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Chest pain, quick pulse, irregular heartbeat, low WBC count. Visit to pediatric cardiologist required?

I have a healthy 8 yr old giving the symptoms of chest pain , heart beating fast, and pressure on his chest. Echo and EKG have been normal and now is currently using an event monitor and not giving an irregular heartbeat . Syptoms are getting more frequent and have had labs showing low white blood count but all other test have been normal. Symptoms are not always all 3 at once but went from 1x a month to almost daily now. No murmur or irregular heartbeat detected. Going to see ped cardiologist on the 18th but am a concerned parent until then.
Asked On : Mon, 15 Oct 2012
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Diseases and Conditions
OBGYN 's  Response
Hello there,
Is there any fever which is causing a fast heart beat or tachycardia ? Please check temperature and ensure there is no fever. There are other causes of a fast heart beat and not everything can be attributed to some underlying heart problem. Thyroid problems in children can result in a fast heart beat. But usually such conditions will have other associated behavioral changes. Fever with a low white blood counts can signify a viral infection in your child. You have mentioned that not all the problems occur at once. So the complains are rather vague. It is unlikely that your child has a heart problem as ECHO and ECG are normal with no cardiac findings on examination. Lastly do assess his behaviour at school. Many children avoid going to school if they are facing some problems and try their best in fabricating an illness. But lets not take chances. Do keep everything in mind. At the moment there is nothing to worry.
Take care.
Answered: Mon, 15 Oct 2012
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