The DOI matches its Crossref record; 16 of the 16 references it cites were found in a registry or an index.
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…
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“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]
Citations
Cites
Pliszka, S. (2007) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/chi.0b013e318054e724 · Cited by 1,765
Maron, B. J., Thompson, P. D., Ackerman, M. J., Balady, G. J., Berger, S., Cohen, D., Dimeff, R. J., Douglas, P. S., Glover, D. W., Hutter, A. M., et al. (2007) · Circulation · doi:10.1161/circulationaha.107.181423 · Cited by 1,086
Committee on Quality Improvement, S. O. A.-D. D. (2000) · Pediatrics · doi:10.1542/peds.105.5.1158 · Cited by 1,076
Attention-Deficit, S. O., & Disorder, H. (2001) · Pediatrics · doi:10.1542/peds.108.4.1033 · Cited by 636
Kollins, S. H., McClernon, F. J., & Fuemmeler, B. F. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.10.1142 · Cited by 369
Barkley, R. A., & Cox, D. (2007) · Journal of Safety Research · doi:10.1016/j.jsr.2006.09.004 · Cited by 335
ADHD Drugs and Cardiovascular Risk
Nissen, S. E. (2006) · New England Journal of Medicine · doi:10.1056/nejmp068049 · Cited by 331
Classifying Recommendations for Clinical Practice Guidelines
Steering Committee on Quality Improvement and Management (2004) · Pediatrics · doi:10.1542/peds.2004-1260 · Cited by 322
Vetter, V. L., Elia, J., Erickson, C., Berger, S., Blum, N., Uzark, K., & Webb, C. L. (2008) · Circulation · doi:10.1161/circulationaha.107.189473 · Cited by 296
Attention-Deficit/Hyperactivity Disorder: Diagnosis, Lifespan, Comorbidities, and Neurobiology
Spencer, T. J., Biederman, J., & Mick, E. O. (2007) · Ambulatory Pediatrics · doi:10.1016/j.ambp.2006.07.006 · Cited by 295
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
Cited by
Sorted by citations
Items 101–161 of 161
Leslie, L. K., Rodday, A. M., Saunders, T. S., Cohen, J. T., Wong, J. B., Sheldrick, R. C., & Parsons, S. K. (2012) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/cap.2011.0141 · Cited by 6
Cowles, B. J. (2009) · Therapeutics and Clinical Risk Management · doi:10.2147/tcrm.s6733 · Cited by 6
Attention-Deficit/Hyperactivity Disorder
REIFF, M. I., & Stein, M. T. (2018) · American Academy of PediatricsItasca, IL eBooks · doi:10.1542/9781610021357-18 · Cited by 6
Shin, Y., Kim, E., Kim, Y., Bhang, S., Lee, E., Lee, C.-S., Chang, H. Y., Hong, M., & Shin, D. (2017) · Journal of korean Academy of Child and Adolescent Psychiatry · doi:10.5765/jkacap.2017.28.2.84 · Cited by 6
Screening for Cardiovascular Disease in the Young
Gutgesell, H. P. (2011) · Congenital Heart Disease · doi:10.1111/j.1747-0803.2011.00501.x · Cited by 5
Pavletic, A. J., Pao, M., Pine, D. S., Luckenbaugh, D. A., & Rosing, D. R. (2013) · International Journal of Clinical Practice · doi:10.1111/ijcp.12218 · Cited by 5
Attention Deficit Hyperactivity Disorder: Part III
Ryan‐Krause, P. (2010) · Journal of Pediatric Health Care · doi:10.1016/j.pedhc.2010.10.001 · Cited by 5
Electrocardiograms Transmitted via Facsimile May Not Allow Accurate Interval Interpretation
Farooqi, K. M., Ceresnak, S. R., Freeman, K. D., & Pass, R. H. (2011) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.2011.03158.x · Cited by 5
Ghaffari, M. (2009) · Current Attention Disorders Reports · doi:10.1007/s12618-009-0005-4 · Cited by 5
Assessment and Treatment of Attention-Deficit/Hyperactivity Disorder: Part 2
French, W. P. (2015) · Pediatric Annals · doi:10.3928/00904481-20150410-11 · Cited by 5
Cardiovascular Considerations for Stimulant Class Medications
Hammerness, P. G., Berger, A. C., Angelini, M. C., & Wilens, T. E. (2022) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2022.02.002 · Cited by 4
Attention-Deficit/Hyperactivity Disorder and Sports
MacLean, L., & Prabhakar, D. (2021) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2021.04.014 · Cited by 4
Expanding medication options for pediatric ADHD.
