Stimulants

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PikminOC

MD Attending Physician
Removed
10+ Year Member
Any major cardiac contraindications you see with stims?
I see patients with hocm, rbbb, MVP etc who would benefit from stims but I am concerned given the cardiac warning with stims.
What do you think is the best way to help patients? I get thorough cardiac family history as well.
 
Any major cardiac contraindications you see with stims?
I see patients with hocm, rbbb, MVP etc who would benefit from stims but I am concerned given the cardiac warning with stims.
What do you think is the best way to help patients? I get thorough cardiac family history as well.

HoCM and stimulants are probably not a good combination. MVP especially without much MR and those with RBBB probably no big deal. This is not medical advice and should not be construed as such.