ABO blood group alleles: A risk factor for coronary artery disease. An angiographic study

Abstract Objectives To analyze the impact of ABO groups on coronary heart disease risk factors, coronary involvement and prognosis. Methods An observational single center study was conducted to examine 4901 consecutive patients with heart disease receiving coronary angiography and ABO group determin...

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Veröffentlicht in:Atherosclerosis 2010-08, Vol.211 (2), p.461-466
Hauptverfasser: Carpeggiani, Clara, Coceani, Michele, Landi, Patrizia, Michelassi, Claudio, L’Abbate, Antonio
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container_end_page 466
container_issue 2
container_start_page 461
container_title Atherosclerosis
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creator Carpeggiani, Clara
Coceani, Michele
Landi, Patrizia
Michelassi, Claudio
L’Abbate, Antonio
description Abstract Objectives To analyze the impact of ABO groups on coronary heart disease risk factors, coronary involvement and prognosis. Methods An observational single center study was conducted to examine 4901 consecutive patients with heart disease receiving coronary angiography and ABO group determination at National Research Council Institute of Clinical Physiology between January 1993 and December 2003, with maximum 10 years follow-up. All-cause death and cardiac death, were the considered end points. Results When compared to the official distribution of ABO groups in the Italian population (O 40%, A 36%, B 17%, AB 7%), a substantially different distribution was observed in the study population (O 43.3%, A 41.4%, B 11.2%, AB 4.1%). In addition, a significant association was found between group non-O and family history of ischemic heart disease, hypercholesterolemia and presence of coronary atherosclerosis. Higher prevalence of A and B alleles was found in patients with myocardial infarction ( P < 0.05). Group non-O was a powerful predictor of cardiac mortality in patients aged
doi_str_mv 10.1016/j.atherosclerosis.2010.03.012
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An angiographic study</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Carpeggiani, Clara ; Coceani, Michele ; Landi, Patrizia ; Michelassi, Claudio ; L’Abbate, Antonio</creator><creatorcontrib>Carpeggiani, Clara ; Coceani, Michele ; Landi, Patrizia ; Michelassi, Claudio ; L’Abbate, Antonio</creatorcontrib><description>Abstract Objectives To analyze the impact of ABO groups on coronary heart disease risk factors, coronary involvement and prognosis. Methods An observational single center study was conducted to examine 4901 consecutive patients with heart disease receiving coronary angiography and ABO group determination at National Research Council Institute of Clinical Physiology between January 1993 and December 2003, with maximum 10 years follow-up. All-cause death and cardiac death, were the considered end points. Results When compared to the official distribution of ABO groups in the Italian population (O 40%, A 36%, B 17%, AB 7%), a substantially different distribution was observed in the study population (O 43.3%, A 41.4%, B 11.2%, AB 4.1%). In addition, a significant association was found between group non-O and family history of ischemic heart disease, hypercholesterolemia and presence of coronary atherosclerosis. Higher prevalence of A and B alleles was found in patients with myocardial infarction ( P &lt; 0.05). Group non-O was a powerful predictor of cardiac mortality in patients aged &lt;65 years, particularly in women (HR 1.53, 95% CI 1.06–2.21 and HR 5.29, 95% CI 1.57–17.82, respectively). Conclusions Group non-O is associated with increased mortality in patients with ischemic heart disease. Group non-O increases the risk for cardiac death in non-elderly patients, particularly in younger females, and groups A and B prevail in myocardial infarction. ABO group determination might aid in genetic screening for ischemic heart disease and become relevant in the management of risk factor control.