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Nonetheless, before we start a child on medication, we take a careful cardiac history. I always ask for a history of sudden death in the family on either side, and for the child’s personal cardiac history. Did the pediatrician say he had a murmur? Has he complained of chest pain? Has he fainted? At the baseline, you want to check blood pressure, and if there’s any family history, or if there’s any indication of cardiac symptoms, then that patient should have a cardiac workup before he starts stimulant medication. Those are still the current guidelines.
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