Jul, 14
Dr. Nicolas Madsen

About the Author Dr. Nicolas Madsen

Nicolas Madsen, MD, is a cardiologist at Cincinnati Children’s Heart Institute, with special interest in the prevention of cardiovascular disease. He is focused on research and community outreach programs to find better ways to screen and educate children and adolescents regarding their risks for heart disease or sudden cardiac arrest.


  1. Hi, I am a 15 year old boy and have been having Chest pains on the left side of my chest near the heart for months now. It’s only when I lie down to sleep and if I turn over into certain positions the pain goes away. Any help appreciated

    Harry - September 11, 2015 at 8:57 pm Reply
    1. Hi Harry – I think Dr. Madsen’s video at the top of this blog post will help provide you with some of the information you’re looking for. Only about 1% of children and teens with chest pain will have an underlying heart problem. If you still have concerns, contact your regular doctor and your answers to the above questions can help guide your conversation.

      Kate Setter - September 16, 2015 at 11:43 am Reply
  2. I am a 20 year old student. I get mild pains in left side of my chest along with some breathlessness. This is happening from last 3 months. It is only when I get panic or in tension. I have been in stress from last 2 months due to failure in my exams. Is this anything to worry about? I get afraid.

    George - September 15, 2015 at 11:01 am Reply
    1. Hi George – I think Dr. Madsen’s video at the top of this blog post will help provide you with some clarity. Only about 1% of children and teens/young adults with chest pain will have an underlying heart problem. If you still have concerns, contact your regular doctor and your answers to the above questions can help guide your conversation.

      Kate Setter - September 16, 2015 at 12:00 pm Reply
  3. My 7 year old son is playing football for his third season (season 1 at 5, season 2 at 6, etc.). Up until very recently he has had no complaints about any kind of ailments. After the last game this Sunday, he complained of his chest hurting and his “heart hurting.” This was due to his heart beating very fast. I am helping coach so I had him stay out of the game for a while and lift his arms above his head. It was at the end of the game so he did not go back in. We then had practice again yesterday, and he was fine until we had the kids run a big lap around a baseball dugout before a scrimmage. He came back complaining again that his chest hurt and asked, “Dad, look you can feel my heart through my pads.” I could, it was beating very fast and hard- but I have no idea to what extent it should not be after sprinting for a long run. He was obviously in pain and crying so I pulled him and had him sit with his mom to monitor him for a period during the scrimmage, at some point, he came back on to the field and said he was ready to play and he did and he appeared to be okay after the practice. No more chest pains. The thing that is freaking me out is that he is doing this after strenuous exercise and gameplay. I am not having him participate until we see a doctor and seek further medical investigation. But based on my descriptions, do you have any advice or perspective that you could offer to the situation? I am really worried about my son.

    Bart - September 15, 2015 at 1:41 pm Reply
    1. Hi Bart – If you haven’t watched Dr. Madsen’s video at the top of the blog post, please do, as it often answers some questions. Because your son’s pain occurs after exercise, Dr. Madsen would certainly recommend that you have him checked out by your pediatrician and maybe also a pediatric cardiologist, which sounds like exactly what you’re doing. Your answers to the 6 questions in the blog post can help guide your conversation with your doctor. You are headed in the right direction making an appointment for him.

      Kate Setter - September 16, 2015 at 11:29 am Reply
  4. Thank you very much for your video. My daughter and I watched it, and I think that it has helped her some with her anxiety about her chest hurting. She’ 8 and she’s had these episodes of her “heart hurting” for about a year and a half. At the beginning of the episodes, her pediatrician checked her and said that she showed an arrhythmia, so I had her checked by a pediatric cardiologist just to be safe. All was clear with her heart and he basically gave us the same information that you have in your video. She’s continued to have these sharp stabbing pains in the left side of her chest under her breast, and sometimes they are in the middle of her chest and sometimes she says that it’s in her back. They last about 2-3 minutes and make her cry and sometimes she says that she can’t breathe good and her heart also beats more rapidly. She has the episodes any time whether resting or during activity, sometimes 2 or 3 times a day and sometimes once a day, and sometimes never. A bad one happened again this morning and I was looking up the info on the cardiologist that she saw about ready to make an appointment when I found your video. She’s feeling much better now. Thank you again for posting the video.

