magnesium, I was only getting about 100 mg.
So when I figured out the problem, I increased the dose to 600–800 mg of magnesium glycinate (Doctor's Best brand) and magnesium citrate (both are highly absorbable, but too much magnesium citrate acts as a laxative, so I made sure that I never took more than 300–400 mg of it). Magnesium should be scattered throughout the day of course, with meals. So that resolved my magnesium deficiency problem. I cut back to about 400–500 mg after 5 or 6 months.
But that's not the end of the story. Vitamin D enhances the uptake of magnesium. I always try to keep my vitamin D level in the 40–80 ng/dL range in order to optimize the function of my immune system. Taking that much magnesium is OK, as long as your kidneys are working well so that they can eliminate any excess amount in the blood. But if the functioning of your kidneys should become compromised, then blood levels of magnesium can build up to excess levels rather quickly (especially if you have optimum vitamin D levels).
Magnesium is a vital electrolyte. It not only works with insulin to transport nutrients to cells during food digestion, but it also helps to regulate vital cardiovascular functions, breathing, body temperature regulation, muscle contraction/relaxation and several hundred other chemical processes in the body. So too little or too much in circulation can affect all these processes. It can cause a heart attack for example, if things get too far out of hand either way.
The years of magnesium deficiency apparently damaged my kidneys. Doctors don't monitor kidney function anywhere near as well as they should. In March of 2016 my heart began to skip beats — a lot of beats. My doctors couldn't see any reason, but when I looked at my eGFR (estimated Glomerullar Filtration Rate) it was rather obvious that my kidneys weren't able to handle large amounts of magnesium in the blood, so my serum magnesium was probably spiking at times, damaging my heart. I cut my dose to 300 mg of magnesium glycinate and my heart promptly returned to functioning normally. About three weeks later I had a stroke. Maybe it was just a coincidence, but I can't help but believe that it's all tied together. I had had some mini-strokes over the years prior to this.
Anyway my point is — be careful with magnesium. It's a vital but potent medicine.
Again, welcome to the forum, and please feel free to ask anything
Tex
Welcome to the group. If I recall correctly, that's exactly what my doctors told me (that nothing could be done about it) when the right bundle branch block showed up. I was surprised (and so were my doctors) when it disappeared.
As I recall, I was taking a misrepresented product when the magnesium deficiency developed. I was taking 200 mg of magnesium glycinate from Vitacost. I found out later (after they lost a lawsuit) that the magnesium was "buffered" with about 50 % magnesium oxide. The explanation can be read here).
The reason why I was taking 200 mg when I thought I was taking 400 mg is because I misread the label. It said 200 mg on the front label, so I assumed that each tablet contained 200 mg of magnesium glycinate. But this was a mistake. It actually contained 100 mg per tablet (200 mg was considered the dose) and 50 % of that was magnesium oxide. Magnesium oxide is virtually worthless as a supplement because humans can absorb only about 4 % of it. So for years, even though I thought I was getting 400 mg of magnesium, I was only getting about 100 mg.
So when I figured out the problem, I increased the dose to 600–800 mg of magnesium glycinate (Doctor's Best brand) and magnesium citrate (both are highly absorbable, but too much magnesium citrate acts as a laxative, so I made sure that I never took more than 300–400 mg of it). Magnesium should be scattered throughout the day of course, with meals. So that resolved my magnesium deficiency problem. I cut back to about 400–500 mg after 5 or 6 months.
But that's not the end of the story. Vitamin D enhances the uptake of magnesium. I always try to keep my vitamin D level in the 40–80 ng/dL range in order to optimize the function of my immune system. Taking that much magnesium is OK, as long as your kidneys are working well so that they can eliminate any excess amount in the blood. But if the functioning of your kidneys should become compromised, then blood levels of magnesium can build up to excess levels rather quickly (especially if you have optimum vitamin D levels).
Magnesium is a vital electrolyte. It not only works with insulin to transport nutrients to cells during food digestion, but it also helps to regulate vital cardiovascular functions, breathing, body temperature regulation, muscle contraction/relaxation and several hundred other chemical processes in the body. So too little or too much in circulation can affect all these processes. It can cause a heart attack for example, if things get too far out of hand either way.
The years of magnesium deficiency apparently damaged my kidneys. Doctors don't monitor kidney function anywhere near as well as they should. In March of 2016 my heart began to skip beats — a lot of beats. My doctors couldn't see any reason, but when I looked at my eGFR (estimated Glomerullar Filtration Rate) it was rather obvious that my kidneys weren't able to handle large amounts of magnesium in the blood, so my serum magnesium was probably spiking at times, damaging my heart. I cut my dose to 300 mg of magnesium glycinate and my heart promptly returned to functioning normally. About three weeks later I had a stroke. Maybe it was just a coincidence, but I can't help but believe that it's all tied together. I had had some mini-strokes over the years prior to this.
Anyway my point is — be careful with magnesium. It's a vital but potent medicine.
Again, welcome to the forum, and please feel free to ask anything
Tex
It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
Hi Shirley,
I wouldn't be surprised if it was at least a contributing factor in that issue but there are probably other causes as well. Unfortunately I don't know enough about heart issues to consider myself even close to being an authority. I'm just another patient. All I know is that at 300 mg of magnesium glycinate, my heart does well and checks out fine. I've tried getting by on less, but the leg cramps eat me alive. And I'm afraid to try more after the arrhythmia issues last year.
Tex
I wouldn't be surprised if it was at least a contributing factor in that issue but there are probably other causes as well. Unfortunately I don't know enough about heart issues to consider myself even close to being an authority. I'm just another patient. All I know is that at 300 mg of magnesium glycinate, my heart does well and checks out fine. I've tried getting by on less, but the leg cramps eat me alive. And I'm afraid to try more after the arrhythmia issues last year.
Tex
It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
Tex,
Thanks for the very detailed answer! That is too bad to hear that you unknowingly were consuming less than expected for so long. Unbelievable that these drug and vitamin companies can get away with such misrepresentation. I'm glad they were caught and reprimanded, but they can't pay back people's health and time.
I am also sorry to hear you suffered from a stroke after trying to make up for lost time without proper supplementation. Glad you cured the RBBB along the way, but such stories as these definitely heed caution. I will duly note your advice, especially considering I am particularly sensitive to any medications or supplements. I usually end up taking anything for short periods of time before quitting due to my low tolerance for anything in a pill form it seems. However, I'd like to stick with the magnesium as it was recommended by the nuerologist, physical therapist (going for vestibular rehabiliation due to the vertigo which has since been mostly alleviated), and given your success story for the branch block.
I am currently taking Pure Encapsulations magnesium glycinate @120mg/pill. My family doc, who I don't get them through, said they're supposedly pharmaceutical grade. Who knows, but they sure seem potent. I've tried taking 2 to 4 at a time and felt lightheaded and slightly spaced out. I have since opted to take only 1 at time with food, no more frequently than 6-8 hours spaced out at a time. So currently consuming 240 - 480mg/day.
Does magnesium at this level build up in the body over time? I ask because I also think I feel the slightest of arrhythmias at times after taking it. This could be placebo or perhaps my body becoming accustomed to it, but after hearing your story, I may cut back slightly or work my way up slower. Alas, I realize you probably need a higher dose to cure something like a bundle branch block. All food for thought going forward, but I'll take it slow given your experience. Glad to hear you've found a safe amount that works for you over time.
I previously failed to mention they did a test (not sure which one or the specific results) at the ER for my magnesium level. I had chugged two large Orange Juices and ate a small fry from McDonald's on my way to the hospital, shortly before they drew the blood. Not sure if this would've thrown off test, but all they said was that my magnesium level was normal. However, given my symptoms, I'm don't know how much weight to give this. Perhaps I can look into getting the details of the test and get back to you on that.
Thanks again for taking the time!
Cheers,
Mike
Thanks for the very detailed answer! That is too bad to hear that you unknowingly were consuming less than expected for so long. Unbelievable that these drug and vitamin companies can get away with such misrepresentation. I'm glad they were caught and reprimanded, but they can't pay back people's health and time.
I am also sorry to hear you suffered from a stroke after trying to make up for lost time without proper supplementation. Glad you cured the RBBB along the way, but such stories as these definitely heed caution. I will duly note your advice, especially considering I am particularly sensitive to any medications or supplements. I usually end up taking anything for short periods of time before quitting due to my low tolerance for anything in a pill form it seems. However, I'd like to stick with the magnesium as it was recommended by the nuerologist, physical therapist (going for vestibular rehabiliation due to the vertigo which has since been mostly alleviated), and given your success story for the branch block.
I am currently taking Pure Encapsulations magnesium glycinate @120mg/pill. My family doc, who I don't get them through, said they're supposedly pharmaceutical grade. Who knows, but they sure seem potent. I've tried taking 2 to 4 at a time and felt lightheaded and slightly spaced out. I have since opted to take only 1 at time with food, no more frequently than 6-8 hours spaced out at a time. So currently consuming 240 - 480mg/day.
Does magnesium at this level build up in the body over time? I ask because I also think I feel the slightest of arrhythmias at times after taking it. This could be placebo or perhaps my body becoming accustomed to it, but after hearing your story, I may cut back slightly or work my way up slower. Alas, I realize you probably need a higher dose to cure something like a bundle branch block. All food for thought going forward, but I'll take it slow given your experience. Glad to hear you've found a safe amount that works for you over time.
I previously failed to mention they did a test (not sure which one or the specific results) at the ER for my magnesium level. I had chugged two large Orange Juices and ate a small fry from McDonald's on my way to the hospital, shortly before they drew the blood. Not sure if this would've thrown off test, but all they said was that my magnesium level was normal. However, given my symptoms, I'm don't know how much weight to give this. Perhaps I can look into getting the details of the test and get back to you on that.
Thanks again for taking the time!
Cheers,
Mike
Mike,
IBDs deplete magnesium, (so do corticosteroids and a lot or other meds, coffee, and various things) so it's unlikely that you would be able to create a long-term buildup at that dosage. It's possible that your diet might be high in magnesium, except that we have to avoid many of the high-magnesium foods, especially when we are recovering. Normally, most people's diets are magnesium deficient these days.
