Eighteen patients with bronchial asthma were studied in a single-blind
fashion. Each patient received an infusion of magnesium sulfate (MgSO
4.7H2O 50% W/V) in a dose equivalent to 10 mmol of elemental magnesium
. The airways resistance showed a significant decrease (p < 0.01) whil
e SGaw increased significantly (p < 0.001) with MgSO4 infusion. FEV1 (
p < 0.01), FEF25-75% (p < 0.05), and V50 (p < 0.05) also showed statis
tically significant increase (p < 0.001) with MgSO4 infusion. Signific
ant changes in Raw (p < 0.01) and SGaw (p < 0.01) persisted at 10 and
20 min following MgSO4 infusion. No significant side effects were obse
rved with MgSO4 infusion. It is concluded that modest improvement in a
irways resistance and specific conductance and only small improvement
in maximal expiratory flow rates is consistent with a predominant effe
ct of MgSO4 on large airways in patients with bronchial asthma.