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Association between ABO Blood Group and Risk of Congenital Heart Disease: A 6-year large cohort study
Bailing Zu1, Guoling You2, Qihua Fu2
1Department of Laboratory Medicine, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China.
Insights
Individuals with blood group A have a reduced risk of developing isolated congenital heart disease (CHD). This finding suggests ABO blood group may serve as a potential marker for CHD risk assessment.
Area of Science:
- Cardiovascular Research
- Genetics and Genomics
- Public Health
Background:
- The ABO blood group is linked to coronary heart disease, but its association with congenital heart disease (CHD) remains unclear.
- Previous studies on ABO blood group and CHD risk have yielded inconsistent results.
- Understanding these associations can aid in identifying individuals at higher risk for CHD.
Purpose of the Study:
- To investigate the potential relationship between ABO blood group and the risk of congenital heart disease (CHD).
- To evaluate ABO blood group as a potential predictive marker for CHD.
- To analyze the association of ABO blood group with specific CHD subgroups.
Main Methods:
- A large cohort study involving 39,042 consecutive inpatients (19,795 with CHD and 19,247 controls).
- Multivariable logistic regression analysis was employed to assess the roles of ABO blood group, gender, and Rh factor in CHD risk.
- Stratification analysis, adjusted for gender, was used to examine associations between ABO blood group and CHD subgroups.
Main Results:
- Individuals with blood group A showed a decreased risk for isolated CHD (OR 0.82; 95% CI, 0.78-0.87) in the overall cohort analysis.
- This finding was consistently replicated in independent subgroup analyses.
- No significant associations were found for other blood groups or non-isolated CHD.
Conclusions:
- ABO blood group, specifically blood group A, may play a role in the risk of developing isolated congenital heart disease.
- The ABO blood group could potentially serve as a novel, non-invasive marker for CHD risk stratification.
- Further research is warranted to confirm these findings and elucidate the underlying mechanisms.
Abstract:
ABO blood group, except its direct clinical implications for transfusion and organ transplantation, is generally accepted as an effect factor for coronary heart disease, but the associations between ABO blood group and congenital heart disease (CHD) are not coherent by previous reports. In this study, we evaluated the the potential relationship between ABO blood group and CHD risk. In 39,042 consecutive inpatients (19,795 CHD VS 19,247 controls), we used multivariable logistic regression to evaluate the roles of ABO blood group, gender, and RH for CHD. The associations between ABO blood group and CHD subgroups, were further evaluated using stratification analysis, adjusted by gender. A blood group demonstrated decreased risk for isolated CHD (OR 0.82; 95% CI, 0.78-0.87) in individuals with A blood group in the overall cohort analysis, and the finding was consistently replicated in independent subgroup analysis. ABO blood group may have a role for CHD, and this novel finding provides ABO blood group as a possible marker for CHD, but more studies need to be done.
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