Relationship between severity of CHD and risk of cardiovascular events in a population with different ABO blood types
Dong Qiuting
Zhang Yan
Li Sha
Gao Ying
Zhu Chenggang
Wu Naqiong
Guo Yuanlin
Dong Qian
Liu Geng
Li Jianjun
Abstract:Objective To study the relationship of different ABO blood types with the risk of cardiovascular events and the severity of CHD.Methods A total of coronary arteriography-confirmed 3823 Chinese Han CHD patients were divided into O blood type group (n=1140) and non-O blood type group (n=2683).A total of 3654 patients who were followed up by telephone for a median period of 24.6 months were divided into cardiovascular events group (n=348) and cardiovascular events-free group (n =3306).The risk of cardiovascular events in CHD patients with different ABO blood types was assessed according to the Cox proportional hazards model.Results The incidence of left main branch lesion or 3-branch lesions was significantly higher in cardiovascular events group than in cardiovascular events-free group (15.2% vs 8.1%,47.7% vs 30.5%,P<0.01).The Gensini score was significantly higher in non-O blood type group than in O blood type group (20 vs 18,P<0.05).The incidence of cardiovascular events was higher in non-O blood type group than in O blood type group (10.3% vs 7.8%,P=0.019).Cox proportional hazards model showed that non-O blood type was an risk factor for cardiovascular events (HR =1.318,95 %CI:1.030-1.685).The risk of cardiovascular events was still higher in non-O blood type group than in O blood type group after adjustment for confounders (HR=1.291,95%CI:1.008-1.657,P=0.046).Conclusion Non-O blood type is closely related with cardiovascular events in Chinese Han CHD patients.
Keywords:coronary diseasecoronary angiographyatherosclerosisABO blood-group system
Publication Date:2018-01-01
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:4( 363-366 )