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[Association between ABO blood group and acute myocardial infarction]
Xiaoying Hu1, Shubin Qiao2, Hong Qiu1
1Department of Cardiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China.
Insights
Non-O blood groups, including A, B, and AB, are linked to a higher risk of acute myocardial infarction (AMI) in Chinese individuals. Blood group O appears to be protective against AMI in this population.
Area of Science:
- Cardiovascular Medicine
- Hematology
- Epidemiology
Background:
- The ABO blood group system is a well-established human genetic trait.
- Associations between blood groups and various diseases, including cardiovascular conditions, have been investigated.
Purpose of the Study:
- To investigate the relationship between ABO blood group types and the risk of myocardial infarction (MI) among the Chinese population.
- To determine if specific blood groups are associated with an increased susceptibility to acute myocardial infarction (AMI).
Main Methods:
- A retrospective study involving 1,988 patients diagnosed with acute myocardial infarction (AMI) and 1,856 control subjects without coronary artery disease (non-CAD).
- Analysis of clinical characteristics and ABO blood group distribution in both AMI and non-CAD groups.
- Logistic regression analysis was performed after adjusting for cardiovascular risk factors.
Main Results:
- Blood group O was observed to be more prevalent in the non-CAD group compared to the AMI group (P=0.06).
- Individuals with blood groups A, B, and AB showed an increased risk of AMI compared to blood group O.
- Blood groups A (OR=1.229) and B (OR=1.214) demonstrated a statistically significant association with increased AMI risk.
- The non-O blood group, as a whole, was significantly associated with a higher risk of AMI (OR=1.223) after logistic regression.
Conclusions:
- Non-O blood groups (A, B, and AB) are associated with an elevated risk of developing acute myocardial infarction (AMI).
- Blood group O may confer a protective effect against AMI in the studied Chinese population.
Objective:
To explore the association between the ABO blood group and the risk of myocardial infarction in Chinese people.
Methods:
We retrospectively recruited 1 988 consecutive patients with acute myocardial infarction (AMI) and 1 856 non-coronary artery disease (non-CAD) subjects who hospitalized in our hospital between January 2013 and December 2013. The clinical features and ABO blood group were analyzed.
Results:
Blood group distribution was A (27.1%, 539/1 988), B (34.4%, 684/1 988), AB (10.8%, 215/1 988), O (27.7%, 551/1 988) in patients with AMI and A (26.7%, 496/1 856), B(32.2%, 598/1 856), AB(10.8%, 200/1 856), O (30.4%, 564/1 856) in non-CAD group. The single factor analysis showed that blood group O tended to be more common in the non-CAD group than in AMI group (P = 0.06). After adjustment for common cardiovascular risk factors such as age, gender, hypertension, diabetes, smoking and serum cholesterol level, the A, B, and AB blood groups were associated with increased risk of AMI compared with O blood group, and the difference was significant with A blood group (OR = 1.229, 95% CI 1.019-1.482, P = 0.031) and B blood groups (OR = 1.214, 95% CI 1.017-1.449, P = 0.032). In addition, non-O blood group remained significantly associated with the increased risk of AMI than O blood group after logistic regression analysis (OR = 1.223, 95% CI 1.048-1.426, P = 0.01).
Conclusion:
Our results suggest that non-O blood group is associated with the increased risk of AMI.
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