Evidence map›Paper›PMID 38586757›Full record

ArticleCureus2024

Methylphenidate-Induced Non-ischemic Heart Failure With Reduced Ejection Fraction and Mild Pulmonary Hypertension.

Derek Ugwendum, Yolande Mbome, Divine Besong Arrey Agbor, Umida Burkhanova, Rita Offor, Ikpechukwu J Okorie, Asher Gorantla, Frances A Amokaye, Muhammed Atere, Jay Nfonoyim

Abstract readCase Reports
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Derek UgwendumInternal Medicine, Richmond University Medical Center, Staten Island, USA.
Yolande MbomeInternal Medicine, Richmond University Medical Center, Staten Island, USA.
Divine Besong Arrey AgborInternal Medicine, Richmond University Medical Center, Staten Island, USA.
Umida BurkhanovaCardiology, State University of New York (SUNY) Downstate Medical Center, Brooklyn, USA.
Rita OfforInternal Medicine, State University of New York (SUNY) Downstate Medical Center, Brooklyn, USA.
Ikpechukwu J OkorieInternal Medicine, Richmond University Medical Center, Staten Island, USA.
Asher GorantlaCardiology, State University of New York (SUNY) Downstate Medical Center, Brooklyn, USA.
Frances A AmokayeInternal Medicine, American University of Antigua, St. John's, ATG.
Muhammed AtereCardiology, State University of New York (SUNY) Downstate Medical Center, Brooklyn, USA.
Jay NfonoyimPulmonary and Critical Care, Richmond University Medical Center, Staten Island, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Attention-deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder that is commonly diagnosed during childhood. Patients present with hyperactive-impulsive behavior and/or inappropriate inattention which may persist through adulthood. Central nervous system stimulants have been used to manage patients with ADHD. Methylphenidate which is used as a first-line therapy has been shown to have adverse cardiovascular effects in these patients. This is a case of a young male with a history of ADHD since childhood on methylphenidate who was diagnosed with acute non-ischemic heart failure with an ejection fraction of 15-20%. Methylphenidate-induced heart failure is the rare adverse effect seen in ADHD patients who are on this medication. Our patient was started on goal-directed medical therapy for heart failure and was discharged with an implantable cardioverter defibrillator (LifeVest®, ZOLL, Pittsburgh, PA) because of his persistently low left ventricular ejection fraction. It is important for physicians to always consider heart failure as a possible cardiovascular adverse effect when starting patients on methylphenidate for the management of ADHD.

Indexed as

attention deficit hyperactivity disorder (adhd)central nervous system stimulantheart failure with reduced ejection fractionimplantable cardioverter defibrillator (icd)methylphenidate

Identifiers

PMID38586757
PMCPMC10995454

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.