Magnesium plays an important role in maintaining the structural and fu
nctional integrity of the cardiovascular system. Its influence on card
iac ion channels has immense clinical implications and is the subject
of several incisive investigations. Magnesium deficiency may lead to a
wide spectrum of vascular and cardiac complications. This article rev
iews evidence that magnesium deficiency promotes hypercoagulability of
blood, atherogenesis, vasoconstriction, cardiac arrhythmias and cardi
ac muscle damage. Mechanisms underlying these effects are briefly disc
ussed. Further, it is proposed that the myocardial lesions of chronic
magnesium deficiency may result from recurrent episodes of mild ischae
mia and reperfusion and consequent free-radical generation.