💊 ADHD Stimulant Cardiovascular Screening Simulator

Starting the Cardiovascular Screen

Placeholder lead: every stimulant candidate gets a brief cardiac risk check first.

• 1 of 3: Screening step (history, vitals, decision)
• CNS: Stimulant class (raises HR and BP modestly)
• Low: Population risk (sudden cardiac events rare)
• Triage: Goal (find the few who need more)

Why screen before prescribing

Placeholder text: stimulants modestly raise heart rate and blood pressure.

What the screen covers

Placeholder text: personal history, family history, and baseline vitals.

Personal and Family Cardiac History

Placeholder lead: history taking surfaces the red flags that matter most.

• Ask: Personal symptoms (palpitations, syncope, chest pain)
• Ask: Family history (sudden death, inherited disease)
• Small %: Red flag yield (minority of patients screened)
• Structured Hx: Tool (brief targeted questionnaire)

Personal symptom red flags

Placeholder text: unexplained palpitations, syncope, or exertional chest pain.

Family history red flags

Placeholder text: sudden death or inherited cardiac conditions in relatives.

Measuring Baseline Blood Pressure and Heart Rate

Placeholder lead: resting BP and HR are recorded before the first dose.

• 60–100: Normal HR (beats per minute at rest)
• <120/80: Normal BP (mmHg, seated at rest)
• Persistent: Elevated trigger (above age-adjusted norms)
• If borderline: Recheck (repeat before deciding)

Measuring baseline vitals

Placeholder text: seated resting blood pressure and pulse are recorded.

Interpreting the reading

Placeholder text: elevated vitals prompt a recheck or referral.

Branching to Routine Start or Cardiac Workup

Placeholder lead: red flags branch to ECG; a clean screen branches to start.

• ECG first: Any red flag (plus cardiology referral)
• Start: No flags, normal vitals (with routine monitoring)
• Recheck: Elevated vitals only (before initiating therapy)
• Single: Decision point (branch after history + vitals)

When ECG or referral is warranted

Placeholder text: concerning history triggers workup before starting.

When routine start is appropriate

Placeholder text: no red flags and normal vitals allow initiation.

Most Patients Start Safely, Few Need Further Workup

Placeholder lead: screening sorts the rare high-risk patient from the majority.

• Small %: Needing ECG referral (concerning history subset)
• Most patients: Starting routinely (with BP/HR monitoring)
• Routine: Ongoing monitoring (BP and HR at follow-ups)
• Safer start: Net effect (targeted, not blanket testing)

The screening outcome

Placeholder text: appropriate triage protects the few, frees the many.

Ongoing care

Placeholder text: routine BP and HR checks continue during treatment.