Hand preference in patients with acute coronary syndrome

Year 2018, Volume: 35 Issue: 1, 15 - 18, 25.10.2019

Ayhan Aköz , Gökhan Cesur

Abstract

The relationship between left handedness and morbidity
and mortality in some disorders has been extensively studied in recent years. The
present study investigated the potential relation between angiographically
proven coronary artery disease (CAD) and hand preference.

This was a prospective cross-sectional study including
633 patients admitted to the emergency department (ED). Hand preference was
assessed using the Edinburg Handedness Inventory. Patients whose hand
lateralization could not be evaluated using this inventory were excluded, in
addition to those unable to undergo angiographic coronary artery disease
detection. All patients
with angina pectoris admitted to the ED were evaluated according to current
guidelines. Selective left and right coronary
angiography was performed, and the severity of the lesion and coronary anatomy
were evaluated.

The Edinburg handedness inventory assessment showed
that 93.2% of the population were right handed and that 6.8% were left handed. Among
patients ≥ 65 years with angiographically proven CAD, the ratio of right-handers
was markedly higher than the ratio of left handers.

Physicians should pay attention to the handedness of
patients when evaluating coronary angiographies. Left handedness seems to have
a protective effect against CAD in the elderly.

Keywords

Hand preference, Acute coronary syndrome, Lateralization

References

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