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The DSM-5 allows for diagnosis of the predominantly inattentive presentations of ADHD (ICD-10 code F90.0) if the individual presents six or more (five for adults) of the following symptoms of inattention for at least six months to a point that is disruptive and inappropriate for developmental level:
[3] [6] The International Classification of Diseases 11th Revision also updated its diagnostic criteria to better align with the new DSM-5 criteria, but in a change from the DSM-5 and the ICD-10, while it lists the key characteristics of ADHD, the ICD-11 does not specify an age of onset, the required number of symptoms that should be exhibited ...
It is measured using an electrocardiogram (ECG). Normally, this begins at the sinoatrial node (SA node); from here the wave of depolarisation travels down to the apex of the heart. The hexaxial reference system can be used to visualise the directions in which the depolarisation wave may travel. On a hexaxial diagram (see figure 1):
The hexaxial reference system is a diagram that is used to determine the heart's electrical axis in the frontal plane.. In electrocardiography, left axis deviation (LAD) is a condition wherein the mean electrical axis of ventricular contraction of the heart lies in a frontal plane direction between −30° and −90°.
The DSM-IV criteria for diagnosis of ADHD is 3–4 times more likely to diagnose ADHD than is the ICD-10 criteria. [218] ADHD is alternately classified as neurodevelopmental disorder [219] or a disruptive behaviour disorder along with ODD, CD, and antisocial personality disorder. [220] A diagnosis does not imply a neurological disorder. [191]
To meet criteria for ADHD diagnoses, one must have 6 positive responses to either the core 9 inattentive symptoms or core 9 hyperactive symptoms, or both. [ 7 ] Both the parent and the teacher versions ask the respondent to rate the frequency of a child's behaviors on a 0–3 scale as follows:
The diagnostic criteria originally designed for determining whether an individual was experiencing ADHD symptoms was designed for children. [11] These criteria has been criticized for being limiting for adults and the symptoms that may be found in adults with ADHD such as procrastination, poor motivation, and time management difficulties.
Intraventricular conduction delay seen in precordial/chest leads with QRS duration 100 ms. An EKG of a 25-year-old male. Intraventricular conduction delays (IVCD) are conduction disorders seen in intraventricular propagation of supraventricular impulses resulting in changes in the QRS complex duration or morphology, or both.