Document Detail


Attention Deficit Hyperactivity Disorder Screening Electrocardiograms: A Community-Based Perspective.
MedLine Citation:
PMID:  24141829     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Screening electrocardiograms (EKGs) for attention deficit hyperactivity disorder (ADHD) medication administration is controversial. We reviewed our experience as a community-based cardiology group. We reviewed all ADHD screening EKGs during a 2-year period. We evaluated whether screening EKGs resulted in further consultation and if management was altered. We also evaluated differences between patients on ADHD medications and those starting ADHD medications and further stratified the patients into stimulant versus nonstimulant groups. A total of 691 screening EKGs met our criteria. Forty-two patients (6.1 %) were recommended for further consultation. EKG findings requiring consultation included the following: left-ventricular hypertrophy, right atrial enlargement, arrhythmia, prolonged QT, and axis deviation. Studies performed during consultation included 39 echocardiograms, 2 stress tests, 2 Holter monitors, and 1 heart card. Five patients (0.72 %) were identified to have cardiac disease, one of whom decided against starting ADHD medications due to an arrhythmia, resulting in a change in management (0.14 %). Results comparing mean age, heart rate, and corrected QT interval between patients on medication and patients starting medications were as follows: 10.06 years, 82.87, bpm and 405.24 ms compared with 9.99 years, 80.05 bpm, and 405.82 ms, respectively (p = not significant [NS], p = 0.013 [NS], respectively). Results comparing mean age, heart rate, and corrected QT interval between patients on stimulant versus nonstimulant medications were as follows: 9.68 years, 83.10 bpm, and 403.04 ms compared with 9.81 years, 80.10 bpm, and 407.08 ms, respectively (p = NS for all). In our population, screening EKGs rarely resulted in management changes for patients taking or starting ADHD medications.
Authors:
Shilpa A Shahani; William N Evans; Gary A Mayman; Vincent C Thomas
Related Documents :
7463699 - An informal appraisal of the current status of 'medical sociology'.
17786649 - Complexities in reproductive choice: medical professionals' attitudes to and experience...
1687629 - Chemical restraint-reversal with medetomidine and atipamezole in veterinary small anima...
16250279 - Attitudes of medical students towards euthanasia in a multicultural setting.
15383379 - Investigating the use of negatively phrased survey items in medical education settings:...
17594969 - Physicians' attitudes toward homosexuality and hiv: survey of a california medical soci...
24225389 - The ethics of limiting informed debate: censorship of select medical publications in th...
14985199 - Unprofessional behavior in medical school is associated with subsequent disciplinary ac...
17338479 - Effect of a personal automated dose-dispensing system on adherence: a case series.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-10-19
Journal Detail:
Title:  Pediatric cardiology     Volume:  -     ISSN:  1432-1971     ISO Abbreviation:  Pediatr Cardiol     Publication Date:  2013 Oct 
Date Detail:
Created Date:  2013-10-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Pediatrics, University of Nevada School of Medicine, 2040 W. Charleston Blvd, Suite 402, Las Vegas, NV, 89102, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Optimization of Preoperative Status in Hypoplastic Left Heart Syndrome With Intact Atrial Septum by ...
Next Document:  Nuclear DNA fragmentation negatively affects zona binding competence of Y bearing mouse spermatozoa.