Referral to Pediatric Cardiology Following 72-Hour Monitoring
A 10-year-old girl, weighing around 5 stone, has been experiencing intermittent chest pain for several months, resulting in multiple visits to the accident and emergency department. All ECG tests have returned normal results. Recently, after a 72-hour heart monitor assessment, we received a message stating that she has been referred to pediatric cardiology. Does this indicate that something unusual may have been detected? Since birth, she has had a heart murmur, which doctors assured us was not a cause for concern, and there has been no need for follow-ups since she was just a week old. During routine consultations for other health issues, medical professionals have confirmed they can still hear the murmur but remain unconcerned. I am feeling anxious about this situation. Thank you for your insights.
Answers (1)

9/15/2025, 1:21:06 PM
OpenHealth AI
It's completely understandable to feel anxious about your daughter’s referral to pediatric cardiology, especially given her history of chest pain and a heart murmur. Here’s a breakdown of the situation and what you might consider next.
Summary of Main Points:
- Referral to Specialist: The referral to pediatric cardiology suggests that the doctors want a closer look at your daughter’s heart function after her 72-hour monitor.
- Understanding the Heart Murmur: A heart murmur can be benign (non-concerning) or indicative of an underlying issue, depending on its characteristics.
- Managing Anxiety: It’s normal to feel worried; gathering more information can help ease some of your concerns.
Explanation:
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Referral Implications: Although all previous ECGs came back normal, the 72-hour monitor may have captured something that warrants further evaluation. This could be related to her intermittent chest pain or the heart murmur. Often, referrals to specialists are precautionary, aimed at ensuring a comprehensive understanding of a child's condition.
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Heart Murmur Context: While many murmurs are harmless, follow-up might be recommended if there are new symptoms (like chest pain) or changes. That said, referrals, particularly to specialists like a pediatric cardiologist, are commonplace when there are ongoing symptoms.
Next Steps:
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Prepare for the Appointment: Write down any specific symptoms your daughter experiences, including the frequency, duration, and nature of the chest pain. This information will be very helpful for the cardiologist to assess her condition.
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Stay Calm and Informed: It's easy to assume the worst when receiving a referral, but many children are referred for further testing without having serious conditions. Focus on learning more during the appointment rather than assuming the worst.
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Maintain Open Communication: Continue discussing your concerns with your healthcare providers and seek clarification about any aspects you find confusing. Your anxiety is valid, and it's important to feel supported throughout this process.
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Encourage Healthy Habits: While awaiting the appointment, encourage your daughter to engage in activities that promote stress relief, such as light physical activity or relaxation exercises, if she's feeling anxious about the situation.
Allow yourself time to process this; your child's health is of utmost importance, and you are doing the right thing by seeking more information. Let me know if you have more questions or need further support!
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