Association between coronary dominance pattern and left ventricular mass index: Is there a gender disparity?

Mehmet Eyuboglu1, Fuat Bice1, Abdullah Emre Bektas1

  • 1Department of Cardiology, Gaziosmanpasa University School of Medicine, Tokat, Turkey.

Insights

Co-dominance coronary patterns are linked to higher left ventricular mass index (LVMI) and left ventricular hypertrophy (LVH). This pattern is an independent predictor of LVH in women, aiding cardiovascular risk stratification.

Area of Science:

  • Cardiology
  • Vascular Biology
  • Cardiac Imaging

Background:

  • Left ventricular mass index (LVMI) and left ventricular hypertrophy (LVH) predict cardiovascular events.
  • The relationship between coronary circulation patterns and LVMI is not well understood.

Purpose of the Study:

  • To investigate the association between coronary dominance patterns and LVMI.
  • To determine the impact of coronary dominance on the development of LVH.

Main Methods:

  • 367 patients without known cardiovascular disease underwent coronary angiography.
  • Patients were categorized by coronary dominance: right (RD), co-dominance (CD), and left (LD).
  • Echocardiographic LVMI and LVH prevalence were compared across groups.

Main Results:

  • Co-dominance (CD) pattern was associated with significantly higher LVMI compared to RD and LD patterns.
  • The CD pattern was more prevalent in patients with LVH.
  • CD pattern independently predicted LVH in women, but not in men.

Conclusions:

  • Coronary dominance patterns influence LVMI and LVH.
  • Coronary dominance may enhance cardiovascular risk stratification, particularly in female patients.
Abstract

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