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The Use of Atherogenic Index of Plasma in Assessing the Potential Cardiovascular Risk among ABO Blood Groups in Sickle Cell Disease Patients

Mathias Abiodun Emokpae, Lynda Bose Akpologun


Studies have associated ABO blood groups with cardiovascular risk events in the general population and no significant association has yet been reported in sickle cell disease (SCD) patients. This study uses the atherogenic indices to evaluate the potential cardiovascular disease (CVD) risk of ABO blood groups in SCD patients. Lipoprotein concentrations were assayed in 200 SCD patients and 100 control subjects with normal haemoglobin using the enzymatic colorimetric method. The atherogenic indices were calculated and compared among the various blood groups to show which of the blood group has elevated atherogenic risk of CVD. The means total cholesterol, triglycerides and low-density lipoprotein cholesterol levels were highest in blood group A and lowest in blood group O while high-density lipoprotein cholesterol level was lowest in blood group A and highest in blood group O. All the atherogenic indices were highest in blood group A and lowest in blood group O. The mean levels of lipoprotein variables and atherogenic indices were not significantly different between the blood group B and AB. Atherogenic index of plasma (AIP), cardiac risk ratio (CRR) and atherogenic coefficient (AC) correlated positively (r=0.348,p=0.005; r=0.236, p=0.05; r=0.238,p=0.05) respectively with blood group A. Similarly AIP, CRR and AC correlated positively (r=0.316, p=0.05; r=0.311,p=0.05; r=0.310, p=0.05) with blood group B. On the other hand, AIP and AC failed to correlate with blood group AB but CRR correlated (r=0.321,p=0.05) with blood group AB. All the atherogenic indices did not correlate significantly with blood group O. Atherogenic indices were higher in non-O blood groups than blood group O. Patients with non-O blood groups may require detail evaluations and closer monitoring than those with blood group O with respect to CVD risk.





ABO blood groups, atherogenic indices, cardiovascular disease, sickle cell disease

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