Findings on 3D speckle tracking echocardiography in asymptomatic methamphetamine abusers

To detect potential cardiac abnormalities in asymptomatic methamphetamine abusers using three-dimensional speckle tracking echocardiography (3D STE). Fifty-three male methamphetamine abusers, free of cardiac symptoms/signs, were enrolled in this study. A control group of 53 age-matched male normal s...

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Published in:The International Journal of Cardiovascular Imaging 2018-10, Vol.34 (10), p.1589-1593
Main Authors: Zhang, Li-Juan, Chen, Ke-Qi, Shi, Yun-Yan, Qiao, Xiao-Ling, Wang, Lian-You, Zheng, Xiao-Zhi
Format: Article
Language:English
Subjects:
Abnormalities
Adolescent
Adult
Amphetamine-Related Disorders - complications
Cardiac Imaging
Cardiology
Cardiotoxicity
Central Nervous System Stimulants - adverse effects
Drug abuse
Echocardiography
Echocardiography, Three-Dimensional
Heart
Heart diseases
Humans
Imaging
Male
Medicine
Medicine & Public Health
Methamphetamine
Methamphetamine - adverse effects
Original Paper
Radiology
Three dimensional flow
Tracking
Velocity
Ventricle
Ventricular Dysfunction, Left - chemically induced
Ventricular Dysfunction, Left - diagnostic imaging
Ventricular Dysfunction, Left - physiopathology
Ventricular Function, Left - drug effects
Ventricular Function, Left - physiology
Young Adult
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cited_by cdi_FETCH-LOGICAL-c372t-f0f0bc1239e4307c62857f22064eb493aa1d1e09e01f994fadf8abb918afae8c3
cites cdi_FETCH-LOGICAL-c372t-f0f0bc1239e4307c62857f22064eb493aa1d1e09e01f994fadf8abb918afae8c3
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container_issue 10
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container_title The International Journal of Cardiovascular Imaging
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creator Zhang, Li-Juan
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Shi, Yun-Yan
Qiao, Xiao-Ling
Wang, Lian-You
Zheng, Xiao-Zhi
description To detect potential cardiac abnormalities in asymptomatic methamphetamine abusers using three-dimensional speckle tracking echocardiography (3D STE). Fifty-three male methamphetamine abusers, free of cardiac symptoms/signs, were enrolled in this study. A control group of 53 age-matched male normal subjects was studied for comparison. Standard 3D, flow and tissue Doppler echo with measurements of left ventricular end-diastolic volume (LVEDV), end-systolic volume (LVESV), ejection fraction (LVEF), the ratio of the early to late diastolic transmitral filling velocity (E/A), the ratio of the early diastolic transmitral filling velocity to the early diastolic septal tissue velocity (E/E′) and 3D STE with measurements of global area strain (GAS), global longitudinal strain (GLS), global circumferential strain (GCS) and global radial strain (GRS) were performed, respectively. These echocardiographic parameters were compared between methamphetamine abusers and normal subjects, and receiver operating characteristic curve (ROC) analysis was done to differentiating methamphetamine abusers from normal subjects. LVESV, LVEDV, LVEF, E/A, E/E′ ratios and GRS were not significantly different between methamphetamine abusers and normal subjects ( p  > 0.05). However, GAS, GLS and GCS were significantly less in methamphetamine abusers than in normal subjects ( p  
doi_str_mv 10.1007/s10554-018-1381-6
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LVESV, LVEDV, LVEF, E/A, E/E′ ratios and GRS were not significantly different between methamphetamine abusers and normal subjects ( p  &gt; 0.05). However, GAS, GLS and GCS were significantly less in methamphetamine abusers than in normal subjects ( p  &lt; 0.05). The areas under ROC (AUC) for GAS were greatest among all the 3D STE derived LV global strains (GAS vs. GLS, GCS and GRS, 0.95 vs. 0.76, 0.69 and 0.61, respectively). The cutoff value with − 30.3% of GAS had sensitivity of 91.8%, specificity of 91.6% and accuracy of 91.3% for differentiating methamphetamine abusers from normal subjects. 