Research Article

Strain Echocardiography in Early Detection of Doxorubicin-Induced Left Ventricular Dysfunction in Children with Acute Lymphoblastic Leukemia

Table 3

Comparison between conventional echo, tissue Doppler parameters, and peak systolic strain in the main three longitudinal views of LV in controls and patients group before starting doxorubicin treatment.

Control ( 𝑛 -30)Patient group ( 𝑛 -25) 𝑡 -test 𝑃 value

FS % 3 5 . 7 8 ± 5 . 1 6 4 0 ± 4 . 8 7 20.05*
E (m/sec) 0 . 8 7 ± 0 . 1 1 0 . 7 7 ± 0 . 2 4 2.1 0.04*
A (m/sec) 0 . 5 2 ± 0 . 1 3 0 . 7 3 ± 0 . 1 3 3.3 0.005*
E/A 1 . 5 1 ± 0 . 4 1 . 6 0 ± 0 . 4 2 1.1 0.09
s (m/sec) 0 . 0 7 ± 0 . 0 2 0 . 0 6 ± 0 . 0 1 4 0.9 0.15
IVCT (ms) 8 3 . 1 ± 4 . 9 8 3 . 6 ± 4 . 2 1.8 0.08
𝑒 (m/sec) 0 . 1 2 ± 0 . 0 3 0 . 1 2 7 ± 0 . 0 1 1 0.5 0.52
𝑎 (m/sec) 0 . 0 7 ± 0 . 0 2 0 . 0 7 2 ± 0 . 0 2 0 0.80.25
𝑒 / 𝑎 1 . 8 8 ± 0 . 4 9 1 . 9 ± 0 . 4 0.75 0.53
IVRT (ms) 6 6 . 2 ± 3 . 6 6 7 . 1 ± 3 . 3 1.99 0.057
ALX 2 2 . 2 ± 5 . 8 % 2 1 . 1 ± 5 . 3 %0.53 0.59
A4C−21±2.4% 1 8 . 9 ± 4 . 5 %1.86 0.07
A2C−21±3.4% 1 6 . 9 ± 7 . 3 %2.3<0.03*
G 2 1 . 5 ± 2 . 2 % 1 8 . 7 ± 4 . 5 %2.7<0.01*

FS: fractional shortening, 𝐸 : peak early filling velocity, 𝐴 : Peak atrial phase filling velocity, 𝑠 : tissue Doppler peak mitral annulus systolic velocity, 𝑒 : tissue Doppler mitral flow early-phase filling velocity, 𝑎 : tissue Doppler peak atrial phase filling velocity, IVCT: isometric contraction time, IVRTL: Isometric relaxation time, ALX: apical long axis, A4C: apical 4-chamber, A2C: apical 2-chamber, views, and 𝐺 : global peak systolic strain.