ABO Blood Groups as a Disease Marker to Predict Atrial Fibrillation Recurrence after Catheter Ablation

Chronic inflammation harbors a vulnerable substrate for atrial fibrillation (AF) recurrence after catheter ablation. However, whether the ABO blood types are associated with AF recurrence after catheter ablation is unknown. A total of 2106 AF patients (1552 men, 554 women) who underwent catheter abl...

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Main Authors: Shin-Huei Liu, Chheng Chhay, Yu-Feng Hu, Yenn-Jiang Lin, Shih-Lin Chang, Li-Wei Lo, Fa-Po Chung, Ta-Chuan Tuan, Tze-Fan Chao, Jo-Nan Liao, Chin-Yu Lin, Ting-Yung Chang, Ling Kuo, Chih-Min Liu, An Nu-Khanh Ton, Dony Yugo, Shih-Ann Chen
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Journal of Personalized Medicine
Subjects:
Online Access:https://www.mdpi.com/2075-4426/13/2/355
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author Shin-Huei Liu
Chheng Chhay
Yu-Feng Hu
Yenn-Jiang Lin
Shih-Lin Chang
Li-Wei Lo
Fa-Po Chung
Ta-Chuan Tuan
Tze-Fan Chao
Jo-Nan Liao
Chin-Yu Lin
Ting-Yung Chang
Ling Kuo
Chih-Min Liu
An Nu-Khanh Ton
Dony Yugo
Shih-Ann Chen
author_facet Shin-Huei Liu
Chheng Chhay
Yu-Feng Hu
Yenn-Jiang Lin
Shih-Lin Chang
Li-Wei Lo
Fa-Po Chung
Ta-Chuan Tuan
Tze-Fan Chao
Jo-Nan Liao
Chin-Yu Lin
Ting-Yung Chang
Ling Kuo
Chih-Min Liu
An Nu-Khanh Ton
Dony Yugo
Shih-Ann Chen
author_sort Shin-Huei Liu
collection DOAJ
description Chronic inflammation harbors a vulnerable substrate for atrial fibrillation (AF) recurrence after catheter ablation. However, whether the ABO blood types are associated with AF recurrence after catheter ablation is unknown. A total of 2106 AF patients (1552 men, 554 women) who underwent catheter ablation were enrolled retrospectively. The patients were separated into two groups according to the ABO blood types, the O-type (n = 910, 43.21%) and the non-O-type groups (A, B, or AB type) (n = 1196, 56.79%). The clinical characteristics, AF recurrence, and risk predictors were investigated. The non-O type blood group had a higher incidence of diabetes mellitus (11.90 vs. 9.03%, <i>p</i> = 0.035), larger left atrial diameters (39.43 ± 6.74 vs. 38.20 ± 6.47, <i>p</i> = 0.007), and decreased left ventricular ejection fractions (56.01 ± 7.33 vs. 58.65 ± 6.34, <i>p</i> = 0.044) than the O-type blood group. In the non-paroxysmal AF (non-PAF) patients, the non-O-type blood groups have significantly higher incidences of very late recurrence (67.46 vs. 32.54%, <i>p</i> = 0.045) than those in the O-type blood group. The multivariate analysis revealed the non-O blood group (odd ratio 1.40, <i>p</i> = 0.022) and amiodarone (odd ratio 1.44, <i>p</i> = 0.013) were independent predictors for very late recurrence in the non-PAF patients after catheter ablation, which could be applied as a useful disease marker. This work highlighted the potential link between the ABO blood types and inflammatory activities that contribute to the pathogenic development of AF. The presence of surface antigens on cardiomyocytes or blood cells in patients with different ABO blood types will have an impactful role in risk stratification for AF prognosis after catheter ablation. Further prospective studies are warranted to prove the translational benefits of the ABO blood types for the patients receiving catheter ablation.
