Navigation Links
American Academy of Pediatrics/American Heart Association Clarification of Statement on Cardiovascular Evaluation and Monitoring of Children and Adolescents With Heart Disease Receiving Medications for ADHD
Date:5/16/2008

Endorsed by the American Academy of Child and Adolescent Psychiatry, the American College of Cardiology, Children and Adults with Attention-Deficit/Hyperactivity Disorder and the National Initiative for Children's Healthcare Quality

DALLAS, May 16 /PRNewswire-USNewswire/ -- The American Heart Association released on April 21, 2008 a statement about cardiovascular evaluation and monitoring of children receiving drugs for the treatment of Attention Deficit Hyperactivity Disorder (ADHD). As a result of language in the news release and the statement as published, there have been conflicting interpretations of the recommendations regarding the use of an electrocardiogram (ECG) in assessing children with ADHD who may need treatment with medications. The purpose of this joint advisory of the American Academy of Pediatrics (AAP) and the American Heart Association (AHA) is to clarify the recommendations.

-- The scientific statement included a review of data that show children

with heart conditions have a higher incidence of ADHD.

-- Because certain heart conditions in children may be difficult (even, in

some cases, impossible) to detect, the AAP and AHA feel that it is

prudent to carefully assess children for heart conditions who need to

receive treatment with drugs for ADHD.

-- Obtaining a patient and family health history and doing a physical exam

focused on cardiovascular disease risk factors (Class I recommendations

in the statement) are recommended by the AAP and AHA for assessing

patients before treatment with drugs for ADHD.

-- Acquiring an ECG is a Class IIa recommendation. This means that it is

reasonable for a physician to consider obtaining an ECG as part of the

evaluation of children being considered for stimulant drug therapy, but

this should be at the physician's judgment, and it is not mandatory

to obtain one.

-- Treatment of a patient with ADHD should not be withheld because an ECG

is not done. The child's physician is the best person to make the

assessment about whether there is a need for an ECG.

-- Medications that treat ADHD have not been shown to cause heart

conditions nor have they been demonstrated to cause sudden cardiac

death. However, some of these medications can increase or decrease

heart rate and blood pressure. While these side effects are not usually

considered dangerous, they should be monitored in children with heart

conditions as the physician feels necessary.

An erratum to the statement has been developed to clarify the language and to assure that the intent is clear to all readers. This is available at:

http://circ.ahajournals.org/cgi/content/full/CIRCULATIONAHA.107.189473/ DC1.

This clarification has been endorsed by the American Academy of Child and Adolescent Psychiatry, the American College of Cardiology, Children and Adults with Attention-Deficit/Hyperactivity Disorder and the National Initiative for Children's Healthcare Quality.


'/>"/>
SOURCE American Heart Association
Copyright©2008 PR Newswire.
All rights reserved

Related medicine news :

1. IDM Pharma Announces Presentations at 44th American Society of Clinical Oncology Annual Meeting
2. Abbott to Present Data on Novel Cancer Treatments at American Society of Clinical Oncology Annual Meeting
3. Statement from Larry Minnix, President & CEO American Association of Homes and Services for the Aging, On the Government Accountability Offices (GAO) Nursing Home Oversight Report
4. American Red Cross Vindicated in J&J Lawsuit
5. The American Red Cross Commits $10 Million to Assist China Earthquake Survivors
6. Americans must consider cost and effectiveness when comparing and choosing medical interventions
7. American Red Cross Supports China and Myanmar Relief Efforts
8. American Diabetes Wholesale Launches Affiliate Program
9. The American College of Cardiology, American Heart Association and the Heart Rhythm Society Release Updated Cardiac Device-Based Therapy Guidelines
10. Geneticists at the American Museum of Natural History trace the evolution of St. Louis encephalitis
11. CardioDynamics Announces Significant ICG Study with Nearly Three Times the National Average Blood Pressure Control Rates at the American Society for Hypertension Annual Scientific Meeting
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... ... The Visiting Nurse Association (VNA) of Somerset Hills is proud to host ... items from across the nation, this holiday-themed event will raise funds and awareness for ... The boutique will be open Saturday, November 4 (10:00 a.m. – 5:00 p.m.) ...
(Date:10/13/2017)... ... October 13, 2017 , ... Talented host, ... lowdown on sciatica in a new episode of "Success Files," which is an ... and innovation and investigates each subject in-depth with passion and integrity. , Sciatica ...
(Date:10/12/2017)... ... 12, 2017 , ... First Healthcare Compliance (FHC), an industry ... a range of technology and learning solutions at the 68th Annual American Healthcare ... be held October 14–18, 2017 at the Mandalay Bay Resort in Las Vegas, ...
(Date:10/12/2017)... CITY, Fla. (PRWEB) , ... October 12, 2017 , ... ... cold therapy products, announced today the introduction of an innovative new design of the ... multipurpose pad so you get maximum comfort while controlling your pain while using cold ...
(Date:10/12/2017)... ... October 12, 2017 , ... ... has recently contributed a medical article to the newly revamped Cosmetic Town ... article spotlights the hair transplant procedure known as Follicular Unit Extraction ...
Breaking Medicine News(10 mins):
(Date:10/12/2017)... , Oct. 12, 2017 AVACEN Medical , ... company with their  2017 New Product Innovation Award for ... extensive primary and secondary medical device market research by Frost ... its first-to-market OTC, drug-free pain relief product, the AVACEN 100, ... to treating fibromyalgia widespread pain. ...
(Date:10/11/2017)... Texas , Oct. 11, 2017  True ... services, has amplified its effort during National Breast ... about hereditary cancer risks. ... of Clinical Oncology calculated that more than 10 ... have inherited mutations in BRCA1 or BRCA2 and have ...
(Date:10/5/2017)... , Oct. 5, 2017  In response ... of Oral and Maxillofacial Surgeons (AAOMS) released prescribing ... – to be used as a first-line therapy ... Recognizing the ... AAOMS White Paper "Opioid Prescribing: Acute and Postoperative ...
Breaking Medicine Technology: