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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes High Heart Rate And Fatigue In An Athletic Teenager?

Our 18 year-old grandson, a serious competitive swimmer, is in superb physical condition. Because he has been unusually tired lately in practice, his coach checked his heart rate after an intensive set of sprints. It was a lot higher than most of the senior swimmers. Also his recovery time took quite a lot longer than coach typically sees. Additionally, our grandson s resting heart rate was 80, which seemed high for someone of his athleticism. Because this young man had been noticeably more tired lately, our daughter took him for blood work about 3 weeks ago, and he was not anemic. His mom (our daughter) is taking him to his doctor tomorrow. Our granddaughter is a nurse at Vanderbilt Children s Hospital in cardiology, and suggested that the doctor likely will test for mononucleosis before doing an EKG or other heart tests. Does that sound about right? Thank you in advance for considering this information and replying to our concerns.
Wed, 16 Oct 2019
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Pediatrician 's  Response
Hi,

Yes, the child needs evaluation before doing EKG mononucleosis or any other viral infection has to be checked as they may alter the waves. After ruling out child needs to get EKG to rule out re-entrant tachycardia or aberrant pathways.

Echo also has to be done to see for any septal defects coarctation of aorta and left ventricular wall thickness.also in your family if there is sudden cardiac deaths hocm and long qt syndromes has to be ruled out.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Prasanna Lakshmi, Pediatrician
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What Causes High Heart Rate And Fatigue In An Athletic Teenager?

Hi, Yes, the child needs evaluation before doing EKG mononucleosis or any other viral infection has to be checked as they may alter the waves. After ruling out child needs to get EKG to rule out re-entrant tachycardia or aberrant pathways. Echo also has to be done to see for any septal defects coarctation of aorta and left ventricular wall thickness.also in your family if there is sudden cardiac deaths hocm and long qt syndromes has to be ruled out. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Prasanna Lakshmi, Pediatrician