Department of Psychiatry, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
Department of Psychiatry, Hospital Sultan Abdul Aziz Shah, Serdang, Selangor, Malaysia.
BMJ Case Rep. 2023 Nov 27;16(11):e255187. doi: 10.1136/bcr-2023-255187.
A young child was diagnosed with autism spectrum disorder with comorbid attention-deficit/hyperactivity disorder. His hyperactivity, impulsivity and absence of awareness towards danger increased his risk of harm and hence methylphenidate was indicated. Unfortunately, he developed chest pain eight months after the treatment initiation. We then stopped the stimulant and changed his treatment to atomoxetine, after which he no longer had chest pain. In the following illustrated case, we will discuss the cardiac side effect of methylphenidate.
一名患有自闭症谱系障碍合并注意缺陷多动障碍的幼儿被确诊。他的多动、冲动和对危险的无意识增加了他受伤的风险，因此需要使用哌甲酯。不幸的是，他在治疗开始后 8 个月出现胸痛。我们随后停止使用兴奋剂，并将他的治疗方案改为托莫西汀，此后他不再有胸痛。在以下的病例中，我们将讨论哌甲酯的心脏副作用。
