Journals / Turkish Journal of Clinics and Laboratory / 2020 / Cilt: 11 - Sayı: 2

A Kan Grubu Elektif Koroner Anjiyografi Uygulanan Hastalarda Yavaş Koroner Akım Öngörüyor Mu?

Does Blood group A predict slow coronary ow in patients undergoing elective coronary angiography?

Pages
35–41
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Blood group A is more common in SCF group and independently predicts SCF.Further studies are needed to evaluate the underlying mechanisms, but the relationship between blood groups and SCF seems multifactorial.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: Coronary slow flow (CSF) is an angiographic phenomenon characterized by slow progression of contrast in the coronary arteries in the absence of coronary artery obstruction.
📊
Key Findings & Data:Material and Methods: The clinical, laboratory and angiographic data of 230 patients with SCF were collected retrospectively from our institutional databases.
💡
Conclusion & Impact:Conclusion: Blood group A is more common in SCF group and independently predicts SCF.Further studies are needed to evaluate the underlying mechanisms, but the relationship between blood groups and SCF seems multifactorial.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: Coronary slow flow (CSF) is an angiographic phenomenon characterized by slow progression of contrast in the coronary arteries in the absence of coronary artery obstruction. As it is not considered as benign finding and there is still no convincible pathophysiologic explanation, further research is needed. In the present study, we aimed to evaluate the relationship between ABO blood groups and coronary flow characteristics. Material and Methods: The clinical, laboratory and angiographic data of 230 patients with SCF were collected retrospectively from our institutional databases. A total of 250age- and gender-matched subjects with normal coronary flow (NCF) were used as a control group. Coronary flow was assessed by using the thrombolysis in myocardial infarction frame count (TFC). Coronary flow characteristics were evaluated according to ABO blood groups. Results: A total of230 patients with SCF (125 males, mean age: 54.6±9.1 years) and 250 subjects with NCF (134 males, mean age: 53.7±10.1 years) were included. In SCF group, cigarette smoking (33.5% vs %23.2; p=0.012), platelet count (257.2±73.3 x103/mm3 vs. 240.5±63.7 x103/mm3, p=0.011) and mean MPV (9.2±1.4 fL vs. 8.8±1.2 fL, p=0.001) were higher than subjects with NCF. Having blood group A was more common in SCF group than subjects with NCF (53.5% vs 41.2%; p=0.039).In the regression analysis, blood group A (OR=1.94; p=0.003), cigarette smoking (OR=1.57; p=0.033), platelet count (OR=1.03; p=0.008) and MPV (OR=1.27; p=0.002) were found to be as independent predictors of SCF. Conclusion: Blood group A is more common in SCF group and independently predicts SCF.Further studies are needed to evaluate the underlying mechanisms, but the relationship between blood groups and SCF seems multifactorial.

Özet

Aim: Coronary slow flow (CSF) is an angiographic phenomenon characterized by slow progression of contrast in thecoronary arteries in the absence of coronary artery obstruction. As it is not considered as benign finding and there is stillno convincible pathophysiologic explanation, further research is needed. In the present study, we aimed to evaluate therelationship between ABO blood groups and coronary flow characteristics.Material and Methods: The clinical, laboratory and angiographic data of 230 patients with SCF were collectedretrospectively from our institutional databases. A total of 250age- and gender-matched subjects with normal coronaryflow (NCF) were used as a control group. Coronary flow was assessed by using the thrombolysis in myocardial infarctionframe count (TFC). Coronary flow characteristics were evaluated according to ABO blood groups.Results: A total of230 patients with SCF (125 males, mean age: 54.6±9.1 years) and 250 subjects with NCF (134 males,mean age: 53.7±10.1 years) were included. In SCF group, cigarette smoking (33.5% vs %23.2; p=0.012), platelet count(257.2±73.3 x103/mm3 vs. 240.5±63.7 x103/mm3, p=0.011) and mean MPV (9.2±1.4 fL vs. 8.8±1.2 fL, p=0.001) were higherthan subjects with NCF. Having blood group A was more common in SCF group than subjects with NCF (53.5% vs 41.2%;p=0.039).In the regression analysis, blood group A (OR=1.94; p=0.003), cigarette smoking (OR=1.57; p=0.033), plateletcount (OR=1.03; p=0.008) and MPV (OR=1.27; p=0.002) were found to be as independent predictors of SCF.Conclusion: Blood group A is more common in SCF group and independently predicts SCF.Further studies are needed toevaluate the underlying mechanisms, but the relationship between blood groups and SCF seems multifactorial.

