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Effect of Different Blood Groups on Long-Term Outcomes of Surgical Revascularisation Publisher Pubmed



Yavari N1 ; Masoudkabir F2, 3 ; Landy MG1 ; Pashang M1 ; Sadeghian S2 ; Jalali A1 ; Shafiee A1 ; Roayaei P3 ; Karimi A4 ; Abbasi K4 ; Forouzannia SK4 ; Salehi Omran A4 ; Bagheri J4 ; Ahmadi Tafti SH4
Authors
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Authors Affiliations
  1. 1. Department of Cardiovascular Research, Tehran Heart Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Cardiology, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Cardiac Primary Prevention Research Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Cardiac Surgery, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran

Source: Heart Lung and Circulation Published:2022


Abstract

Background: ABO blood groups are considered to be associated with cardiovascular disease. Nonetheless, the definite effect of ABO blood groups on the clinical outcome of coronary artery bypass graft surgery (CABG) is still undetermined. We evaluated whether ABO blood groups can predict long-term major adverse cardiocerebrovascular events (MACCE) in CABG patients. Method: In this retrospective cohort study, we retrieved the clinical files of eligible patients treated with isolated CABG in our hospital between March 2007 and March 2016. We divided the patients into four ABO subgroups. The primary study endpoints were the occurrence of all-cause mortality and MACCE during long-term follow-ups. We used Cox regression survival analysis to define the association of ABO blood groups with the occurrence of MACCE. Results: Of 17,892 patients who underwent isolated CABG, 17,713 (mean age, 61.19±9.47 years, 74.6% male) were successfully followed, and their data used in the final analysis. Our multivariable analysis demonstrated that patients with different blood groups had similar 5-year mortality and 5-year MACCE. Conclusions: Our findings suggest that in patients who underwent CABG, ABO blood groups were not associated with long-term MACCE. © 2021