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Key takeaways
- Blood types A and B are linked to higher risks of blood clots, heart attack and stroke.
- Type O blood is tied to a slightly lower risk of thrombosis and some heart events.
- Experts say lifestyle factors matter far more than blood type for health.
Do you know your blood type? There’s a good chance that you don’t. More Americans know their horoscope sign (66 percent) than their blood type (51 percent), according to a 2023 survey from laboratory company Quest Diagnostics. There are compelling health reasons why you should know.
Types of blood
Blood types are determined by the presence or absence of certain substances, called antigens, that can trigger an immune response if they are foreign to the body.
Blood Type and Your Health
What the research shows:
- Types A and B: Higher risk of blood clots, heart attacks and strokes.
- Type AB: Higher risk of stroke and inflammation. Those with AB+ blood can accept blood from all donors and are called universal recipients.
- Type O: Slightly lower risk of thrombosis, blood clots, heart attacks and strokes. People with type O- blood are universal donors and can donate to anyone.
Note: a healthy lifestyle likely trumps blood type in terms of increasing or decreasing risks.
There are four main blood types: A, B, O and AB, according to the American Red Cross. In addition to these antigens, there’s a protein called the Rh factor, which can either be present (+) or absent (-). That means there are eight blood subtypes: A+, A-, B+, B-, O+, O-, AB+ and AB-.
Blood type and your heart
Research suggests that people with certain blood types — namely A and B — are at higher risk of developing blood clots and having heart attacks and strokes.
“We think about blood type a lot when we think about transfusions,” says Dr. Robert Salazar, a cardiologist at Houston’s Memorial Hermann Health System. There may be some benefits to know about it for heart health, he adds.
“Increasingly, there is a push towards the individualization of medicine and medical advice,” he explains. Adding information about blood type, he says, may help inform doctors on how to best treat patients.
Types A and B and blood clots
People with blood types A and B are at higher risk of developing blood clots, compared with people who have type O blood, according to a 2020 study published in the American Heart Association journal Arteriosclerosis, Thrombosis, and Vascular Biology.
The study, which looked at more than 400,000 people, found that types A and B were 50 percent more likely to develop the blood clots in the legs called deep vein thrombosis and 47 percent more likely to develop a pulmonary embolism — when a clot travels to the lungs — than people with type O blood. They were 8 percent more likely to have a heart attack and 10 percent more likely to experience heart failure than type Os.
There are many possible reasons why this happens, says Dr. Mary Cushman, a hematologist at the University of Vermont Medical Center and a professor of medicine at the Larner College of Medicine at UVM in Burlington, Vermont. “The enzyme that controls blood type has other actions,” Cushman explains. One of these is to modify a protein called the von Willebrand factor, which is very important in forming blood clots.
“The modifications to the protein are different in different blood types,” she says. “So people with type O blood have the lowest levels of von Willebrand factor on average and the lowest risk of abnormal clots. Type AB has the highest level and, in some studies, the highest risk of blood clots.” There may also be some differences in platelets, the small cell fragments in the blood that form clots, says Dr. Joshua Beckman, chief of vascular medicine at the UT Southwestern Medical Center in Dallas. This may make you more susceptible to clotting.
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