Connecticut Children's Medical Center
Connecticut Children's Medical Center - Kids are great! We just make 'em better.
News Directions Contact Us Sitemap Home
Find a Doctor Services & Programs Research Join Our Team Ways to Help About CCMC
Services
Programs
Site Search
Cardiology

Overview | Staff | Links

Tachycardia

A fast heart rate is called “tachycardia” (tak-i-kar-dee-ah). The definition of what is too fast depends upon the age of the child and what the child is going (example: running, sleeping). A newborn baby’s heart rate is faster at rest than a teenage child’s. A newborn baby probably has tachycardia if its resting hear rate is more than 160 beats per minute. A teenager has tachycardia if the resting heart rate is more than 100 beats per minute. When exercising or crying, the heart rate will be faster. A teenager who is exercising may have a normal heart rate as high as 200 beats per minutes.

The electrical impulse that starts each heart beat normally begins at a place in the upper right heart chamber called the sinus node. The sinus node is also called the pacemaker. If the sinus node speed is fast, the heart beats fast. This rhythm is called “sinus tachycardia”. This happens with fever, excitement and exercise. This is a NORMAL TACHYCARDIA. Treatment is not needed.

Supraventicular Tachycardia (SVT)

The most common type of abnormal tachycardia is called Supraventricular Tachycardia (SVT), also known as Paroxysmal Atrial Tachycardia (PAT). This fast heart rate starts in the upper heart chambers (atria) or the upper part of the heart’s electrical conduction system.

The older child who develops SVT or PAT will notice that his/her heart is beating fast. This tachycardia often starts spontaneously while the child is at rest, or may happen during activity. The child may complain of chest pains, stomach upset, or feeling weak and tired.

Some children learn ways to return the heart to its normal rate and rhythm. One way is to strain by closing the mouth and nose while trying to breathe out. Another method is to drink very cold liquids. Treatment using medications is usually not recommended unless the SVT or PAT occurs often, lasts a long time, or causes symptoms such as dizziness. Also, the benefits of medications should outweigh any possible side effects from the medications. Treatment choices should be discussed with your child’s cardiologist (heart doctor).

REMEMBER: SVT may be uncomfortable and frightening, but it is NOT DANGEROUS TO YOUR HEALTH!


  Click here for Directions
  Copyright © 2009, CCMC, All rights Reserved. Disclaimers