Pre-Medication Safety Check

ADHD Cardiac Screening for Children & Teenagers

Rapid, one-stop cardiovascular clearance before starting ADHD medication with consultant paediatric cardiologist Dr Nitha Naqvi at 77 Wimpole Street, Central London.

Why is ADHD cardiac screening needed before starting medication?

ADHD medications (such as methylphenidate, lisdexamfetamine, or atomoxetine) are stimulant or noradrenergic agents that can slightly increase resting heart rate and blood pressure. A cardiac screening evaluation (including a 12-lead ECG and echocardiogram) ensures there are no underlying rhythm disorders (e.g. Long QT), structural defects, or cardiomyopathy before safe prescribing.

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Comprehensive One-Stop Screening Protocol

Prescribing guidelines (such as NICE and AACAP guidelines) recommend cardiac assessment before starting ADHD medications, especially if there is a personal history of dizziness, palpitations, chest pain, or a family history of early heart disease.

Our Screening Includes:

  • Clinical Cardiovascular Examination & BP: Blood pressure and resting pulse analysis against paediatric percentiles.
  • 12-Lead ECG: Accurate calculation of QTc interval, PR interval, and arrhythmia screening.
  • Paediatric Echocardiogram: High-resolution ultrasound to verify normal structural heart anatomy and muscle function.
  • Prompt Medical Report: Comprehensive written report dispatched to your prescribing paediatrician or psychiatrist to enable prompt commencement of treatment.

Avoid Medication Delays

Our rapid private appointments at 77 Wimpole Street allow children to complete their cardiac check without long NHS waiting times.

Book ADHD Heart Check

One-stop appointment with Dr Naqvi.

Make an Appointment

Frequently Asked Questions: ADHD Cardiac Screening

Parent questions answered by Dr Nitha Naqvi

Stimulant and non-stimulant medications for ADHD (such as methylphenidate/Ritalin, lisdexamfetamine/Elvanse, atomoxetine) can elevate baseline heart rate and blood pressure. A cardiac screen excludes silent structural anomalies, prolonged QT interval, or cardiomyopathy before initiating treatment.

The one-stop assessment includes a physical cardiovascular examination, blood pressure check, detailed family cardiac history review, 12-lead ECG, and same-day echocardiogram (heart ultrasound).

Dr Naqvi provides verbal reassurance to parents immediately in clinic and issues a comprehensive written clearance report directly to your child's paediatrician or child psychiatrist within 24–48 hours.

Yes. Parents can self-refer directly for private screening to avoid treatment delays. If using private health insurance, a referral letter is usually recommended.