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.

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