Pediatric Heart Expert Forum
Low Heart rate during sleep
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Questions in this forum are answered by pediatric cardiologists, cardiothoracic surgeons and anesthesiologists from The Children's Hospital of Philadelphia. This forum is for questions and support about pediatric heart problems, symptoms and topics such as heart murmurs, palpitations, fainting, chest pain, congenital heart defects (including management and intervention), fetal cardiology, adult congenital cardiology, arrhythmias and pre-participation athletic screening.

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Low Heart rate during sleep

What causes a 11 yr old male with a trach  CP Seizures and Gerds to have  heart rate drop down in the 40's during sleep?
773637_tn?1327450515
Dear Kiki,

Without evaluating him, I cannot say for sure what is happening.  It could be gastroesophageal reflux causing the heart rate to fall and then come back up.  It also could be secondary to the cerebral palsy, as we do see patients who have abnormal control of their autonomic nervous system (the part of the nervous system that automatically controls heart rate, blood pressure, etc.) in those children who have brain abnormalities.  However it is more important to note whether this is affecting him adversely or not.  If he is tolerating it well, behaving normally, and not having any problems, a heart rate in the 40's in an 11 year-old typically shouldn't cause any major concerns.  If it is causing increased seizure activity or other issues, it may need to be treated.
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Avatar_m_tn
Thank you so much ,that was very helpful to knowing what could cause his heart rate to drop ,so I will continue to monitor him and if I see any changes I will contact his primary care physician.
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Jeffrey R Boris, M.D.Blank
The Children’s Hospital of Philadelphia
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