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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Heart Murmurs And Chest Pain In A Child

Hello, my daughter was 5 when her doctor noticed that she had 2 heart murmurs, he told me that she would grow out of it. Now my daughter is 8 and has been complaining of her chest hurting the past couple days. I'm not sure if she has grown out of the murmurs but I am worried, she complains even if she isn't playing hard or doing anything physical. I called and made her an appointment, but its for a week away. What she tells me is, her heart hurts, and when I feel it, it feels like its pounding out of her chest. I don't understand because she was calm and had not been doing anything physical? Can you please give me any advice, I am so afraid of what could be wrong! She is my princess and I can't imagine my life without her.
Mon, 8 Sep 2014
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Pediatrician 's  Response
Thanks for posting your query at HealthCareMagic. The details that you have provided are not adequate to make out whether your child has an atrial septal defect or a ventriclar septal defect. The actual information would have been revealed by an echocardiogram which should already have been done and should be helpful. Venticular septal defects are by far most common amonst congenital heart diseases. There could have been other defects as well. In any case, such communications between two chambers allows mixing of purified and impure blood from two different sides of the heart. As a result the oxygen saturation in blood may come down and your child would be gasping for breath. The flow of the blood through the narrow opening causes murmur that you are referring to. The left side of the heart is stronger and hence normally oxygenated blood gets mixed with the deoxygeneated one from right side. With time, due to load on the right side of the heart, this flow may be reversed when deoxygenatd blood gets pumped to the left sided oxygenated circulation and the problem now becomes grave. In most cases atrial septal defects close spontaneous with time. But at other times intervention might be required. Your doctor would be able to tell better. Without an echocardiogram report it is not possible for me to be more precise. You can get an echocardiogram done first and then consult a doctor. You can even directly put the reports to me directly (please click on the link on my name and post a query) with the report and I would be happy to help you further.

Hope that will take care of your query for now. Feel free to communicate back in case of further queries if any.
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Suggest Treatment For Heart Murmurs And Chest Pain In A Child

Thanks for posting your query at HealthCareMagic. The details that you have provided are not adequate to make out whether your child has an atrial septal defect or a ventriclar septal defect. The actual information would have been revealed by an echocardiogram which should already have been done and should be helpful. Venticular septal defects are by far most common amonst congenital heart diseases. There could have been other defects as well. In any case, such communications between two chambers allows mixing of purified and impure blood from two different sides of the heart. As a result the oxygen saturation in blood may come down and your child would be gasping for breath. The flow of the blood through the narrow opening causes murmur that you are referring to. The left side of the heart is stronger and hence normally oxygenated blood gets mixed with the deoxygeneated one from right side. With time, due to load on the right side of the heart, this flow may be reversed when deoxygenatd blood gets pumped to the left sided oxygenated circulation and the problem now becomes grave. In most cases atrial septal defects close spontaneous with time. But at other times intervention might be required. Your doctor would be able to tell better. Without an echocardiogram report it is not possible for me to be more precise. You can get an echocardiogram done first and then consult a doctor. You can even directly put the reports to me directly (please click on the link on my name and post a query) with the report and I would be happy to help you further. Hope that will take care of your query for now. Feel free to communicate back in case of further queries if any.