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For this painless test, the child will lie down and have small metal tabs called electrodes fixed to the skin with sticky papers. The electrodes have wires attached to them, which connect to the EKG machine. In certain situations, a slow heart rate could indicate a medical emergency. When it beats too slowly or irregularly, it can't pump enough blood out to the body. The doctor will use a person's medical history information, along with a physical examination, to begin the evaluation.

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The resting heart rate decreases as kids get older. Actually, the heart doesn't skip a beat — an extra beat comes sooner than normal. Then, count the number of beats per minute while you are resting. Hypothyroidism occurs when the body doesn't produce enough.

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In these cases, the arrhythmia is only found during a physical examination or a heart function test. But some can indicate a more serious problem. Congestive cardiomyopathy, also known as dilated cardiomyopathy, is characterized by a weak, enlarged primary pumping chamber in the heart.

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If an arrhythmia is suspected, the doctor will order an electrocardiogram EKG to measure the heart's electrical activity. Someone's normal heart rate depends on things like the person's age and whether he or she leads an active lifestyle. Many arrhythmias are minor and aren't a significant health threat. The person may feel a fluttering or pounding in the chest caused by an early or extra beat.

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Arrhythmias also can happen for no apparent reason. The sinus node acts as the heart's pacemaker and makes sure the heart is beating at a normal and consistent rate. In some cases, a slow heart rate is an indication of an extremely healthy heart. An external device pacemaker implanted into the chest to stimulate heartbeats is the preferred treatment for certain types of bradycardia. The heart normally beats in a consistent pattern, but an arrhythmia can make it beat too slowly, too quickly, or irregularly.