    Brigette Pinkard - September 16, 2015 at 10:10 am Reply
    1. Hi Brigette – We’re so glad to hear that Dr. Madsen’s video was helpful to you and your daughter!

      Kate Setter - September 16, 2015 at 10:15 am Reply
  5. What an informative, well written, reassuring article. Many thanks from a neurotic mum!

    Fiona Davies - September 28, 2015 at 1:21 am Reply
  6. Hi I’m a ten year old and I have pains in the middle of my chest it may be the stress thing someone had died just a yestarday and that’s when it started. I’m actually pretty scared. Since the person died from a heart condition. Thank u for listening!

    Delina - October 4, 2015 at 7:03 pm Reply
    1. Hi Delina – If you haven’t already, please watch Dr. Madsen’s video at the top of the blog post. It should help you figure out if your pain sounds like it could be heart-related. If so, he always suggests seeing your regular doctor to be checked out. If you’re scared, have an adult call and check in with your pediatrician/regular doctor to see if they think you should come in.

      Kate Setter - October 9, 2015 at 10:36 am Reply
  7. My child is eight she has been through a huge growth spurt in weight and hieght she started complaining of chest pain a few mo ths ago and now she seems to do it more often she now is home from school and has been complaining a lot more

    April - October 8, 2015 at 12:25 pm Reply
    1. Hi April – If you haven’t already, please take a look at Dr. Madsen’s video at the top of the blog post. It should be able to help you determine if her pain may be heart-related, and if so, he always recommends seeing a primary care physician to discuss next steps.

      Kate Setter - October 9, 2015 at 10:31 am Reply
  8. Hi i’m 16 and have been having short sharp pains on the left side of my chest and occasionally on the right for the past couple of years.The pain has been getting more frequent this past month. I’ve been to the doctors several times for other things and i always bring it up but they never always seem to ignore me or don’t want to deal with it. I did go to a cardiologist and she said it wasn’t anything with my heart.

    James - November 8, 2015 at 12:52 pm Reply
  9. I am a 14 year old girl and I’ve been experiencing chest pain in the middle on my chest for two days now and has been hurting alot when I play my sport. I only find comfort from the pain is when I lay down on a certain angle. Help would be most greatfull

    Kayla brudenelle - November 10, 2015 at 10:42 pm Reply
    1. Hi Kayla – If you haven’t already, please watch the video at the top of this blog post to see if it helps answer any of your questions. If not, a trip to have it checked at your regular doctor is never a bad idea.

      Kate Setter - November 24, 2015 at 11:49 am Reply
  10. My 9 year old had been complaining of a stinging pain in his chest near his heart that lasts a minute or so at a time and he says he has to take shorter breaths while it happens because he feels he cant breathe as well. Just wondering if its something i can try at home or if he needs to get it seen about. Its been going on for a while now.

    Crystal - November 12, 2015 at 7:14 pm Reply
    1. Hi Crystal – If you haven’t already done so, please watch the video that is included at the top of the blog post and see if that helps answer your question at all. If not, Dr. Madsen always recommends a visit to your child’s pediatrician if you are concerned, the peace of mind is worth the trip!

      Kate Setter - November 24, 2015 at 11:44 am Reply
  11. My daugher 7 ,recently underwent ERCP due to acute pancreatitis. In the last two weeks she has been complaining of chest pains what could be the problem?

    daniel - November 21, 2015 at 12:45 pm Reply
    1. Hi Daniel – If she’s recently been under the care of a physician, it would be best to take her to that doctor for a follow-up.

      Kate Setter - November 24, 2015 at 10:53 am Reply
  12. My 14 year old daughter just started crying ng a couple days ago that her heart is hurting. She says it normally happens after exercise or sport. She said today it has not gone away at all it is been with her all day. When she was born she was born with two holes in her heart. When she was a year old the cardiologist cleared her and said both holes have closed up. My question is should I take her to get looked at?

    sheila Summerlin - November 23, 2015 at 12:20 pm Reply
    1. Hi Sheila – Dr. Madsen always says it’s worth the trip to her regular pediatrician if you’re even slightly worried.

      Kate Setter - November 24, 2015 at 10:51 am Reply

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