🔖

Cite This Article

DOĞANAY, B., KUYUMCU, M. S., ÇETİN, M., BALBAY, Y. (2020). A Kan Grubu Elektif Koroner Anjiyografi Uygulanan Hastalarda Yavaş Koroner Akım Öngörüyor Mu?. Turkish Journal of Clinics and Laboratory, Cilt: 11 - Sayı: 2, 35–41. https://ajindex.com/articles/372994

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Wang X, Nie SP. The coronary slow flow phenomenon: characteristics, mechanisms and implications. Cardiovasc Diagn Ther 2011; 1: 37-43
  2. Fineschi M, Gori T. Coronary slow-flow phenomenon or syndrome Y: a microvascular angina awaiting recognition. J Am Coll Cardiol 2010; 56: 239-40; author reply 240
  3. Mangieri E, Macchiarelli G, Ciavolella M et al. Slow coronary flow: clinical and histopathological features in patients with otherwise normal epicardial coronary arteries. Cathet Cardiovasc Diagn 1996; 37: 375-81
  4. Cutri N, Zeitz C, Kucia AM, Beltrame JF. ST/T wave changes during acute coronary syndrome presentation in patients with the coronary slow flow phenomenon. Int J Cardiol 2011; 146: 457-58
  5. Okutucu S, Oto A. ECG in Coronary Artery Disease. Interpreting ECGs in Clinical Practice. Cham: Springer International Publishing, 2018: 65-75
  6. Horjeti B, Goda A. Acute ischemia manifestation in a patient with coronary slow flow phenomenon. J Electrocardiol 2012; 45: 277-79
  7. Ghaffari S, Tajlil A, Aslanabadi N et al. Clinical and laboratory predictors of coronary slow flow in coronary angiography. Perfusion 2017; 32: 13-19. 8. von Beckerath N, Koch W, Mehilli J et al. ABO locus O1 allele and risk of myocardial infarction. Blood Coagul Fibrinolysis 2004; 15: 61-67
  8. Lee HF, Lin YC, Lin CP, Wang CL, Chang CJ, Hsu LA. Association of blood group A with coronary artery disease in young adults in Taiwan. Intern Med 2012; 51: 1815-20
  9. Mitchell JR. An association between abo blood-group distribution and geographical differences in death-rates. Lancet 1977; 1: 295-97
  10. Karabuva S, Carevic V, Radic M, Fabijanic D. The association of ABO blood groups with extent of coronary atherosclerosis in Croatian patients suffering from chronic coronary artery disease. Biochem Med (Zagreb) 2013; 23: 351-59
  11. Ray KK, Francis S, Crossman DC. Measurement of plasma von Willebrand factor in acute coronary syndromes and the influence of ABO blood group status. J Thromb Haemost 2004; 2: 2053-54
  12. O'Donnell J, Laffan MA. The relationship between ABO histoblood group, factor VIII and von Willebrand factor. Transfus Med 2001; 11: 343-51
  13. Sun X, Feng J, Wu W, Peng M, Shi J. ABO blood types associated with the risk of venous thromboembolism in Han Chinese people: A hospital-based study of 200,000 patients. Sci Rep 2017; 7: 42925
  14. Gibson CM, Cannon CP, Daley WL et al. TIMI frame count: a quantitative method of assessing coronary artery flow. Circulation 1996; 93