Pediatric Heart Expert Forum
Palpitations, Inappropriately
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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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Palpitations, Inappropriately

My Daughter has a confirmed Inappropriate Sinus Tachycardia problem which causes unexplained palpitations, dizziness, nausea, abdominal discomfort and chest pains just like me. Seeing that I'm on DDD  pacemaker device right now, how likely is it that she too would have to have one herself and at around what age? or would this illness clear up on it's own after age of 12. Thank you.
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773637_tn?1327450515
Dear Syed,

Without evaluating either you or your daughter, I cannot say what her prognosis is with regards to her inapprorpriate sinus tachycardia (IST), nor can I say why you have a pacemaker.  Therefore, I cannot say whether the 2 are related.  I can tell you that, at least on the surface, that your daughter's symptoms sound actually like they may be more consistent with postural orthostatic tachycardia syndrome (POTS).  This is not associated with an increased need for a pacemaker, nor is IST UNLESS the sinus node is ablated in IST (which has historically been an intervention for this).  I recommend that you be evaluated by someone who is familiar with POTS and can give you a better assessment as to how this may, if any, be related to your cardiac problems.
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773637_tn?1327450515
Jeffrey R Boris, M.D.Blank
The Children’s Hospital of Philadelphia
Philadelphia, PA
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