Learn about Cardiograms & ADD Meds Video

Learn about Cardiograms and ADD medications. Andrew D. Blaufox, MD Pediatric Electrophysiology Schneider Children's Hospital . Associate Professor Clinical Pediatrics Albert Einstein College of Medicine. Medical School: Albert Einstein College ...
Read the full transcript »

Host: It is in the news now that we put kid on the drug for ADD or some psychotropic medicine they want a cardiogram. Why would they want to cardiogram before the would use any medicine for kid for ADD or some psychotropic drug? Andrew D. Blaufox: Well I think that the need to perform cardiogram prior to starting medication for ADD or increasing doses of medication for ADD has been highly debated in pediatric cardiology and a lot of physiology circles and in fact I think there are some misconceptions when the original paper came out from the American Heart Association and in fact the American Academy of Pediatrics had a statement essentially refuting much of what the AJ has said and it's my feeling as well that patients don't need a screening electrocardiogram necessarily before starting these medications or increasing the dose of these medications. Host: There is nothing wrong in doing it, but it's not an absolute requirement to get the medicine in your head to have a cardiogram automatically, is that true? Andrew D. Blaufox: I think it is definitely not required and I think that if after a thorough history and physical and family history, if there is any suspicion that there might be some heart disease then an EKG will be indicated. Otherwise I think performing routine EKGs can lead to a whole bunch of other testing that are not necessary in the vast majority of patients. So effectively the EKGs is not the best screening tool to pick up any potential problems. Host: We agree.

Advertisement
Advertisement
Advertisement