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Cardiovascular Monitoring and Stimulant Drugs for Attention-Deficit/Hyperactivity Disorder
Abstract
A recent American Heart Association (AHA) statement1 recommended electrocardiograms (ECGs) routinely for children before they start medications to treat attention-deficit/hyperactivity disorder (ADHD). The AHA statement reflected the thoughtful work of a group committed to improving the health of children with heart disease. However, the recommendation to obtain an ECG before starting medications for treating ADHD contradicts the carefully considered and evidence-based recommendations of the American Academy of Child and Adolescent Psychiatry2 and the American Academy of Pediatrics (AAP).3,4 These organizations have concluded that sudden cardiac death (SCD) in persons taking medications for ADHD is a very rare event, occurring at rates no higher than those in the general population of children and adolescents. Both of these groups also noted the lack of any evidence that the routine use of ECG screening before beginning medication for ADHD treatment would prevent sudden death. The AHA statement pointed out the importance of detecting silent but clinically important cardiac conditions in children and adolescents, which is a goal that the AAP shares. The primary purpose of the AHA statement is to prevent cases of SCD that may be related to stimulant medications. The recommendations of the AAP and the rationale for these recommendations are the subject of this statement. This statement has been endorsed by the American Academy of Child and Adolescent Psychiatry, the Society for…
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“In fact, stimulant medications have not been shown to increase the risk of sudden death beyond that observed in children who are not receiving stimulants.114–118”
From Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents (2019) · cites this paper as [114]
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Research works printed but not linked: 2
- American Heart Association. American Academy of Pediatrics/American Heart Association clarification of statement on cardiovascular evaluation and monitoring of children and adolescents with heart disease receiving medication for ADHD [press release]. Available at: http://americanheart.mediaroom.com/index.php?s=43&item=422. Accessed May 28, 2008
- American Heart Association. Correction: cardiovascular monitoring of children and adolescents with heart disease receiving stimulant drugs—a scientific statement from the American Heart Association Council on Cardiovascular Disease in the Young Congenital Cardiac Defects Committee and the Council on Cardiovascular Nursing. Available at: http://circ.ahajournals.org/cgi/data/CIRCULATIONAHA.107.189473/DC1/1. Accessed May 28, 2008
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Newcorn, J. H., & Donnelly, C. L. (2009) · Mount Sinai Journal of Medicine A Journal of Translational and Personalized Medicine · doi:10.1002/msj.20096 · Cited by 7
Chen, C., Bussing, R., Hartzema, A. G., Shuster, J. J., Segal, R., & Winterstein, A. G. (2015) · Pharmacoepidemiology and Drug Safety · doi:10.1002/pds.3894 · Cited by 7
Metadata
- Authors
- Perrin, J. M., Friedman, R. A., Knilans, T. K., the Black Box Working Group, & Surgery, T. S. O. C. A. C.
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2008-08-01
- Volume
- 122
- Issue
- 2
- Pages
- 451-453
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W2122369545
- Cited by
- 161
- References
- 16
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 3 · 2023: 2 · 2022: 2 · 2021: 5 · 2020: 3 · 2019: 2 · 2018: 6 · 2017: 4 · 2016: 11 · 2015: 9 · 2014: 10 · 2013: 7 · 2012: 25
- FWCI
- 15.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Heart Association
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pharmaceutical studies and practices
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Keywords
- attention deficit hyperactivity disorder, stimulant medication, sudden cardiac death, electrocardiogram screening, cardiovascular monitoring, American Heart Association guidelines, American Academy of Child and Adolescent Psychiatry, children and adolescents
- MeSH terms
- Adolescent, Central Nervous System Stimulants, Attention Deficit Disorder with Hyperactivity, Cardiovascular Diseases, Child, Child, Preschool, Electrocardiography, Female, Follow-Up Studies, Humans, Male, Monitoring, Physiologic, Policy Making, Societies, Medical, Death, Sudden, Cardiac, Practice Guidelines as Topic, Risk Assessment
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