</description><identifier>ISSN: 0021-9150</identifier><identifier>EISSN: 1879-1484</identifier><identifier>DOI: 10.1016/j.atherosclerosis.2010.03.012</identifier><identifier>PMID: 20371059</identifier><language>eng</language><publisher>Amsterdam: Elsevier Ireland Ltd</publisher><subject>ABO Blood-Group System ; ABO groups ; Age Factors ; Aged ; Alleles ; Angiography - methods ; Atherosclerosis ; Atherosclerosis (general aspects, experimental research) ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Cardiovascular ; Coronary Angiography - methods ; Coronary Artery Disease - blood ; Coronary Artery Disease - diagnosis ; Coronary Artery Disease - genetics ; Coronary atherosclerosis ; Coronary heart disease ; Female ; Follow-Up Studies ; Heart ; Humans ; Italy ; Male ; Medical sciences ; Middle Aged ; Prognosis ; Risk Factors ; Sex Factors</subject><ispartof>Atherosclerosis, 2010-08, Vol.211 (2), p.461-466</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2010 Elsevier Ireland Ltd</rights><rights>2015 INIST-CNRS</rights><rights>Copyright 2010 Elsevier Ireland Ltd. 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An angiographic study</title><title>Atherosclerosis</title><addtitle>Atherosclerosis</addtitle><description>Abstract Objectives To analyze the impact of ABO groups on coronary heart disease risk factors, coronary involvement and prognosis. Methods An observational single center study was conducted to examine 4901 consecutive patients with heart disease receiving coronary angiography and ABO group determination at National Research Council Institute of Clinical Physiology between January 1993 and December 2003, with maximum 10 years follow-up. All-cause death and cardiac death, were the considered end points. Results When compared to the official distribution of ABO groups in the Italian population (O 40%, A 36%, B 17%, AB 7%), a substantially different distribution was observed in the study population (O 43.3%, A 41.4%, B 11.2%, AB 4.1%). In addition, a significant association was found between group non-O and family history of ischemic heart disease, hypercholesterolemia and presence of coronary atherosclerosis. Higher prevalence of A and B alleles was found in patients with myocardial infarction ( P &lt; 0.05). Group non-O was a powerful predictor of cardiac mortality in patients aged &lt;65 years, particularly in women (HR 1.53, 95% CI 1.06–2.21 and HR 5.29, 95% CI 1.57–17.82, respectively). Conclusions Group non-O is associated with increased mortality in patients with ischemic heart disease. Group non-O increases the risk for cardiac death in non-elderly patients, particularly in younger females, and groups A and B prevail in myocardial infarction. ABO group determination might aid in genetic screening for ischemic heart disease and become relevant in the management of risk factor control.</description><subject>ABO Blood-Group System</subject><subject>ABO groups</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Alleles</subject><subject>Angiography - methods</subject><subject>Atherosclerosis</subject><subject>Atherosclerosis (general aspects, experimental research)</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular</subject><subject>Coronary Angiography - methods</subject><subject>Coronary Artery Disease - blood</subject><subject>Coronary Artery Disease - diagnosis</subject><subject>Coronary Artery Disease - genetics</subject><subject>Coronary atherosclerosis</subject><subject>Coronary heart disease</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart</subject><subject>Humans</subject><subject>Italy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Prognosis</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><issn>0021-9150</issn><issn>1879-1484</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkstu1DAUQC0EokPhF5A3FasEP2InRgJpWtGCVKkLYMHKcuybqaeeeLATpPl7HM20i65Y2Hfhcx8-ughdUFJTQuXHbW2me0gx27DcPteMlDfCa0LZC7SiXasq2nTNS7QihNFKUUHO0Juct4SQpqXda3TGCG8pEWqFfq8v73AfYnR4k-K8xyYECJA_4TVOPj_gwdgpJjyUY2OKo0kHbNIEJTifwWSo8XrEZtz4uElmf-8tztPsDm_Rq8GEDO9O8Rz9uv768-pbdXt38_1qfVtZwdVUic4y0fcgDJOtk8BBSAZWOjVQIxXpGzNITkBJaYems7ztScdB9lwqYbjj5-jDse4-xT8z5EnvfLYQghkhzlm3TaeYkqIt5OcjaYu4nGDQ--R35UOaEr3I1Vv9TK5e5GrCdZFb8t-fOs39DtxT9qPNAlycAJOtCUMyoy01njhORSPahbs5clC8_PWQdLYeRgvOJ7CTdtH_90hfnlWywY--NH-AA-RtnNNY5GuqM9NE_1g2YlkIWnaBsU7wf0HOtqM</recordid><startdate>20100801</startdate><enddate>20100801</enddate><creator>Carpeggiani, Clara</creator><creator>Coceani, Michele</creator><creator>Landi, Patrizia</creator><creator>Michelassi, Claudio</creator><creator>L’Abbate, Antonio</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20100801</creationdate><title>ABO blood group alleles: A risk factor for coronary artery disease. An angiographic study</title><author>Carpeggiani, Clara ; Coceani, Michele ; Landi, Patrizia ; Michelassi, Claudio ; L’Abbate, Antonio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c539t-58c25bbe5a267d6e3e562ec6d9f1a690b4af630e966cf48c37b083e6b3695a3d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>ABO Blood-Group System</topic><topic>ABO groups</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Alleles</topic><topic>Angiography - methods</topic><topic>Atherosclerosis</topic><topic>Atherosclerosis (general aspects, experimental research)</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiology. Vascular system</topic><topic>Cardiovascular</topic><topic>Coronary Angiography - methods</topic><topic>Coronary Artery Disease - blood</topic><topic>Coronary Artery Disease - diagnosis</topic><topic>Coronary Artery Disease - genetics</topic><topic>Coronary atherosclerosis</topic><topic>Coronary heart disease</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Heart</topic><topic>Humans</topic><topic>Italy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Prognosis</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Carpeggiani, Clara</creatorcontrib><creatorcontrib>Coceani, Michele</creatorcontrib><creatorcontrib>Landi, Patrizia</creatorcontrib><creatorcontrib>Michelassi, Claudio</creatorcontrib><creatorcontrib>L’Abbate, Antonio</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Atherosclerosis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Carpeggiani, Clara</au><au>Coceani, Michele</au><au>Landi, Patrizia</au><au>Michelassi, Claudio</au><au>L’Abbate, Antonio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>ABO blood group alleles: A risk factor for coronary artery disease. An angiographic study</atitle><jtitle>Atherosclerosis</jtitle><addtitle>Atherosclerosis</addtitle><date>2010-08-01</date><risdate>2010</risdate><volume>211</volume><issue>2</issue><spage>461</spage><epage>466</epage><pages>461-466</pages><issn>0021-9150</issn><eissn>1879-1484</eissn><abstract>Abstract Objectives To analyze the impact of ABO groups on coronary heart disease risk factors, coronary involvement and prognosis. Methods An observational single center study was conducted to examine 4901 consecutive patients with heart disease receiving coronary angiography and ABO group determination at National Research Council Institute of Clinical Physiology between January 1993 and December 2003, with maximum 10 years follow-up. All-cause death and cardiac death, were the considered end points. Results When compared to the official distribution of ABO groups in the Italian population (O 40%, A 36%, B 17%, AB 7%), a substantially different distribution was observed in the study population (O 43.3%, A 41.4%, B 11.2%, AB 4.1%). In addition, a significant association was found between group non-O and family history of ischemic heart disease, hypercholesterolemia and presence of coronary atherosclerosis. Higher prevalence of A and B alleles was found in patients with myocardial infarction ( P &lt; 0.05). Group non-O was a powerful predictor of cardiac mortality in patients aged &lt;65 years, particularly in women (HR 1.53, 95% CI 1.06–2.21 and HR 5.29, 95% CI 1.57–17.82, respectively). Conclusions Group non-O is associated with increased mortality in patients with ischemic heart disease. Group non-O increases the risk for cardiac death in non-elderly patients, particularly in younger females, and groups A and B prevail in myocardial infarction. ABO group determination might aid in genetic screening for ischemic heart disease and become relevant in the management of risk factor control.</abstract><cop>Amsterdam</cop><pub>Elsevier Ireland Ltd</pub><pmid>20371059</pmid><doi>10.1016/j.atherosclerosis.2010.03.012</doi><tpages>6</tpages></addata></record>
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subjects ABO Blood-Group System
ABO groups
Age Factors
Aged
Alleles
Angiography - methods
Atherosclerosis
Atherosclerosis (general aspects, experimental research)
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Cardiovascular
Coronary Angiography - methods
Coronary Artery Disease - blood
Coronary Artery Disease - diagnosis
Coronary Artery Disease - genetics
Coronary atherosclerosis
Coronary heart disease
Female
Follow-Up Studies
Heart
Humans
Italy
Male
Medical sciences
Middle Aged
Prognosis
Risk Factors
Sex Factors
title ABO blood group alleles: A risk factor for coronary artery disease. An angiographic study
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