blue lips

My daughter is 8 years old. She was born with pulmanory stanosis, she receives a yearly checkup with her cardiolgist and receives a clean bill of health.

I did bring her two years ago to get teasted for Asthma, the doctor said she was fine.

I mentioned this to her cardilogist and he said it her heart could spasm every once in a while but there is nothing that could be done about it.

She runs around with other children and everyone looks fine and her lips are a little blue and she is breathing a little heavy. This is not always, it happened last night but It was 80 degrees and very humid. I have notice it does happen mostly in the summer.

[National Jewish]

You should ask her cardiologist exactly what he meant by the statement, '..her heart could spasm every once in a while.'  What is such a 'spasm' and should it be of concern.  You might want to consider a second opinion on this and whether any treatment is indicated.

That you had your daughter tested for asthma suggests that you had a concern about her breathing.  Did she receive adequate testing to rule out the diagnosis of asthma, with reasonable certainty?  If not and, especially if you or her doctors have ever heard her wheeze, such testing should be done.

A 'little' blueness of the lips is a subjective determination, as is what comprises 'heavy breathing?  You should request that pulse oximetry be performed at rest and with exertion, to see if her blood oxygen level is actually falling.  That does not happen with asthma, except with severe attacks.  It can happen with congenital heart disease when the pulmonary stenosis is moderate to severe and associated with what is called an atrial or ventricular right to left shunt.  You might want to ask the cardiologist about the degree of pulmonary stenosis and if shunting is a consideration, given your observation of blueness around the lips.