Palpitations

What are palpitations?

Palpitations are the sensation of a fast, irregular, or strong heartbeat. Children may describe them as:

  • A “fluttering” feeling in the chest

  • A racing heart

  • A “skipping” heartbeat

Palpitations are usually harmless but can sometimes indicate an underlying condition.

Common causes of chest pain in children

  1. Normal Triggers

    • Exercise

    • Excitement

    • Anxiety

    • Fever

    • Dehydration.

  2. Lifestyle Factors

    • Caffeine (chocolate, soda, energy drinks)

    • Poor sleep

    • Stress

  3. Medical Conditions

    • Anemia

    • Thyroid disorders

    • Heart rhythm issues (arrhythmias)

    • Low blood sugar

    • Certain medications (e.g., asthma inhalers, decongestants)

When to Seek Medical Attention

  • Seek medical attention if palpitations come with:

    • Chest pain

    • Shortness of breath

    • Dizziness or fainting

    • Pale or bluish skin

    • Extreme fatigue or weakness

    If palpitations happen frequently, last a long time, or occur at rest, consult a pediatrician.

How are palpitations diagnosed?

Doctors may perform:

  • Physical exam and medical history

  • Electrocardiogram (ECG/EKG) to check heart rhythm

  • Holter monitor (24-hour heart rhythm recording)

  • Blood tests to check for anemia, thyroid issues, or electrolyte imbalances

Treatment and Prevention

  • Encourage hydration and a balanced diet

  • Reduce caffeine and sugar intake

  • Promote good sleep habits

  • Teach relaxation techniques for anxiety-related palpitations

  • Follow up with a pediatric cardiologist if needed

Most childhood palpitations are benign and temporary. However, staying aware of warning signs and consulting a doctor when necessary ensures your child’s well-being.