Review Article

Nitric Oxide Bioavailability in Obstructive Sleep Apnea: Interplay of Asymmetric Dimethylarginine and Free Radicals

Table 1

ADMA as a cardiovascular risk marker in some cardiovascular clinical studies.

CVDAMDA levels (mol/L)ResultReference

Stable CAD>0.62 (highest quartile)3.9-fold increased risk of acute coronary disease[58]
MI1.45 (median range of the highest tertile)ADMA predicts mortality after MI[59]
CHF>2.5 (highest tertile)High ADMA levels are associated with cardiac decompensation and major adverse cardiovascular events[60]
AF>0.63 (cut-off value)High ADMA levels predict AF recurrence after catheter ablation[52]
Ischemic stroke>1.43 (above 90th percentile)High ADMA levels are associated with increased risk of stroke in old patients and in patients with hyperhomocysteinemia [54]

ADMA: asymmetric dimethylarginine; AF: atrial fibrillation; CAD: coronary artery disease; CHF: congestive heart failure; MI: myocardial infarction.