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Return to Activity: Do Attention-Deficit/Hyperactivity Disorder Medications Increase Cardiovascular Risk?

CME/CE Test

Do Attention-Deficit/Hyperactivity Disorder Medications Increase Cardiovascular Risk?

You are a member of the health care team for a 37-year-old man with attention-deficit/hyperactivity disorder (ADHD). On the basis of the systematic review and meta-analysis by Chang and colleagues, which one of the following statements about potential associations of ADHD medications with the risk for cardiovascular disease (CVD) is correct?

Pooled adjusted relative risk (RR) was statistically significant for ADHD medication use and any CVD among older adults, but not other age groups

There were significant associations for stimulants, but not nonstimulants

There were statistically significant associations with cardiac arrest or arrhythmias

There were no associations with any CVD in females or in patients with preexisting CVD
According to the systematic review and meta-analysis by Chang and colleagues, which one of the following statements about the clinical implications of potential associations of ADHD medications with the risk for CVD is correct?

The study proves that ADHD medications do not increase CVD risk

Food and Drug Administration (FDA) labeling does not include any warnings regarding ADHD medication use among individuals with preexisting CVD

Clinicians should rigorously follow clinical guidelines for blood pressure and heart rate monitoring at baseline and each medication review

The findings and conclusions apply equally to all patients