成人注意力缺陷/多动障碍治疗与心血管风险相关

IF 3.1 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Aditi Kothari, John Paul Aparece, Raul Del Toro Mijares
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引用次数: 0

摘要

综述目的:注意缺陷多动障碍(ADHD)的患病率越来越高,因此研究这种疾病的心血管影响及其治疗药物变得非常重要。随着世界上越来越多的患者被诊断为多动症,这些药物的处方也越来越多,了解与这些药物相关的心血管风险概况是势在必行的。这篇叙述性综述将强调考虑ADHD固有的心血管危险因素和目前用于治疗ADHD的药物的重要性。最近的研究发现:由多动症治疗引起的慢性交感神经激活对心血管系统有许多影响,包括血压和心率的增加。这些变化可能会导致心力衰竭、心律失常甚至心源性猝死。虽然一些研究表明ADHD药物与心血管影响之间没有相关性,但目前的指导方针建议在开始治疗之前进行彻底的评估,并在治疗期间进行定期监测。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cardiovascular Risk Associated with the Treatment of Attention-Deficit/Hyperactivity Disorder in Adults.

Purpose of review: The increasing prevalence of attention deficit hyperactivity disorder (ADHD) makes it important to study the cardiovascular implications of this disease and the drugs used to treat it. As more patients are diagnosed with ADHD across the world and these medications are prescribed more, it is imperative to understand the cardiovascular risk profile associated with these medications. This narrative review will highlight the importance of considering cardiovascular risk factors inherent to ADHD and the medications currently used to treat it.

Recent findings: Chronic sympathetic activation as caused by ADHD therapies has numerous effects on the cardiovascular system including an increase in blood pressure and heart rate. These changes could potentially lead to heart failure, arrythmias or even sudden cardiac death. While a few studies that have shown no correlation between ADHD medications and cardiovascular effects, current guidelines recommend a thorough assessment prior to initiating treatment and periodic monitoring during treatment.

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来源期刊
Current Cardiology Reports
Current Cardiology Reports CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
6.20
自引率
2.70%
发文量
209
期刊介绍: The aim of this journal is to provide timely perspectives from experts on current advances in cardiovascular medicine. We also seek to provide reviews that highlight the most important recently published papers selected from the wealth of available cardiovascular literature. We accomplish this aim by appointing key authorities in major subject areas across the discipline. Section editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.
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