Skip to main content
. 2018 May 10;2018(5):CD012069. doi: 10.1002/14651858.CD012069.pub2

Arman 2013.

Methods A cohort study measuring heart rate and cardiac abnormalities at the second to fourth week of treatment with methylphenidate
Participants Number of participants screened: not stated
Number of participants included: 15
Number of participants followed‐up: 15
Number of withdrawals: 0
Diagnosis of ADHD: not stated (subtype: combined (53%), inattentive (47%))
Age mean: 9.08 years (range: 7‐13 years)
IQ: not stated
Sex: 11 males, 4 females
Methylphenidate‐naïve: not stated
Ethnicity: not stated
Country: Turkey
Comorbidity: not stated
Comedication: not stated
Sociodemographics: not stated
Inclusion criteria:
None stated
Exclusion criteria:
  1. Participants with cardiac and neurologic diseases affecting the autonomic nervous system were excluded

Interventions Methylphenidate dosage: 0.25‐1 mg/kg/day
Mean methylphenidate dosage: 0.6 mg/kg/day
Administration schedule: not stated
Duration of intervention: not stated, but the outcome measures were monitored from week 2 to 4
Treatment compliance: not stated
Outcomes Serious adverse events:
Cardiac rhythm abnormalities monitored by 12‐lead‐surface electrocardiogram and 24‐hour‐ambulatory Holter monitorisation
Non‐serious adverse events:
Heart rate variability (HRV) monitored by 12‐lead‐surface electrocardiogram and 24‐hour‐ambulatory Holter monitorisation
Notes Sample calculation: not stated
Ethics approval: not stated
Funding/vested interest/authors' affiliations: not stated
Any withdrawals due to adverse events: not stated
Key conclusions of the study authors: our study showed a significantly increased heart rate and decreased heart rate variability due to methylphenidate treatment in children with ADHD, suggesting an increased sympathetic tonus especially at the daytime. Risk of sudden cardiac death and serious arrhythmia has not been demonstrated
Comments from the review authors: no full text available, only an abstract. No information on ADHD diagnosis so we are only able to use data on serious adverse events
Exclusion of methylphenidate non‐responders/children who have previously experienced adverse events on methylphenidate: not stated
Supplemental information requested through personal email correspondence with the authors in August 2014. They were not able to provide further information