Here's the situation on testing for magnesium:
The serum magnesium tests that doctors usually order are next to useless because they are so inaccurate. You can get an RBC (red blood cell) test for magnesium that is not ideal, but it's far better than the serum test that doctors usually order by default. But you'll have to interpret the results yourself.
The reason why the serum test is almost useless is because it measures magnesium in the bloodstream even though the blood contains only about 1 to 2 % of the total magnesium in the body and that amount is closely regulated because magnesium is a vital electrolyte. The so-called "normal" range for magnesium is just plain wrong. Why? Because approximately 80 % of the subjects in that study were magnesium deficient, so the "normal" range for magnesium is based on corrupt data. I agree with Dr. Carolyn Dean who says that the correct normal range for the RBC test should be at least 6.0–6.5 mg/dL. Most labs show the "normal" range as 3.9-5.8 mg/dL. Here's a reference:
Magnesium RBC Blood Test
A more accurate magnesium blood test is a test known as the ionized magnesium test. But unfortunately this test is not available to most people because it is only available at a few select locations.
The most accurate magnesium test of all is known as an EXA test. EXA stands for Energy Dispersive X-Ray Analysis. This test is based on tissue samples scraped from the mouth. But similar to the ionized magnesium test, finding a physician or a lab set up to do the EXA test is likely to be difficult. Consequently, the most practical magnesium test is the RBC magnesium test. And as I mentioned, you will probably need to interpret the results yourself because the listed "normal" range is too low.
The main problem with the serum magnesium test is that it will always show normal levels of magnesium unless most of your cells are dangerously low on magnesium and you haven't ingested any magnesium. Your body can be out of magnesium, but if you have ingested any lately, a serum test will still show a "normal" level. The only reason why my serum test showed a low result was because I was so sick I couldn't eat breakfast that day so I didn't take any pills, either. If I had eaten anything, that test result would have been normal and I would have never suspected my magnesium level.
I hope this helps.
Tex
IBDs deplete magnesium, (so do corticosteroids and a lot or other meds, coffee, and various things) so it's unlikely that you would be able to create a long-term buildup at that dosage. It's possible that your diet might be high in magnesium, except that we have to avoid many of the high-magnesium foods, especially when we are recovering. Normally, most people's diets are magnesium deficient these days.
Here's the situation on testing for magnesium:
The serum magnesium tests that doctors usually order are next to useless because they are so inaccurate. You can get an RBC (red blood cell) test for magnesium that is not ideal, but it's far better than the serum test that doctors usually order by default. But you'll have to interpret the results yourself.
The reason why the serum test is almost useless is because it measures magnesium in the bloodstream even though the blood contains only about 1 to 2 % of the total magnesium in the body and that amount is closely regulated because magnesium is a vital electrolyte. The so-called "normal" range for magnesium is just plain wrong. Why? Because approximately 80 % of the subjects in that study were magnesium deficient, so the "normal" range for magnesium is based on corrupt data. I agree with Dr. Carolyn Dean who says that the correct normal range for the RBC test should be at least 6.0–6.5 mg/dL. Most labs show the "normal" range as 3.9-5.8 mg/dL. Here's a reference:
Magnesium RBC Blood Test
A more accurate magnesium blood test is a test known as the ionized magnesium test. But unfortunately this test is not available to most people because it is only available at a few select locations.
The most accurate magnesium test of all is known as an EXA test. EXA stands for Energy Dispersive X-Ray Analysis. This test is based on tissue samples scraped from the mouth. But similar to the ionized magnesium test, finding a physician or a lab set up to do the EXA test is likely to be difficult. Consequently, the most practical magnesium test is the RBC magnesium test. And as I mentioned, you will probably need to interpret the results yourself because the listed "normal" range is too low.
The main problem with the serum magnesium test is that it will always show normal levels of magnesium unless most of your cells are dangerously low on magnesium and you haven't ingested any magnesium. Your body can be out of magnesium, but if you have ingested any lately, a serum test will still show a "normal" level. The only reason why my serum test showed a low result was because I was so sick I couldn't eat breakfast that day so I didn't take any pills, either. If I had eaten anything, that test result would have been normal and I would have never suspected my magnesium level.
I hope this helps.
Tex
It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
Hi all, I’m really enjoying this thread. I just received the results of my magnesium level test- the reference range was 4.8-6.4. My level is 6.5, after taking 400-500mg for 7-8 months. I realized last week that I’m no longer having heart palpations and I had had them daily/ nightly for the past year. I thought maybe the palpitations were a side effect of Dexilant, which I titrated off of 5-6 months ago and switched to ranitidine. But maybe they were also a feature of magnesium deficiency which is now resolved. I don’t know- but clearly something changed for the better.
Thank you all for sharing your experiences with magnesium supplementation.
Carol
Thank you all for sharing your experiences with magnesium supplementation.
Carol
“.... people will forget what you said, people will forget what you did, but people will never forget how you made them feel.” Maya Angelou