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grandson has fast heart rate with missing beats and weakness he is 10 yrs old heart rate high even at rest any idea what could be wrong

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Hi nana! PLEASE take your grandson to the doctors ASAP, more and more children are experiencing strokes. When someone is older, you can look at caffeine, stress, hormones etc. But he is only 10! It could be totally electric, BUT it might be the signs of something coming. Please take him either to a doctor or straight to emergency!
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While I agree with bambi27 about having your grandson see a doctor, don't panic! It is most likely not serious. Read the information below. It will hopefully relieve some of your anxiety.

Arrhythmias can cause the heart rate to be irregular, fast or slow. Fast rhythms are called tachycardia. Slow ones are called bradycardia.

Premature atrial contraction (PAC) and premature ventricular contraction (PVC)

Premature beats or extra beats most often cause irregular heart rhythms. Those that start in the upper chambers (atria) are called premature atrial contractions or PACs. Premature ventricular contractions or PVCs start in the ventricles. If you've ever had the feeling that your heart "skipped a beat," it was probably from this type of arrhythmia. The heart really doesn't skip a beat. Instead, an extra beat comes sooner than normal. Then there's usually a pause that causes the next beat to be more forceful. You felt this more-forceful beat.

Premature beats are very common in normal children and teenagers — most people have them at some time.

Usually no cause can be found and no special treatment is needed. The premature beats may disappear later. Even if they continue, your child will stay well and won't need any restrictions. Occasionally premature beats may be caused by disease or injury to the heart. Your child's doctor may recommend more tests to make sure your child's heart is OK.
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