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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?
posted on Fri, 17 Jun 2016
Twitter Tue, 14 Jan 2020 Answered on
Twitter Mon, 20 Jan 2020 Last reviewed on
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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