El dominansı ve koroner dominans arası ilişki

Year 2019, , 289 - 293, 30.09.2019

Hatice Tolunay

https://doi.org/10.18663/tjcl.455391

Abstract

Amaç: Koroner
arter hastalığının bilinen risk faktörlerinin dışında, koroner dominans,
ektazi, bifürkasyon açısı gibi anatomik risk faktörleride mevcuttur. Fonksiyonel bir serebral
lateralizasyon olarak kabul edilen el dominansının bazı hastalıklarla ilişkisi
daha önce tanımlanmıştır. Bu çalışmanın amacı genetik faktörler ile belirlenen
el dominansı ve koroner dominans arası ilişkiyi tanımlamaktır.

Gereç
ve Yöntemler: Polikliniğe başvuran, koroner
anjiyografi uygulanmış 226 hastanın koroner anjiyografileri değerlendirildi. Hastalar sağ koroner dominant, sol dominant ve
dengeli dominant olarak gruplandırıldı. Hastaların el tercihlerini belirlemek
için "Oldfield Anketi" kullanıldı. Hastalar sağ el baskın, sol el
baskın ve her iki elde baskınlık olarak üç gruba ayrıldı. Koroner dominans ve
el dominansı arasındaki ilişki araştırıldı.

Bulgular:  Anjiyografisi
yapılan 226 hastanın 96'sı (%42,5) kadın, 130' u (%57,5) erkekti. 170 hasta
(%75, 2) sağ el, 14 hasta sol el (%6,2) ve 42 hasta (%18,6) her iki el
baskınlığına sahipti. 160 hastada sağ koroner dominans (%70, 8), 26 hastada sol
koroner dominans (%11,5) ve 40 hastada (%17,7) dengeli koroner dominans belirlenmiştir.
El
dominansı ile cinsiyet arasında istatiksel olarak anlamlı fark bulunamamıştır
(p: 0,309). Koroner dominans ve cinsiyet arası anlamlı bir ilişki
saptanmamıştır (p:0,114). Koroner arter
dominansı ile serebral fonksiyonel dominans arasında istatistiksel olarak
anlamlı bir ilişki vardır (p: 0,005).

Sonuç:
Çalışmamızda koroner arter dominansı
ve serebral fonksiyonel dominans arasında istatistiksel olarak anlamlı bir
ilişki saptanmıştır. Ancak serebral ve koroner
dominansı anatomik düzeyde karşılaştırmak için dominant hemisferi daha net
olarak gösteren invaziv bir test olan wada testi ile yapılacak ileri
çalışmalara ve anatomik lateralizasyonu karşılaştıran kadavra çalışmalarına
ihtiyaç vardır.

Keywords

el dominansı, koroner dominans, serabral lateralizasyon

Relationship between hand dominance and coronary dominance

Abstract

Aim: Coronary
artery disease is present in anatomic risk factors such as dominance, ectasia,
bifurcation angle other than standard risk factors. The association of cerebral
lateralization and hand dominance with some diseases has been described
previously. The aim of this study is to investigate the relationship between hand
dominance and coronary dominance determined by genetic factors.
Material and Methods:
Coronary angiograms of 226 patients
who underwent coronary angiography were evaluated for coronary dominance.
Patients were grouped as right, left and balanced dominance. The "Oldfield
Survey" was used to determine patients' hand preferences. Patients were
divided into three groups: left-hand, right-hand dominant and ambidextrous
patients. The relationship between coronary dominance and hand dominance was investigated.
Results: Of the 226 patients who underwent angiography, 96
(42.5%) were female and 130 (57.5%) were male.170 patients (75.2%) had right
hand, 14 patients had left hand (6.2%), and 42 patients (18.6%) had both hand
dominance. Right coronary artery dominanace was found in 160 patients (70.8%),
left coronary dominance in 26 patients (11.5%) and balanced coronary dominance
in 40 patients (17.7%). There was no statistically significant
difference between hand dominance and gender (p: 0.309). There was a statistically significant relationship
between coronary artery dominance and cerebral functional dominance (p: 0.005).

Conclusion:In
conclusion, there was a significant relationship between coronary artery and
cerebral functional dominance. However, cadaver studies are needed to compare
cerebral and coronary dominance with advanced studies and anatomical
lateralization with the wada test, which is an invasive test that shows us more
clearly the dominant hemisphere.

Keywords

hand dominance, coronary dominance, cerebral lateralization

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