24-Hour Crisis Hotline: (877)SAFEGBC or (877)723-3422 Mental Health & Substance Abuse Issues

6502 Nursery Drive, Suite 100
Victoria, TX 77904
(361)575-0611
(800)421-8825
Fax: (361)578-5500
Regular Business Hours: Monday - Friday 8am - 5pm
Every 3rd Thursday of the Month - Extended Hours Until 7 pm

Child & Adolescent Development: Overview
Resources
Basic InformationMore InformationLatest News
Kids' ER Visits for Injuries Rose During Lockdown, While Non-Injury Cases FellShould Your Child Get a COVID Test?Climate Change Is Spurring Malnutrition in Kids WorldwideNew Year, New Tips for Keeping Your Kids Safe and HealthyAHA News: Pandemic Pods Offer Social Relief, But There Are RisksPediatricians' Group Says School Is Priority, With Proper Safety MeasuresKids With Congenital Heart Disease Face Higher Odds of Mental Health IssuesReady to Resume Sports?  Health Tips for Getting Back in the GameMasks Don't Mask Others' Emotions for KidsCould Going Vegetarian Lower Kids' Asthma Risk?Parents Feel the Strain as Pandemic Adds New Role: TeacherInvolved Dads Make a Difference for Disadvantaged TeensPoll Charts U.S. Parents' Biggest Worries During PandemicDo Genes Doom Some Kids to Obesity? Probably Not, Study FindsSchools, Day Care Not a Big Factor in Kids Getting COVID: StudyType 2 Diabetes in Youth Is Especially Unhealthy: StudyWhen Sepsis Strikes Children, Black Kids More Likely to Die: StudyNew Clues to Crohn's Disease in KidsKids With Dyslexia May Have Hidden StrengthsKids' Weight Rises When Convenience Stores Open Nearby: StudyA Better, Safer Way to Rid Some Kids of Seizures?More Clues to Why Kids Have Much Milder COVID-19Pandemic Causing Dangerous Delays in Care When Appendicitis Strikes KidsHow to Keep Kids Resilient in a Strange Holiday SeasonLockdowns May Be Keeping Kids' Asthma Attacks at Bay: StudyYoung Epilepsy Patients May Benefit From Mental Health ScreeningSudden Death More Common Than Thought in Very Young With EpilepsyCOVID in Kids: The Most Telling SymptomsPreemie Babies End Up Hospitalized More as KidsCommon Weight-Loss Surgery Can Weaken a Teen's BonesAnother Study Finds COVID Usually Mild in KidsParents' Age Key to Whether Kids Get Vaccinated Against COVID, Study FindsDoes Parents' Nagging Kids About Screen Time Even Matter?Which Kids With COVID Will Get Very Sick?Add Kids to COVID Vaccine Trials, Pediatricians' Group SaysToo Many Kids Still Get Antipsychotics They Don't NeedIs the Pandemic Harming Kids' Mental Health?Eczema More Common Among Black, Hispanic KidsTelemedicine Is Keeping Kids' Asthma Care on Track: StudyKids With Food Allergies Can Become Targets for BulliesHelp Young Athletes Keep Their Competitive Edge During PandemicAlmost 1 in 5 Parents Are 'Vaccine Hesitant,' Study FindsFor Rural Youth, Mental Health Care Can Be Tough to FindAre Healthy Kids Getting Too Many Heart Tests?Big Spike Seen in COVID Cases Among KidsAsymptomatic Kids With COVID-19 May Also Carry Less VirusLockdowns Can Widen Kids' Waistlines – Here's How to Curb ThatSocial Media 'Kid Influencers' Are Promoting Junk FoodsPoverty Might Raise Black Kids' Health Risks as Early as Age 5Losing Some TV Ads Might Reduce Childhood Obesity
Questions and AnswersLinks
Related Topics

ADHD: Attention Deficit Hyperactivity Disorder
Childhood Mental Disorders and Illnesses
Child Development & Parenting: Infants (0-2)
Child Development & Parenting: Early (3-7)

Are Healthy Kids Getting Too Many Heart Tests?

HealthDay News
by Cara Murez
Updated: Nov 4th 2020

new article illustration

WEDNESDAY, Nov. 4, 2020 (HealthDay News) -- Not every kid needs an electrocardiogram (ECG) before playing sports or as part of routine exams, child health experts say.

The American Academy of Pediatrics (AAP) is advising parents and pediatricians to avoid unnecessary tests, and has released a list of common medical practices and therapies that may not be needed for young patients.

The AAP and the Choosing Wisely campaign also offered additional advice for student-athletes who have had COVID-19.

For kids who have no heart symptoms, are otherwise healthy and have no personal or family history of heart disease, doctors should not order a screening ECG as part of an exam for sports or for starting attention-deficit/hyperactivity disorder (ADHD) therapy, according to the academy.

"Even during COVID-19, every child who is going to participate in any kind of sports, 6th grade and up, should have a physical exam by a pediatrician or primary care physician," said Dr. Christopher Snyder, chairman of the AAP Section on Cardiology and Cardiac Surgery. Yet, "we have never seen a study that shows that every child needs an ECG before playing sports, not in Europe or in the United States."

The AAP also recommends against ordering an ECG or troponin tests when doctors are routinely evaluating pediatric chest pain or fainting in patients without a concerning history or ECG abnormalities. Troponins are cardiac proteins that help doctors detect heart injury.

The experts said family history assessments should include a look at connective tissue disorders, heart muscle diseases, rare inherited enzyme defects, sudden unexplained death, and heart disease before age 50 and arrhythmias, including the need for a pacemaker or defibrillator implant.

The AAP noted that unnecessary tests and treatment can lead to false positives and more testing, expense, inconvenience for the patient and family, and even painful procedures.

For student-athletes with moderate COVID-19, AAP recommended they be free of symptoms for 14 days and have their primary care doctor's clearance before resuming exercise and competition.

Any student who has current heart symptoms or a history of them, has concerning exam findings or who had moderate symptoms of COVID-19, including prolonged fever, should have an ECG. Such students may have to be referred to a pediatric heart specialist for further assessment to be cleared for sports, the AAP said in an academy news release.

Choosing Wisely is an initiative from the American Board of Internal Medicine. It aims to start conversations between clinicians and patients for evidence-based, not-duplicated tests and procedures.

More information

The U.S. Centers for Disease Control and Prevention offers some suggestions for youth sports in the age of COVID-19.

SOURCE: American Academy of Pediatrics, news release, Nov. 2, 2020