Abstract
Aim:The aim of study was to: 1) examine the relationship between ABO blood groups and extent of coronary atherosclerosis in patients with chronic coronary artery disease (CAD), 2) compare ABO blood groups distribution in CAD patients and general population, 3) examine possible differences in traditional risk factors frequency in CAD patients with different ABO blood groups.Materials and methods:In the 646 chronic CAD patients (72.4% males) coronary angiograms were scored by quantitative assessment using multiple angiographic scoring system, Traditional risk factors were self reported or measured by standard methods. ABO blood distribution of patients was compared with group of 651 healthy blood donors (74.6% males).Results:Among all ABO blood group patients there was no significant difference between the extent of coronary atherosclerosis with regard to all the three scoring systems: number of affected coronary arteries (P = 0.857), Gensini score (P = 0.818), and number of segments narrowed > 50% (P = 0.781). There was no significant difference in ABO blood group distribution between CAD patients and healthy blood donors. Among CAD patients, men with blood group AB were significantly younger than their pairs with non-AB blood groups (P = 0.008). Among CAD patients with AB blood group, males < 50 yrs were significantly overrepresented when compared with the non-AB groups (P = 0.003).Conclusions:No association between ABO blood groups and the extent of coronary atherosclerosis in Croatian CAD patients is observed. Observation that AB blood group might possibly identify Croatian males at risk to develop the premature CAD has to be tested in larger cohort of patients.
Highlights
Several studies have suggested the possibility of ABO blood groups antigens to participate in pathogenesis of CAD
We aimed to investigate the relationship between ABO blood groups and the extent of coronary atherosclerosis in patients with chronic CAD using multiple angiographic scoring system
There was no significant difference in ABO group distribution between the group of CAD patients and healthy blood donors (Figure 1)
Summary
Atherosclerosis is a chronic inflammatory process in which initiation and progression involve many cell types, such as: platelets, endothelial cells, monocytes, macrophages, and smooth muscle cells [7]. Along with their expression on red blood cells, ABO antigens are highly expressed on the surface of endothelial cells and platelets [8]. Blood group antigens are presented on key receptors controlling cell proliferation, adhesion, and motility [9]
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