Effect of ABO Blood Groups on the Response to Warfarin

Am J Med Sci. 2020 Jul;360(1):50-54. doi: 10.1016/j.amjms.2020.03.022. Epub 2020 Apr 10.

Abstract

Background: Numerous studies have demonstrated that patients with non-O blood groups have a higher risk for venous thromboembolism than those with the O blood group. However, the effect of ABO blood groups on warfarin dose requirements in patients receiving anticoagulation in the Chinese Han population remains unknown. This study aimed to investigate the influence of ABO blood groups on warfarin dose requirements in a Chinese Han population.

Material and methods: A retrospective study was conducted in the First Affiliated Hospital of Shantou University Medical College in South China. Three hundred and fifty-eight patients with a confirmed diagnosis of deep vein thrombosis or atrial fibrillation were included. The frequency of blood groups and warfarin dose requirements were determined.

Results: Of 358 patients with deep vein thrombosis or atrial fibrillation, 111 patients had blood group A (31.01%), 104 patients had blood group B (29.05%), 20 patients had blood group AB (5.59%) and 123 patients had blood group O (34.36%). The patients in the O blood group had lower warfarin dose requirements than those in the A, B and AB blood groups.

Conclusions: Our study showed that patients with non-O blood groups require higher doses of warfarin.

Keywords: ABO blood group; Atrial fibrillation; Deep vein thrombosis; Warfarin.

MeSH terms

  • ABO Blood-Group System*
  • Aged
  • Anticoagulants / therapeutic use*
  • Asian People
  • Female
  • Genetic Predisposition to Disease
  • Humans
  • Male
  • Middle Aged
  • Retrospective Studies
  • Risk Factors
  • Thromboembolism / genetics*
  • Thromboembolism / prevention & control*
  • Warfarin / therapeutic use*

Substances

  • ABO Blood-Group System
  • Anticoagulants
  • Warfarin