Froehlich, T. E., Delgado, S. V., & Anixt, J. S. (2013) · PubMed · Cited by 4
Review of Cardiovascular Effects of ADHD Medications
Levin, C. J., Goodman, D. W., & Adler, L. A. (2018) · Psychiatric Annals · doi:10.3928/00485713-20180612-01 · Cited by 3
Shetty, I., Silver, E. S., Hordof, A. J., Goldberg, P. H., & Liberman, L. (2011) · Pediatrics International · doi:10.1111/j.1442-200x.2011.03326.x · Cited by 3
Attention‐Deficit Hyperactivity Disorder and Long‐QT Syndrome: Risky Business
Kaltman, J. R., & Berul, C. I. (2015) · Journal of Cardiovascular Electrophysiology · doi:10.1111/jce.12744 · Cited by 3
Electrocardiogram before starting stimulant medications: to order or not?
Aggarwal, V., Aggarwal, A., & Khan, D. M. (2015) · Cardiology in the Young · doi:10.1017/s1047951115001274 · Cited by 3
Adolescent Mental Health Disorders
Chaney, M., Jani, S., Shekunov, J., & Choice, T. (2016) · Springer eBooks · doi:10.1007/978-3-319-45778-9_24 · Cited by 3
Attention Deficit Hyperactivity Disorder
Greydanus, D. E. (2011) · Springer eBooks · doi:10.1007/978-94-007-0627-9_8 · Cited by 3
354 Disorders of Cognition, Attention, Language, and Learning
(2012) · SpringerReference · doi:10.1007/springerreference_301471 · Cited by 3
Alsayouf, H. A., Dyab, L. M., Al-Ghawanmeh, R., Alhawawsha, L. S., Alsarhan, O., Al-Smadi, H., Al‐Taani, G. M., Daoud, A. S., Elsadek, H. E., & Khreisat, W. H. (2024) · Pediatric Reports · doi:10.3390/pediatric16040098 · Cited by 2
Assessment and Treatment of a Young Adult with Congenital Heart Disease and ADHD
Hammerness, P. G., Cassidy, A. R., Potts, H. E., Richardson, A., Fogler, J., Daly, K. P., & Augustyn, M. C. (2021) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0000000000000961 · Cited by 2
Romba, C., & Singh, J. (2025) · Pediatric Annals · doi:10.3928/19382359-20241007-06 · Cited by 2
What's new in outpatient cardiology
Lacina, S. J. (2009) · Current Opinion in Pediatrics · doi:10.1097/mop.0b013e32832ff3ec · Cited by 2
Succinct Pediatrics: Evaluation and Management for Common and Critical Care
Feld, L. G., & Mahan, J. D. (2015) · American Academy of Pediatrics eBooks · doi:10.1542/9781581109689 · Cited by 2
Braddock, A., Kapp‐Simon, K. A., & Stein, M. T. (2011) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0b013e31821e57f4 · Cited by 2
CHILD AND ADOLESCENT PSYCHOPHARMACOLOGY
D'Alli, R. E. (2009) · Elsevier eBooks · doi:10.1016/b978-1-4160-3370-7.00090-0 · Cited by 2
Disorders of Cognition, Attention, Language, and Learning
Wegner, L. M., Poon, J. K., & Macias, M. M. (2012) · Springer eBooks · doi:10.1007/978-3-642-02202-9_45 · Cited by 2
Psychopharmacology in Preschool Children
Tandon, M., & Luby, J. L. (2012) · doi:10.1002/9781119958338.ch16 · Cited by 2
Beneath the tip of the iceberg: treatment of neuropsychiatric comorbidities in tic disorders
Abi‐Jaoude, E., Gorman, D. A., & Sandor, P. (2026) · Handbook of clinical neurology · doi:10.1016/b978-0-443-13554-5.00008-0 · Cited by 1
Bélanger, S., Warren, A., Hamilton, R., Gray, C., Gow, R. M., Sanatani, S., Côté, J.-M., Lougheed, J., LeBlanc, J. C., Martin, S. D., et al. (2009) · Paediatrics & Child Health · doi:10.1093/pch/14.9.586 · Cited by 1
Grandinetti, C. A., & Osborne, S. F. (2010) · Clinical Pharmacology & Therapeutics · doi:10.1038/clpt.2010.82 · Cited by 1
Stimulant Pharmacotherapy for Adults with ADHD
Hammerness, P. G. (2012) · Humana Press eBooks · doi:10.1007/978-1-62703-248-3_5 · Cited by 1
Monitoring Psychiatric Medications in Children
Hilt, R. J. (2012) · Pediatric Annals · doi:10.3928/00904481-20120307-13 · Cited by 1
Advances in Pediatric Pharmacology, Therapeutics, and Toxicology
Paul, I. M. (2010) · Advances in Pediatrics · doi:10.1016/j.yapd.2010.08.004 · Cited by 1
Aufmerksamkeitsdefizit-Hyperaktivitäts-Störung
Hulpke‐Wette, M., & Paul, T. (2010) · Monatsschrift Kinderheilkunde · doi:10.1007/s00112-010-2219-z · Cited by 1
Taking the stress out of individualizing ADHD drug therapy.
McLeod, M. M., Laubscher, T. A., Regier, L. D., & Jensen, B. (2009) · PubMed Central · Cited by 1
Issues in Prescribing Psychiatric Medication to Children and Adolescents
Pearson, G. S., Muller, B., & Reilly, A. (2012) · Wiley eBooks · doi:10.1002/9781118704660.ch6
Rights and Great Responsibilities of Academic Pediatricians
Cooper, W. O. (2013) · Academic Pediatrics · doi:10.1016/j.acap.2013.07.006
Piso, K. X. O., Riaño, M. D. L. Á. V., & Enfermero (2014) · Intellectum (Universidad de La Sabana)
Impact of Screening Electrocardiograms on ADHD Treatment
(2014) · AAP Grand Rounds · doi:10.1542/gr.31-4-42
Webb, N. E. (2010) · Archives of Clinical Neuropsychology · doi:10.1093/arclin/acq085
Cardiovascular Risk Screening before Starting Stimulants for ADHD in Canadian Practice
Millichap, J. G. (2008) · Pediatric Neurology Briefs · doi:10.15844/pedneurbriefs-22-11-2
Routine ECG and Stimulant Medications for ADHD
Millichap, J. G. (2008) · Pediatric Neurology Briefs · doi:10.15844/pedneurbriefs-22-9-2
Stimulant medication in children and adolescents
Stevens, J. R., & Wilens, T. E. (2014) · Cambridge University Press eBooks · doi:10.1017/cbo9781139035491.021
Evidence-based pharmacotherapy of attention deficit hyperactivity disorder
Vaughan, B. S., March, J. S., & Kratochvil, C. J. (2012) · Cambridge University Press eBooks · doi:10.1017/cbo9780511910395.002
Cardiovascular Events and Stimulants for ADHD
Millichap, J. G. (2011) · Pediatric Neurology Briefs · doi:10.15844/pedneurbriefs-25-12-1
Medication Prescribing for Children
Freed, G. L. (2018) · JAMA · doi:10.1001/jama.2018.5731
Berg, X., & Claussen, M. C. (2020) · DNP - Der Neurologe und Psychiater · doi:10.1007/s15202-020-2878-0
Pearson, G. S., & Bennett, C. M. (2021) · doi:10.1002/9781119487593.ch9
Current awareness: Pharmacoepidemiology and drug safety
(2008) · Pharmacoepidemiology and Drug Safety · doi:10.1002/pds.1644
Central nervous system stimulants and drugs that suppress appetite
Sequeira, R. P. (2012) · Side effects of drugs annual · doi:10.1016/b978-0-444-59499-0.00001-5
Factores determinantes del riesgo metabólico en el tratamiento con antipsicóticos atípicos
Pato, C. M. F. (2015) · UVaDOC UVaDOC University of Valladolid Documentary Repository (University of Valladolid) · doi:10.35376/10324/11783
Group 1 Medications for Attention-Deficit/ Hyperactivity Disorder
(2021) · American Academy of PediatricsItasca, IL eBooks · doi:10.1542/9781610025478-5
(2016) · Wiley eBooks · doi:10.1002/9781394259472.refs
Group 1 Medications for Attention-Deficit/Hyperactivity Disorder
(2024) · American Academy of PediatricsItasca, IL eBooks · doi:10.1542/9781610027663-ch5
Pentony, M., Ali, Z., Moore, K., McNicholas, F., & James, A. T. (2024) · Cardiology in the Young · doi:10.1017/s1047951124025320
Toole, K. P., & Frank, C. (2025) · AJN American Journal of Nursing · doi:10.1097/ajn.0000000000000085
Diagnosis and Laboratory Tests
Millichap, J. G. (2009) · Springer eBooks · doi:10.1007/978-1-4419-1397-5_4
Methylphenidate-related cardiac and cardiovascular safety: a bibliometric and network analysis
Yılmaz, Ö., & Açıkel, S. B. (2026) · TURKISH JOURNAL OF MEDICAL SCIENCES · doi:10.55730/1300-0144.6403
Adolescent Mental Health Disorders
Kurtz, B. P. (2010) · Springer eBooks · doi:10.1007/978-1-4419-6845-6_20
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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review