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Fifty-three male methamphetamine abusers, free of cardiac symptoms/signs, were enrolled in this study. A control group of 53 age-matched male normal subjects was studied for comparison. Standard 3D, flow and tissue Doppler echo with measurements of left ventricular end-diastolic volume (LVEDV), end-systolic volume (LVESV), ejection fraction (LVEF), the ratio of the early to late diastolic transmitral filling velocity (E/A), the ratio of the early diastolic transmitral filling velocity to the early diastolic septal tissue velocity (E/E′) and 3D STE with measurements of global area strain (GAS), global longitudinal strain (GLS), global circumferential strain (GCS) and global radial strain (GRS) were performed, respectively. These echocardiographic parameters were compared between methamphetamine abusers and normal subjects, and receiver operating characteristic curve (ROC) analysis was done to differentiating methamphetamine abusers from normal subjects. 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Fifty-three male methamphetamine abusers, free of cardiac symptoms/signs, were enrolled in this study. A control group of 53 age-matched male normal subjects was studied for comparison. Standard 3D, flow and tissue Doppler echo with measurements of left ventricular end-diastolic volume (LVEDV), end-systolic volume (LVESV), ejection fraction (LVEF), the ratio of the early to late diastolic transmitral filling velocity (E/A), the ratio of the early diastolic transmitral filling velocity to the early diastolic septal tissue velocity (E/E′) and 3D STE with measurements of global area strain (GAS), global longitudinal strain (GLS), global circumferential strain (GCS) and global radial strain (GRS) were performed, respectively. These echocardiographic parameters were compared between methamphetamine abusers and normal subjects, and receiver operating characteristic curve (ROC) analysis was done to differentiating methamphetamine abusers from normal subjects. LVESV, LVEDV, LVEF, E/A, E/E′ ratios and GRS were not significantly different between methamphetamine abusers and normal subjects ( p  &gt; 0.05). However, GAS, GLS and GCS were significantly less in methamphetamine abusers than in normal subjects ( p  &lt; 0.05). The areas under ROC (AUC) for GAS were greatest among all the 3D STE derived LV global strains (GAS vs. GLS, GCS and GRS, 0.95 vs. 0.76, 0.69 and 0.61, respectively). The cutoff value with − 30.3% of GAS had sensitivity of 91.8%, specificity of 91.6% and accuracy of 91.3% for differentiating methamphetamine abusers from normal subjects. The potential myocardial function abnormalities can be detected by 3D STE in asymptomatic methamphetamine abusers, and GAS is a good indicator for indentifying methamphetamine abusers from normal population, which can be used to screening and monitor methamphetamine abuse, detect subclinical LV dysfunction, predict potential methamphetamine-related cardiotoxicity, and to initiate early cardioprotective therapy before the onset of overt heart failure in time.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>29808387</pmid><doi>10.1007/s10554-018-1381-6</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0001-6038-0269</orcidid></addata></record>
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subjects Abnormalities
Adolescent
Adult
Amphetamine-Related Disorders - complications
Cardiac Imaging
Cardiology
Cardiotoxicity
Central Nervous System Stimulants - adverse effects
Drug abuse
Echocardiography
Echocardiography, Three-Dimensional
Heart
Heart diseases
Humans
Imaging
Male
Medicine
Medicine & Public Health
Methamphetamine
Methamphetamine - adverse effects
Original Paper
Radiology
Three dimensional flow
Tracking
Velocity
Ventricle
Ventricular Dysfunction, Left - chemically induced
Ventricular Dysfunction, Left - diagnostic imaging
Ventricular Dysfunction, Left - physiopathology
Ventricular Function, Left - drug effects
Ventricular Function, Left - physiology
Young Adult
title Findings on 3D speckle tracking echocardiography in asymptomatic methamphetamine abusers
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