• Int. J. Cardiol. · Sep 2016

    Randomized Controlled Trial

    Electrocardiographic and blood pressure effects of energy drinks and Panax ginseng in healthy volunteers: A randomized clinical trial.

    • Sachin A Shah, Andrew Occiano, Tinh An Nguyen, Amanda Chan, Joseph C Sky, Mouchumi Bhattacharyya, Kate M O'Dell, Allen Shek, and Nancy N Nguyen.
    • University of the Pacific, Thomas J. Long School of Pharmacy and Health Sciences, Stockton, CA, United States. Electronic address: sshah@pacific.edu.
    • Int. J. Cardiol. 2016 Sep 1; 218: 318-323.

    BackgroundEnergy drink usage has been linked to emergency room visits and deaths. The objective of the study is to assess the electrocardiographic and blood pressure effects of energy drinks, Panax ginseng and placebo in healthy individuals.MethodsThis was a randomized, double blinded, placebo controlled, crossover study. Young healthy volunteers with no comorbid conditions consumed 32oz of an energy drink, control drink with 800mg of Panax ginseng or matching placebo-control drink over 45min. Primary endpoints were QTc interval and systolic blood pressure. Secondary endpoints included QT interval, PR interval, QRS duration, heart rate, and diastolic blood pressure. All endpoints were assessed at baseline, 1, 2, 3.5, and 5.5h.ResultsA significant increase in QTc interval 2h post energy drink consumption was evident when compared to placebo (3.37±10.7ms and -3.19±11.8ms respectively; p=0.030). Similarly, systolic blood pressure 2h post energy drink consumption increased when compared to placebo (2.00±6.37mmHg and -2.67±5.83mmHg respectively; p=0.014). The PR interval significantly reduced over a 2h period post energy drink use in a clinically non-meaningful manner. Heart rate at 2h was not significantly higher in the energy drink group when compared to others. The QT interval, QRS interval and diastolic blood pressure were not impacted at any time point.ConclusionsCertain energy drinks consumed at a high volume significantly increase the QTc interval and systolic blood pressure by over 6ms and 4mmHg respectively. Panax ginseng does not have a significant impact on ECG or blood pressure parameters.Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

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