About this trial
To identify the prevalence and types of cardiovascular abnormalities in children diagnosed with ADHD
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Age is > 6 years and <18 years old
Both sex
Patients diagnosed as having ADHD according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria.
Currently receiving pharmacological treatment for at least six months
Disqualifiers
Age > 18 years
Patients who have a history of chronic diseases.
Patients with established hereditary syndromes or chromosomal abnormalities as Down syndrome.
Trial population
Participants will be divided into: * A case group: consisting of pediatric patients previously diagnosed with ADHD according to DSM/5 criteria currently receiving pharmacological treatment. * A control group: composed of age and sex matched neurotypical children.
Trial design
Case-control
Retrospective
Treatments tested in this trial
echocardiography and ECG
Diagnostic test* Electrocardiography (ECG): Twelve-lead ECG will be taken using 12A ECG device . * Echocardiographic Measurements M-Mode echocardiographic measurements clinical history and examination
Treatment groups
Trial outcomes
Primary outcomes
prevalence of ECG and echocardiographic abnormalities in children with ADHD.
The percentage of children diagnosed with Attention-Deficit/Hyperactivity Disorder (ADHD) who exhibit one or more predefined structural or functional cardiac abnormalities on electrocardiogram (ECG) or transthoracic echocardiography (Echo). Abnormalities will be defined as: ECG Abnormalities: Prolonged corrected QT interval (QTc \> 450\\text{ ms} for males, \> 460\\text{ ms} for females using Bazett's formula), pathologic T-wave inversions, conduction blocks (e.g., right bundle branch block), or arrhythmias (e.g., ventricular premature beats). Echocardiographic Abnormalities: Left ventricular hypertrophy, structural congenital heart defects, valvular regurgitation (mitral/tricuspid) graded as moderate or severe, or reduced systolic function (Left Ventricular Ejection Fraction \< 55\\%). All assessments will be performed by a single blinded investigator using standard pediatric clinical guidelines to ensure consistency
systolic blood pressure
Comparison of systolic blood pressure (measured via a standard automated pediatric sphygmomanometer) across the study groups. Unit of Measure: Millimeters of mercury (mmHg)
diastolic blood pressure
Comparison of systolic blood pressure (measured via a standard automated pediatric sphygmomanometer) across the study groups. Unit of Measure: Millimeters of mercury (mmHg)
Secondary outcomes
body mass index
Anthropometric measurement to correlate nutritional/growth status with cardiac findings across the cohorts. Unit of Measure: Z-score (standard deviations from the mean based on WHO growth charts)
Locations
Sponsors and contacts
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