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spelling doaj.art-d29144aba8914951bdf02f686f0407552023-11-16T21:34:17ZengMDPI AGJournal of Personalized Medicine2075-44262023-02-0113235510.3390/jpm13020355ABO Blood Groups as a Disease Marker to Predict Atrial Fibrillation Recurrence after Catheter AblationShin-Huei Liu0Chheng Chhay1Yu-Feng Hu2Yenn-Jiang Lin3Shih-Lin Chang4Li-Wei Lo5Fa-Po Chung6Ta-Chuan Tuan7Tze-Fan Chao8Jo-Nan Liao9Chin-Yu Lin10Ting-Yung Chang11Ling Kuo12Chih-Min Liu13An Nu-Khanh Ton14Dony Yugo15Shih-Ann Chen16Heart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei 11220, TaiwanHeart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei 11220, TaiwanHeart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei 11220, TaiwanHeart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei 11220, TaiwanHeart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei 11220, TaiwanHeart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei 11220, TaiwanHeart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei 11220, TaiwanHeart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei 11220, TaiwanHeart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei 11220, TaiwanHeart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei 11220, TaiwanHeart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei 11220, TaiwanHeart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei 11220, TaiwanHeart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei 11220, TaiwanHeart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei 11220, TaiwanHeart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei 11220, TaiwanHeart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei 11220, TaiwanHeart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei 11220, TaiwanChronic inflammation harbors a vulnerable substrate for atrial fibrillation (AF) recurrence after catheter ablation. However, whether the ABO blood types are associated with AF recurrence after catheter ablation is unknown. A total of 2106 AF patients (1552 men, 554 women) who underwent catheter ablation were enrolled retrospectively. The patients were separated into two groups according to the ABO blood types, the O-type (n = 910, 43.21%) and the non-O-type groups (A, B, or AB type) (n = 1196, 56.79%). The clinical characteristics, AF recurrence, and risk predictors were investigated. The non-O type blood group had a higher incidence of diabetes mellitus (11.90 vs. 9.03%, <i>p</i> = 0.035), larger left atrial diameters (39.43 ± 6.74 vs. 38.20 ± 6.47, <i>p</i> = 0.007), and decreased left ventricular ejection fractions (56.01 ± 7.33 vs. 58.65 ± 6.34, <i>p</i> = 0.044) than the O-type blood group. In the non-paroxysmal AF (non-PAF) patients, the non-O-type blood groups have significantly higher incidences of very late recurrence (67.46 vs. 32.54%, <i>p</i> = 0.045) than those in the O-type blood group. The multivariate analysis revealed the non-O blood group (odd ratio 1.40, <i>p</i> = 0.022) and amiodarone (odd ratio 1.44, <i>p</i> = 0.013) were independent predictors for very late recurrence in the non-PAF patients after catheter ablation, which could be applied as a useful disease marker. This work highlighted the potential link between the ABO blood types and inflammatory activities that contribute to the pathogenic development of AF. The presence of surface antigens on cardiomyocytes or blood cells in patients with different ABO blood types will have an impactful role in risk stratification for AF prognosis after catheter ablation. Further prospective studies are warranted to prove the translational benefits of the ABO blood types for the patients receiving catheter ablation.https://www.mdpi.com/2075-4426/13/2/355ABO blood groupatrial fibrillationlate recurrencevery late recurrencebiomarker
spellingShingle Shin-Huei Liu
Chheng Chhay
Yu-Feng Hu
Yenn-Jiang Lin
Shih-Lin Chang
Li-Wei Lo
Fa-Po Chung
Ta-Chuan Tuan
Tze-Fan Chao
Jo-Nan Liao
Chin-Yu Lin
Ting-Yung Chang
Ling Kuo
Chih-Min Liu
An Nu-Khanh Ton
Dony Yugo
Shih-Ann Chen
ABO Blood Groups as a Disease Marker to Predict Atrial Fibrillation Recurrence after Catheter Ablation
Journal of Personalized Medicine
ABO blood group
atrial fibrillation
late recurrence
very late recurrence
biomarker
title ABO Blood Groups as a Disease Marker to Predict Atrial Fibrillation Recurrence after Catheter Ablation
title_full ABO Blood Groups as a Disease Marker to Predict Atrial Fibrillation Recurrence after Catheter Ablation
title_fullStr ABO Blood Groups as a Disease Marker to Predict Atrial Fibrillation Recurrence after Catheter Ablation
title_full_unstemmed ABO Blood Groups as a Disease Marker to Predict Atrial Fibrillation Recurrence after Catheter Ablation
title_short ABO Blood Groups as a Disease Marker to Predict Atrial Fibrillation Recurrence after Catheter Ablation
title_sort abo blood groups as a disease marker to predict atrial fibrillation recurrence after catheter ablation
topic ABO blood group
atrial fibrillation
late recurrence
very late recurrence
biomarker
url https://www.mdpi.com/2075-4426/13/2/355
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