作者: Omid Mehrpour
关键词: Psychiatry 、 Medical literature 、 Heroin 、 Methamphetamine 、 Substance abuse 、 Odds ratio 、 Retrospective cohort study 、 Addiction 、 Cardiomyopathy 、 Medicine
摘要: Sir, I read with great interest the recent article published by Sadeghi et al., "Report of methamphetamine use and cardiomyopathy in three patients" [1]. The authors state that" acute heart failure may be a new medical concern". Methamphetamine induced is certainly concern, while it not often reported Iran, well described clinical finding literature. Wijetunga al. retrospectively reviewed 21 crystal hospitalized cases found that 84% patients had dilated global ventricular dysfunction echocardiography. They also concluded pathogenesis probably similar to cocaine catecholamine-induced [2]. Moreover, Yeo study on 107 users 3.7-fold increased odds ratio for cardiomyopathy, adjusting age, body mass index, renal failure. In their retrospective study, 40% under age 40 history abuse [3]. addition, as have mentioned, has grown significantly Iran over past few years. Complicating monitoring drug trends street names illicit drugs are unique Iran. For exam, Iranian marketed youngsters main ingredient heroin. central western added this opiate-based drug. Some addicts (and perhaps researchers) believe actually crystal-meth (amphetamine base) because similarity [4]. Shishe another common name methamphetamine. highest rate opioid world [4-6] exposure increasing. Crystal meth now widely abused.