Adult ADHD Medications and Their Cardiovascular Implications.
1Division of Cardiology, Saint Luke's University Health Network, 801 Ostrum Street, Bethlehem, PA 18015, USA.
Case Reports in Cardiology
|September 1, 2016
Summary
Central nervous system stimulants treat attention-deficit/hyperactivity disorder (ADHD) but long-term cardiovascular effects require further study. This case highlights acute myocardial infarction (AMI) risk in adults with ADHD on stimulant medication.
Area of Science:
- Neuroscience
- Cardiology
- Pharmacology
Background:
- Attention-deficit/hyperactivity disorder (ADHD) is a chronic neurobiological disorder.
- Central nervous system (CNS) stimulants are a primary treatment for ADHD.
- Concerns exist regarding the long-term cardiovascular safety of CNS stimulants in adults.
Purpose of the Study:
- To investigate the cardiovascular safety of CNS stimulants in adult ADHD patients.
- To explore the association between stimulant use and adverse cardiovascular events.
- To present a case of acute myocardial infarction (AMI) in an adult ADHD patient on Adderall.
Main Methods:
- Literature review on cardiovascular effects of CNS stimulants in adult ADHD.
- Case report of AMI in an adult treated with mixed amphetamine salts (Adderall).
Main Results:
- Cardiovascular effects of ADHD medications primarily include elevated heart rate and blood pressure.
- Etiology of rare events like AMI, arrhythmia, and cardiomyopathy remains less understood.
- A unique case of AMI in an adult ADHD patient on Adderall is presented.
Conclusions:
- Further research is needed to understand the long-term cardiovascular risks of CNS stimulants in adults with ADHD.
- The case report underscores the potential for serious cardiovascular events, including AMI.
- Cardiovascular safety monitoring is crucial for adults with ADHD on stimulant therapy.
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