“…Our results do not allow any speculation on the mechanisms underlying the favorable effect of Larginine on CR induced improvement in physical capacity. However, AMI leads to endothelial dysfunction with inflammation and oxidative stress, contributing to physical impairment, hospitalizations, and mortality (Odegaard et al, 2016;Steven et al, 2019;Kibel et al, 2020;Mone et al, 2021;Tang et al, 2021;Thompson et al, 2021). In this scenario, adding L-Arginine in a post-AMI cohort is supported by a strong rationale, inasmuch as L-Arginine, among its pleiotropic effects, has been shown to counteract endothelial dysfunction, inflammation, and oxidative stress (Mabalirajan et al, 2010;van der Zwan et al, 2011;Hong et al, 2018;Qiu et al, 2019;Fiorentino et al, 2021).…”