Abstract | BACKGROUND: METHODS: We enrolled 281 patients with suspected CAD undergoing coronary angiogram. Angiographic CAD severity was evaluated by Bogaty score. In patients with angiographic evidence of at least one intermediate coronary stenosis (≥50% diameter stenosis), functional significance was assessed by fractional flow reserve (FFR). Blood samples were collected in all patients prior to coronary angiography for measurement of serum ADMA levels. RESULTS: We observed across tertiles of ADMA levels increasingly higher values of both Stenosis Score (2.25±1.70 vs. 2.89±1.99 vs. 2.95±1.82, p=0.016) and Extent Index (0.52±0.32 vs. 0.61±0.39 vs. 0.72±0.47, p=0.003). The association between ADMA levels and Extent Index remained significant after multivariate adjustment (p=0.005). Patients with FFR ≤0.80 in at least one vessel (n=113) had significantly higher ADMA levels compared with patients without functionally significant CAD (0.51 [0.43-0.64] vs. 0.46 [0.39-0.58]μmol/L, p=0.005). Serum ADMA levels were independent predictors of abnormal FFR after adjustment for extent score (odds ratio 7.35, 95% confidence interval 1.05-56.76, p=0.046). CONCLUSIONS:
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Authors | Fabio Mangiacapra, Micaela Conte, Chiara Demartini, Olivier Muller, Leen Delrue, Karen Dierickx, Germano Di Sciascio, Bruno Trimarco, Bernard De Bruyne, William Wijns, Jozef Bartunek, Emanuele Barbato |
Journal | International journal of cardiology
(Int J Cardiol)
Vol. 220
Pg. 629-33
(Oct 01 2016)
ISSN: 1874-1754 [Electronic] Netherlands |
PMID | 27391005
(Publication Type: Journal Article)
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Copyright | Copyright © 2016 Elsevier Ireland Ltd. All rights reserved. |
Chemical References |
- Biomarkers
- N,N-dimethylarginine
- Arginine
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Topics |
- Aged
- Aged, 80 and over
- Arginine
(analogs & derivatives, blood)
- Biomarkers
(blood)
- Coronary Angiography
(methods)
- Coronary Artery Disease
(blood, diagnostic imaging)
- Female
- Humans
- Male
- Middle Aged
- Severity of Illness Index
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