title: [Asymmetric dimethylarginine: predictor of cardiovascular diseases?].
abstract: Cardiovascular diseases are the most common diseases worldwide. They are responsible for one third of global deaths and they are the leading cause of disability, too. The usage of different levels of prevention in combination with effective risk assessment improved these statistical data. Risk assessment based on classic risk factors has recently been supported with several new markers, such as asymmetric dimethylarginine, which is an endogenous competitive inhibitor of nitric oxide synthase. Elevated levels of asymmetric dimethylarginine have been reported in obese, smoker, hypercholesterolemic, hypertensive and diabetic patients. According to previous studies, asymmetric dimethylarginine is a suitable indicator of endothelial dysfunction, which is held to be the preceding condition before atherosclerosis. Several researches found positive correlation between higher levels of asymmetric dimethylarginine and coronary artery disease onset, or progression of existing coronary disease. According to a study involving 3000 patients, asymmetric dimethylarginine is an independent risk factor of cardiovascular mortality in patients with coronary artery disease. This article summarizes the role of asymmetric dimethylarginine in prediction of cardiovascular diseases, and underlines its importance in cardiovascular prevention.
authors.affiliation: Orvosi Népegészségtani Intézet, Pécsi Tudományegyetem, Általános Orvostudományi Kar Pécs, Szigeti út 12., 7624.
authors.forename: Balázs
authors.initials: B
authors.lastname: Németh
authors.affiliation: Klinikai Központ, Laboratóriumi Medicina Intézet, Pécsi Tudományegyetem, Általános Orvostudományi Kar Pécs.
authors.forename: Péter
authors.initials: P
authors.lastname: Kustán
authors.affiliation: Klinikai Központ, Szívgyógyászati Klinika, Pécsi Tudományegyetem, Általános Orvostudományi Kar Pécs.
authors.forename: Ádám
authors.initials: Á
authors.lastname: Németh
authors.affiliation: Klinikai Központ, Szívgyógyászati Klinika, Pécsi Tudományegyetem, Általános Orvostudományi Kar Pécs.
authors.forename: Zsófia
authors.initials: Z
authors.lastname: Lenkey
authors.affiliation: Klinikai Központ, Szívgyógyászati Klinika, Pécsi Tudományegyetem, Általános Orvostudományi Kar Pécs.
authors.forename: Attila
authors.initials: A
authors.lastname: Cziráki
authors.affiliation: Orvosi Népegészségtani Intézet, Pécsi Tudományegyetem, Általános Orvostudományi Kar Pécs, Szigeti út 12., 7624.
authors.forename: István
authors.initials: I
authors.lastname: Kiss
authors.affiliation: Egészségtudományi Kar, Pécsi Tudományegyetem Pécs.
authors.forename: Endre
authors.initials: E
authors.lastname: Sulyok
authors.affiliation: Klinikai Központ, Szívgyógyászati Klinika, Pécsi Tudományegyetem, Általános Orvostudományi Kar Pécs.|Zsigmondy Vilmos Harkányi Gyógyfürdőkórház Harkány.
authors.forename: Zénó
authors.initials: Z
authors.lastname: Ajtay
mesh_terms: D001120:Arginine / Q000031:analogs & derivatives* / Q000097:blood / Q000378:metabolism; D050197:Atherosclerosis / Q000097:blood / Q000175:diagnosis / Q000503:physiopathology; D015415:Biomarkers / Q000097:blood; D002318:Cardiovascular Diseases / Q000097:blood* / Q000175:diagnosis* / Q000503:physiopathology / Q000517:prevention & control; D004730:Endothelium, Vascular / Q000503:physiopathology*; D006801:Humans; D019001:Nitric Oxide Synthase / Q000037:antagonists & inhibitors*; D011237:Predictive Value of Tests; D018570:Risk Assessment; D012307:Risk Factors
chemical_list: D015415:Biomarkers; C487735:dimethylarginine; D001120:Arginine; D019001:Nitric Oxide Synthase
keywords: asymmetric dimethylarginine; aszimmetrikus dimetilarginin; kockázatbecslés; oxidative stress; oxidatív stressz; risk stratification