title: Asymmetric dimethylarginine concentration and early recurrence of atrial fibrillation after electrical cardioversion.
abstract: BACKGROUND
  The purpose of this study was to determine whether high asymmetric dimethylarginine (ADMA) levels could predict early recurrence of atrial fibrillation (AF) after successful electrical cardioversion (CV).
  
  
  METHODS
  Seventy patients with persistent AF, but without known heart disease, who underwent elective electrical CV were enrolled. Blood samples for ADMA determination were drawn from all patients just before the CV.
  
  
  RESULTS
  The study population comprised 64 patients (men 73%, age 62.56 +/- 7.72 years, duration of AF 6.00 +/- 1.90 months) in whom sinus rhythm was restored. After 1-month follow-up, 30 (47%) patients had recurrence of AF. The median ADMA concentration was significantly higher in patients with AF recurrence (1.93 micromol/L vs 1.43 micromol/L; P = 0.001). AF recurrence was associated with higher pre-CV ADMA levels (odds ratio [OR]= 4.20; 95% confidence interval [CI], 1.44-12.22; P = 0.001). On multivariate analysis, ADMA was the only independent predictor of arrhythmia recurrence (OR = 4.19; 95%CI, 1.12-15.77; P = 0.034).
  
  
  CONCLUSIONS
  Our data suggest that high levels of ADMA are associated with an increased risk of AF recurrence within 1 month after electrical CV, supporting the hypothesis that ADMA might participate in the process of atrial remodeling.
authors.affiliation: Department of Cardiology, the First Affiliated Hospital, Harbin Medical University, Heilongjiang, People's Republic of China.
authors.forename: Wei
authors.initials: W
authors.lastname: Xia
authors.forename: Xiufen
authors.initials: X
authors.lastname: Qu
authors.forename: Yang
authors.initials: Y
authors.lastname: Yu
authors.forename: Xueli
authors.initials: X
authors.lastname: Zhang
authors.forename: Wei
authors.initials: W
authors.lastname: Feng
authors.forename: Ying
authors.initials: Y
authors.lastname: Song
mesh_terms: D000368:Aged; D001120:Arginine / Q000031:analogs & derivatives* / Q000097:blood; D001281:Atrial Fibrillation / Q000097:blood / Q000175:diagnosis* / Q000517:prevention & control*; D015415:Biomarkers / Q000097:blood; D004554:Electric Countershock; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D015203:Reproducibility of Results; D055502:Secondary Prevention; D012680:Sensitivity and Specificity; D016896:Treatment Outcome
chemical_list: D015415:Biomarkers; C018524:N,N-dimethylarginine; D001120:Arginine