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ABO 血型与先天性心脏病风险的关联:一项 6 年大型队列研究。

Association between ABO Blood Group and Risk of Congenital Heart Disease: A 6-year large cohort study.

机构信息

Department of Laboratory Medicine, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China.

Department of Laboratory Medicine, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

出版信息

Sci Rep. 2017 Feb 17;7:42804. doi: 10.1038/srep42804.

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.

摘要

ABO 血型除了对输血和器官移植有直接的临床意义外,通常被认为是冠心病的一个影响因素,但之前的报道显示,ABO 血型与先天性心脏病(CHD)之间的关联并不一致。在这项研究中,我们评估了 ABO 血型与 CHD 风险之间的潜在关系。在 39042 例连续住院患者(19795 例 CHD 与 19247 例对照)中,我们使用多变量逻辑回归来评估 ABO 血型、性别和 RH 对 CHD 的作用。使用分层分析进一步评估了 ABO 血型与 CHD 亚组之间的关系,并按性别进行了调整。在整体队列分析中,A 血型的个体患单纯 CHD 的风险降低(OR 0.82;95%CI,0.78-0.87),这一发现也在独立的亚组分析中得到了一致的复制。ABO 血型可能与 CHD 有关,这一新发现为 CHD 提供了 ABO 血型作为可能的标志物,但还需要更多的研究。

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