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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Palpitations In An Teenager?

My granddaughter, 13 years old, is having problems with rapid heartbeats.She is a pitcher on a fast pitch softball team. Initially, she had 2 seizures/convulsions & passed out (within 10 minutes) while walking to the car, when she was taken to the emergency room. She had another one there. The EKG at the emergency room showed a problem, but she was later told that it was not working correctly. She has had 2 EKG s since which were normal. She has worn a heart monitor, but they haven t gotten the results back yet. She had a thyroid test, which showed .74 (I don t know what that means). My daughter says that the doctors that she has seen don t seem to be concerned about the fact that she still is having rapid heartbeats when she plays ball & is telling her that they can t tell her anything until they get the results of the heart monitor. They said that she could continue playing ball. She is supposed to go to a softball camp next week and my daughter is worried about sending her. Should we be concerned?
Mon, 20 Jan 2020
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Addiction Medicine Specialist 's  Response
Hi,

Cannot say in your particular case, but generally, obviously the heart rate goes up with exercise. Children have a higher heart rate. The first step is to get the Holter and see what the rapid heart rate actually is. Mine goes to 130 whenever I do a workout. Her's should be HIGHER than that. AND, if the rate isn't over 140 with exercise and if the pattern of the rhythm isn't abnormal, then a Holter is likely to be read as normal. On the other hand, new seizures is a huge problem and needs quite an evaluation of a lot more than the heart.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Matt Wachsman, Addiction Medicine Specialist
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What Causes Palpitations In An Teenager?

Hi, Cannot say in your particular case, but generally, obviously the heart rate goes up with exercise. Children have a higher heart rate. The first step is to get the Holter and see what the rapid heart rate actually is. Mine goes to 130 whenever I do a workout. Her s should be HIGHER than that. AND, if the rate isn t over 140 with exercise and if the pattern of the rhythm isn t abnormal, then a Holter is likely to be read as normal. On the other hand, new seizures is a huge problem and needs quite an evaluation of a lot more than the heart. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist