Should we get an ECG before prescribing a stimulant or other ADHD medication?

Bottom line Practice guidelines (those that make any recommendation about this) agree that an ECG is NOT needed unless cardiovascular risk factors are present in the patient or the patient’s family history. Let’s look at some key examples. The American Academy of Pediatrics Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in…