Children and Arrhythmia

Updated:Oct 22,2015

Doctor Talking To BoyIf your child has been diagnosed with an abnormal heart rate, you're probably alarmed. That's understandable. But by learning more about your child's condition, you'll be less afraid. You'll also be better able to care for your child.

About heart rhythms
The heart rate is the number of times the heart beats each minute. In an older child or teenager who's resting, the heart beats about 70 times a minute. In a newborn it beats about 140 times a minute. Usually the heart rhythm is regular. This means the heart beats evenly (at regular intervals). The heart rate changes easily. Exercise makes the heart beat faster. During sleep it slows down.

An irregular heartbeat is an arrhythmia. The most common irregularity occurs during breathing. When a child breathes in, the heart rate normally speeds up for a few beats. When the child breathes out, it slows down again. This variation with breathing is called sinus arrhythmia. It's completely normal.

Sometimes a doctor may find other kinds of arrhythmia. Then he or she may want to perform some tests. The doctor may also recommend that a pediatric cardiologist (a doctor specializing in children's heart problems) examine your child.

Knowing your child's history
Arrhythmias (also called dysrhythmias) may occur at any age. Many times they have no symptoms. Often parents and children never suspect an arrhythmia and are surprised when a doctor finds one during a routine physical exam. Rhythm abnormalities are usually evaluated much like other health problems. Your child's history — or what you and your child report about the problem — is very important. You may be asked questions like:

  • Is your child aware of unusual heartbeats?
  • Does anything bring on the arrhythmia? Is there anything your child or the family can do to make it stop?
  • If it's a fast rate, how fast?
  • Does your child feel weak, lightheaded or dizzy?
  • Has your child ever fainted?

Some medicines may make arrhythmias worse. Be sure to tell your doctor about all the prescribed and over-the-counter medications that your child takes. If your child has an arrhythmia, discuss this with the doctor and ask what to look for.

Learn about types of arrhythmias in children

Learn about treatment options

This content was last reviewed on 10/23/2014.

Checklist for Parents of Children with Arrhythmias

Parents of all children should learn CPR and how to reduce the risk of injuries and sudden infant death syndrome (SIDS).  This information is available with all American Heart Association child and infant CPR courses. 

Learn the CPR Guidelines
Get an American Heart Association CPR Anytime Personal Learning Program
Find an Emergency Cardiovascular Care class near you

CPR skills, including recognition of signs of breathing difficulties and cardiac arrest, are particularly important if a child has heart disease and is at risk for sudden arrhythmias including sudden death. 

Parents should know what to do if their child suddenly collapses and becomes unresponsive. First, yell for help and send someone to call 9-1-1 and get an automated external defibrillator (AED). If a child doesn’t respond and isn’t breathing or is only gasping, then give him 5 sets of CPR (1 set = 30 chest compressions and 2 breaths). Then call 9-1-1 and get an AED if no one has done this yet. As soon as you have the AED, use it. After calling 9-1-1, keep giving sets of 30 chest compressions and 2 breaths until the child begins to respond or someone with more advanced training arrives and takes over.

Learn about special considerations for cardiac arrest in children.