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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For A Fast Heart Rate In A Child

A baby has a 300 heartbeat in mother after birth in the first hour it was 250 and inthe 6. hour it is 190 after some medicine it is now 120 but without medicine we cant estimate ! (doctors said that they did not see any physical defection or anomolies in heart )what do you suggest using medicine till 2 days or another solution
Thu, 22 Jan 2015
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Pediatrician 's  Response
THANKS FOR YOUR QUERY.
Tachycardia is an abnormally fast heart rate more than 160 times per minute. In newborns a even higher rate is normal. Rather, we usually get concerned with low heart rates, not high ones, unless there is some specific concern about other related ailment. Tachycardia usually does not last long enough to cause serious damage.

There are many different types of tachycardia. Usually, they are caused by a problem with the heart's electrical system. Treatment depends on what is causing the tachycardia. Certain medicines can be given to lower the heart rate. But a heart rate of 160-200/min is absolutely normal for a newborn. We might get concerned only if it is higher. If the child can maintain a heart rate in this range without any medication, I would not suggest any medicines. But if it does not, the medicine may be continued. In that case, a ECG in order to look into the cause, would be more important. Further interventions will depend on that.

Since the doctors did not feel that there is any associated anomaly, I do not think that it is something to be concerned about. Often the stress hormones in mother just before the delivery, could also be linked to the tachycardia and the rate should be back to normal once the effect dies out.

HOPE THAT HELPS.
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Suggest Treatment For A Fast Heart Rate In A Child

THANKS FOR YOUR QUERY. Tachycardia is an abnormally fast heart rate more than 160 times per minute. In newborns a even higher rate is normal. Rather, we usually get concerned with low heart rates, not high ones, unless there is some specific concern about other related ailment. Tachycardia usually does not last long enough to cause serious damage. There are many different types of tachycardia. Usually, they are caused by a problem with the heart s electrical system. Treatment depends on what is causing the tachycardia. Certain medicines can be given to lower the heart rate. But a heart rate of 160-200/min is absolutely normal for a newborn. We might get concerned only if it is higher. If the child can maintain a heart rate in this range without any medication, I would not suggest any medicines. But if it does not, the medicine may be continued. In that case, a ECG in order to look into the cause, would be more important. Further interventions will depend on that. Since the doctors did not feel that there is any associated anomaly, I do not think that it is something to be concerned about. Often the stress hormones in mother just before the delivery, could also be linked to the tachycardia and the rate should be back to normal once the effect dies out. HOPE THAT HELPS.