The long-term cardiovascular risk from stimulants is very low in absolute terms for most people.

“The more recent study looked as long as 14 years out out and there they found measurable statistically significant increase in risk that increased during the first 3 years of being on a stimulant and increased at a much lower rate for the next 10 years sort of plateaued out but still measurably higher than people with ADHD who weren't on a stimulant”

“most the studies looking at more serious other than just mild hypertension or mild elevation of heart rate um haven't found much but most of them only looked you know a year out or a year of treatment do we see rates of heart attacks do we see rates of Strokes do we see rates of dangerous arrhythmias and in general they're looking at a young population where these events are really uncommon anyway and most of them didn't find any evidence of problems in a year or two out”