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Condition

Eisenmenger Syndrome

Eisenmenger syndrome is a complication of an untreated large hole in the heart, where years of extra blood flow stiffen the lung vessels until pressure rises and oxygen-poor blood crosses into the body's circulation. Iron is rated moderate for this condition and citrulline limited, and small studies of citrulline found blood pressure came down. Those studies involved only about 25 people in total, so the findings are early.

Sources: PMID 31889969; PMID 21154265

Supplements studied
1
Graded outcomes
1
Trials
1
People studied
25

Evidence by supplement

  • Strong
  • Moderate
  • Limited
  • Very limited

1 supplement

Citrulline: outcomes studied for Eisenmenger Syndrome
GradeOutcomeEffectSizeStudiesPeopleStudies list
Blood Pressure

Small Improvement

Improves (the measure goes down)Small effect7 studies25 people
Exercise CapacityImproves (the measure goes up)25 people

Key findings

  • Blood PressureCitrullineImproves (the measure goes down)

The Eisenmenger Syndrome Supportive Care protocol

1 primary supplement · 5 supporting supplements

  • IronBased on iron studies - guided by pulmonary hypertension specialist (target ferritin >50 ng/mL)

See the full protocol

Studies cited

7 studies from PubMed

  1. Nitric oxide precursors and congenital heart surgery: a randomized controlled trial of oral citrullineJ Thorac Cardiovasc Surg · PMID 16798303
  2. Oral l-citrulline malate in patients with idiopathic pulmonary arterial hypertension and Eisenmenger Syndrome: a clinical trialJ Cardiol · PMID 24525046
  3. Acute Effects of Citrulline Malate Supplementation on Nocturnal Blood Pressure Dipping After Exercise in Hypertensive Patients: A Randomized, Placebo-Controlled Trial.J Diet Suppl · PMID 39385595
  4. Inter-Individual Responses to Citrulline Malate Oral Supplementation on Post-Exercise Hypotension in Hypertensives: A 24-Hour AnalysisArq Bras Cardiol · PMID 31291417
  5. Effect of L-arginine or L-citrulline oral supplementation on blood pressure and right ventricular function in heart failure patients with preserved ejection fractionCardiol J · PMID 21154265
  6. Improvement of ventricular function in systolic heart failure patients with oral L-citrulline supplementationCardiol J · PMID 23224924
  7. Effect of oral L-citrulline on brachial and aortic blood pressure defined by resting status: evidence from randomized controlled trialsNutr Metab · PMID 31889969