Your Child's Heart Rate: What is Normal for Kids? - Pediatrics

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Children's heart rate


Hello Doctor, my son is 9 years old, with a height of 127 cm and a weight of 26 kg.
When he is sitting and not exercising, his heart rate sometimes reaches 105 beats per minute.
Only when he is asleep at night does it drop to about 80 beats per minute.
After exercising, it can sometimes be around 110 to 120 beats per minute.
I was quite startled when I measured it a few times, but he doesn't seem to be short of breath, and his appetite and bowel movements are normal.
Besides my wife having arrhythmia (which the doctor at Chang Gung said is not serious), no one in my family has heart issues.
Could you please advise me on what the normal heart rate for a child is per minute?

A Cheng, 40~49 year old female. Ask Date: 2000/11/27

Dr. Zhao Yongkang reply Pediatrics


Hello Mr.
A-Cheng: A 9-year-old child's resting heart rate averages around 90 beats per minute, which falls within the normal range of 70 to 110 beats per minute.
Therefore, based on your description, your child's heart rate is still within the normal range.

Reply Date: 2000/11/27

More Info


Understanding your child's heart rate is crucial for assessing their overall health. For children, heart rate can vary significantly based on age, activity level, and overall health. In general, the normal resting heart rate for children can be categorized as follows:
- Infants (0-1 year): 80-140 beats per minute (bpm)
- Toddlers (1-3 years): 80-130 bpm
- Preschoolers (3-5 years): 80-120 bpm
- School-aged children (6-12 years): 70-110 bpm
- Adolescents (13-18 years): 60-100 bpm
In your case, your 9-year-old son has a resting heart rate that occasionally reaches 105 bpm, which falls within the normal range for his age group. It's important to note that heart rates can fluctuate due to various factors, including emotional state, physical activity, and even environmental conditions. For instance, when your son is sitting quietly, a heart rate of 105 bpm is slightly elevated but not alarming, especially if he is not exhibiting any signs of distress, such as shortness of breath or fatigue.

When your son is active, it's normal for his heart rate to increase. After exercise, a heart rate of 110-120 bpm is expected as the heart works harder to supply oxygen to the muscles. The fact that his heart rate drops to around 80 bpm while sleeping is also a good sign, as heart rates typically decrease during sleep due to reduced metabolic demands.

It's also worth mentioning that factors such as fever, anxiety, dehydration, and certain medications can lead to increased heart rates. Since you mentioned that your son has a normal appetite and bowel movements, it seems that he is maintaining good overall health.

Regarding your concern about family history, while your wife's arrhythmia is noted, it is essential to understand that not all heart rhythm issues are hereditary or indicative of a serious condition. If your son is otherwise healthy and does not show any concerning symptoms, the elevated heart rate you observed may not be a cause for alarm.

However, if you notice any persistent changes in his heart rate, such as a consistently high resting heart rate, or if he begins to exhibit symptoms like chest pain, dizziness, or excessive fatigue, it would be prudent to consult a pediatrician. They may recommend further evaluation, such as an electrocardiogram (ECG), to rule out any underlying issues.

In summary, your son's heart rate appears to be within the normal range for his age, especially given the context of his activity levels and overall health. Regular monitoring and open communication with your healthcare provider will help ensure that any potential issues are addressed promptly. Always trust your instincts as a parent; if something feels off, seeking medical advice is always a wise choice.

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