Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
I Have A 9 Yo Boy With An Elevated Resting Heart Rate 122 BPM At Rest
Question: I have a 9 yo boy with an elevated resting heart rate 122 BPM at rest. He has a normal 12 lead EKG, prolactin level of 35.9. his cortisol, iron, CBC, and chem 7 is normal.
Brief Answer:
Kindly give few more details
Detailed Answer:
Hello dear,
Thank you for posting your query here.
I understand you concern.
For getting a more clear picture, I would like to get few more details:
1. When did this problem start?
2. Is the tachycardia persisting during sleep also?
3. What about his THYROID FUNCTION test?
4. Kindly upload EKG and Chem 7 reports- I would like to go through.
5. Is he reporting any related symptoms like palpitation?
6. An ECHO test was done before? If yes, kindly share that too.
Kindly get back with details, so that I can guide you better
Anyhow, his heart rate is not too high; its just borderline(>120 is considered tachycardia for this age)- we need not worry much as of now.
Regards, Dr Aslam
Kindly give few more details
Detailed Answer:
Hello dear,
Thank you for posting your query here.
I understand you concern.
For getting a more clear picture, I would like to get few more details:
1. When did this problem start?
2. Is the tachycardia persisting during sleep also?
3. What about his THYROID FUNCTION test?
4. Kindly upload EKG and Chem 7 reports- I would like to go through.
5. Is he reporting any related symptoms like palpitation?
6. An ECHO test was done before? If yes, kindly share that too.
Kindly get back with details, so that I can guide you better
Anyhow, his heart rate is not too high; its just borderline(>120 is considered tachycardia for this age)- we need not worry much as of now.
Regards, Dr Aslam
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dr Aslam, what is the significance of the elevated prolactin? does this rise because of the medication he takes? I cannot attach lab but can relay his EKG showed sinus tachycardia and his TSH and chemistry are normal. I don't know if he also has tachycardia during sleep. He does not report adverse symptoms. thanks for your help
Brief Answer:
Prolactin level is drug related
Detailed Answer:
Hello dear,
Thank you for the details given
Since EKG is showing only sinus tachycardia and he do not have any related symptoms, we need not worry much
The elevated prolactin level is probably drug related (RISPERIDAL). It is only marginally high. This needs further evaluation if the level progressively increases on sequential testing(very high levels may cause sexual dysfunction later) or if he develops additional symptoms like headache/visual disturbance. Otherwise, this should not be a cause of concern. Anyhow, you can discuss this with his physician for any possible need for drug adjustment.
I hope this answer will help
If you need further clarification, I will be happy to help
Regards, Dr Aslam
Prolactin level is drug related
Detailed Answer:
Hello dear,
Thank you for the details given
Since EKG is showing only sinus tachycardia and he do not have any related symptoms, we need not worry much
The elevated prolactin level is probably drug related (RISPERIDAL). It is only marginally high. This needs further evaluation if the level progressively increases on sequential testing(very high levels may cause sexual dysfunction later) or if he develops additional symptoms like headache/visual disturbance. Otherwise, this should not be a cause of concern. Anyhow, you can discuss this with his physician for any possible need for drug adjustment.
I hope this answer will help
If you need further clarification, I will be happy to help
Regards, Dr Aslam
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
