Research Article

Omega-3 Status and the Relationship between Plasma Asymmetric Dimethylarginine and Risk of Myocardial Infarction in Patients with Suspected Coronary Artery Disease

Table 1

Baseline characteristics of participants by quartiles and in the upper decile of plasma ADMA concentration1.

QuartilesUpper decile
1234
0.46 (0.10, 0.50)0.54 (0.50, 0.59)0.63 (0.59, 0.70)0.80 (0.70, 1.71) trend20.89 (0.82, 1.71)

Male sex, (%)287 (83.9)261 (77.0)249 (72.8)222 (65.1)<0.00190 (66.2)
Age (years), mean (±SD)58 (±9.7)61 (±9.7)62 (±10.7)64 (±11.0)<0.00165.5 (±11.2)
BMI (kg/m2), mean (±SD)27.1 (±3.55)26.6 (±3.51)26.4 (±4.15)26.5 (±3.84)0.0226.3 (±4.08)
Fasting, (%)344 (14.2)58 (18.5)53 (16.0)32 (9.5)0.0510 (7.4)

Cardiovascular history, (%)

Previous AMI130 (38.0)143 (42.2)130 (38.0)150 (44.0)0.2062 (45.6)
Previous CBV12 (3.5)18 (5.3)28 (8.2)28 (8.2)0.1115 (11.0)
Previous PVD30 (8.8)25 (7.4)34 (9.9)47 (13.8)0.0923 (16.9)
Previous PCI80 (23.4)63 (18.6)43 (12.6)53 (15.5)0.0122 (16.2)
Previous CABG32 (9.4)41 (12.1)36 (10.5)25 (7.3)0.0514 (10.3)

Cardiovascular risk factors, (%)

Hypercholesterolemia4212 (65.2)199 (61.8)189 (58.2)155 (49.8)<0.00148 (40.0)
Hypertension154 (45.0)159 (46.9)163 (47.7)174 (51.0)0.8771 (52.2)
Impaired LVEF540 (11.7)31 (9.1)35 (10.2)45 (13.2)0.4518 (13.2)
Diabetes641 (12.0)38 (11.2)29 (8.5)32 (9.4)0.0412 (8.8)
Current smoker118 (34.5)113 (33.3)123 (36.0)103 (30.2)0.2241 (30.1)
Ex-smoker249 (72.8)254 (74.9)251 (73.6)267 (78.3)0.8658 (42.6)
Never smoked74 (22.5)94 (27.7)78 (22.9)101 (29.6)0.3137 (27.2)
Family history of CAD7123 (36.4)112 (33.3)114 (34.0)86 (25.8)0.0234 (25.4)

Clinical diagnosis before BCA, n (%)

Stable angina pectoris288 (84.2)318 (93.8)330 (96.5)337 (98.8)<0.001135 (99.3)
Acute coronary syndrome54 (15.8)21 (6.2)12 (3.5)4 (1.2)<0.0011 (0.7)

Extent of CAD at BCA, n (%)

No significant CAD15 (4.4)8 (2.4)55 (16.1)84 (24.6)<0.00133 (24.3)
1 vessel disease112 (32.7)118 (34.8)83 (24.3)55 (16.1)<0.00116 (11.8)
2 vessel disease107 (31.3)99 (29.2)88 (25.7)65 (19.1)<0.00125 (18.4)
3 vessel disease98 (28.7)102 (30.1)97 (28.4)106 (31.1)0.2951 (37.5)

Medication following BCA, n (%)

Acetylsalicylic acid318 (93.0)314 (92.6)277 (81.0)266 (78.0)<0.001106 (77.9)
Statins306 (89.5)299 (88.2)264 (77.2)238 (69.8)<0.00183 (61.0)
β-blockers270 (79.2)271 (79.9)241 (70.5)240 (70.6)0.00189 (65.4)
ADP receptor blocker132 (38.6)97 (28.6)56 (16.4)37 (10.9)<0.00115 (11.0)
Anticoagulants (warfarin)4 (1.2)8 (2.4)21 (6.1)23 (6.7)<0.0015 (3.7)
ACE inhibitors61 (17.8)64 (18.9)62 (18.1)85 (24.9)0.0843 (31.6)
Angiotensin II receptor antagonist41 (12.0)37 (10.9)22 (6.4)34 (10.0)0.0613 (9.6)
Loop diuretics22 (6.4)29 (8.6)34 (9.9)60 (17.6)0.00128 (20.6)

CR following BCA, n (%)

PCI214 (62.6)193 (56.9)140 (40.9)91 (26.7)<0.00137 (27.2)
CABG51 (14.9)53 (15.6)61 (17.8)64 (18.8)0.3429 (21.3)

ACE: angiotensin converting enzyme; ADP: adenosine diphosphate; BCA: baseline coronary angiography; BMI: body mass index; CABG: coronary artery bypass graft surgery; CAD: coronary artery disease; CBV: cerebrovascular disease; CR: coronary revascularization; LVEF: left ventricular ejection fraction; PCI: percutaneous coronary intervention; PVD: peripheral vascular disease.
1Median (range) plasma ADMA concentrations (μmol/L) are presented.
2P trend by linear (for continuous variables) and logistic (for binary variables) adjusting for age (continuous) and sex.
3Not having ingested any food 6 hours prior to blood samples were collected.
4≥6.5 mmol/L.
5<50%.
6Includes diabetes type 1 and 2.
7Includes those reporting to have at least one 1st degree relative suffering from CAD before the age of 55 for men and 65 for women.