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Effects of non-right-handedness on risk for sudden death associated with coronary artery disease
R D Lane1, A C Caruso, V L Brown
1Department of Psychiatry, University of Arizona College of Medicine, Tucson.
Insights
Non-right-handedness, including left-handedness, was significantly more common in patients experiencing ventricular tachycardia-ventricular fibrillation (VT-VF). This suggests a potential link between non-right-handedness and sudden cardiac death risk in coronary artery disease patients.
Area of Science:
- Cardiology
- Neuroscience
- Genetics
Background:
- Sudden cardiac death (SCD) is a significant concern in patients with coronary artery disease (CAD).
- Sympathetic nervous system imbalance is implicated in ventricular arrhythmogenesis, a primary cause of SCD.
- Previous research suggests left-handers may have a shorter lifespan, hinting at potential underlying biological differences.
Purpose of the Study:
- To investigate the hypothesis that non-right-handedness is associated with sudden cardiac death (SCD).
- To determine if handedness prevalence differs between patients with CAD and a history of ventricular tachycardia-ventricular fibrillation (VT-VF) and those with CAD but no history of serious arrhythmias.
Main Methods:
- A case-control study comparing 26 patients with CAD and VT-VF (with implanted defibrillators) to 26 age-, sex-, and functional class-matched CAD patients without VT-VF.
- Handedness was defined as writing, drawing, or throwing with the left hand.
- Prevalence of left-handedness and non-right-handedness in both groups was compared to published general population norms.
Main Results:
- The rate of left-handedness (23.1%) and non-right-handedness (34.6%) was significantly higher in the VT-VF patient group compared to general population norms (5% and 10.2%, respectively).
- The case-control group showed handedness rates (7.7% left-handed, 15.4% non-right-handed) that closely approximated expected general population values.
- These findings indicate a statistically significant association between non-right-handedness and a history of VT-VF in CAD patients.
Conclusions:
- Non-right-handedness is significantly more prevalent in patients with coronary artery disease and a history of ventricular tachycardia-ventricular fibrillation.
- This increased prevalence suggests a potential association between non-right-handedness and the risk of life-threatening cardiac arrhythmias.
- Further research is warranted to explore the underlying mechanisms connecting handedness, autonomic nervous system function, and arrhythmogenesis.
Abstract:
The hypothesis that non-right-handedness is associated with sudden cardiac death was tested based on evidence that sympathetic imbalance may contribute to ventricular arrhythmogenesis and evidence that left-handers may have a shorter lifespan than right-handers. The study included 26 patients with coronary artery disease (CAD), a history of ventricular tachycardia-ventricular fibrillation (VT-VF), and implanted defibrillators, and 26 patients with CAD and no history of serious arrhythmias who were matched for age, sex, and New York Heart Association functional class. Patients with any history of neurologic disorders were excluded. Left-handers either wrote with the left hand or were converted from left- to right-handedness in childhood. Non-right-handers used the left hand for writing, drawing, or throwing. Handedness rates in patients with VT-VF and case-control subjects were compared with published norms in the general population to take expected rates into account. The rates of left-handedness (6 of 26 or 23.1%) and non-right-handedness (9 of 26 or 34.6%) in patients with VT-VF were significantly higher (p < 0.003 and p < 0.0001, 2-tailed, respectively) than those of similarly aged adults in the general population (left-handedness, 5%; non-right-handedness, 10.2%). The rates of left-handedness (2 of 26 or 7.7%) and non-right-handedness (4 of 26 or 15.4%) observed in the case-control group correspond closely to the expected values for that group (left-handedness, 1.3 of 26 or 5%; non-right-handedness, 2.65 of 26 or 10.2%) derived from the general population rates and were not significantly different from them.(ABSTRACT TRUNCATED AT 250 WORDS)
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