ISSN: 2149-2247 | E-ISSN: 2149-2549
Erciyes Medical Journal Effects of ABO/RhD Blood Types and HbA1c Levels on the Postoperative Cardiac Morbidity in Morbidly Obese Patients who Underwent Sleeve Gastrectomy [Erciyes Med J]
Erciyes Med J. 2020; 42(4): 395-399 | DOI: 10.14744/etd.2020.03443

Effects of ABO/RhD Blood Types and HbA1c Levels on the Postoperative Cardiac Morbidity in Morbidly Obese Patients who Underwent Sleeve Gastrectomy

Özkan Görgülü1, Mehmet Nuri Koşar2
1Department of Anesthesiology and Reanimation, Antalya Training and Research Hospital, Antalya, Turkey
2Department of General Surgery, Antalya Training and Research Hospital, Antalya, Turkey

Objective: This study was designed to evaluate the impacts of high preoperative HbA1c levels and ABO and Rhesus D antigen (RhD) blood types on the risk of postoperative cardiac morbidity in morbidly obese patients who underwent sleeve gastrectomy.
Materials and Methods: In this retrospective study, 364 morbidly obese patients who underwent elective laparoscopic sleeve gastrectomy operation were included. Data regarding patients’ demographics, preoperative HbA1c levels (low: 4–6%, high: >6%), ABO/RhD blood types, cardiac complaints within the first postoperative week and serum cardiac troponin levels (ng/mL) in patients with postoperative cardiac complaints were recorded.
Results: The findings showed that HbA1c levels were >6.0% in 38.2% of the patients, blood type A (45.9%) was the most prevalent blood type, and postoperative cardiac symptoms were evident in 16.5% of patients. Patients with high and low HbA1c levels were similar concerning ABO/RhD blood type or rate of postoperative cardiac complaints. In patients with postoperative cardiac complaints, a significant positive weak correlation was noted with high troponin levels and high preoperative HbA1c levels (r=0.215, p=0.022).
Conclusion: In conclusion, these findings of a retrospective cohort of morbidly obese patients who underwent sleeve gastrectomy revealed a significant positive weak correlation between high preoperative HbA1c levels and cardiac troponin levels in patients with postoperative cardiac complaints, while ABO/RhD blood type was not associated with preoperative HbA1c levels or the likelihood of postoperative cardiac complaints.

Keywords: Obesity, glycated hemoglobin A, morbidity, troponin, blood group antigens

Özkan Görgülü, Mehmet Nuri Koşar. Effects of ABO/RhD Blood Types and HbA1c Levels on the Postoperative Cardiac Morbidity in Morbidly Obese Patients who Underwent Sleeve Gastrectomy. Erciyes Med J. 2020; 42(4): 395-399

Corresponding Author: Özkan Görgülü, Türkiye
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