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. Informative article. Thank you. My 14 year old son has had chest pains for months. His pediatrician indicated maybe pleurisy. In addition, he feels that when he jumps something is loose and moving inside his chest and abdomen. He also has palpitations and last night I could hear it from a foot away (literally) – a sloshing and clicking sound. It was gone in a few minutes. He is sick with a flu like virus now, but this has been going on for months.

    Lisa - February 1, 2015 at 3:17 am Reply
  2. My 15 year old son just called me complaining of a sharp pain where he feels his heart hurts it is a pain he never felt before. It is a constant pain that has not gone away. He was sick a few weeks ago with a really bad cold and it seems as if he is getting sick again with the cold. His throat is soar and he is coughing too. Not sure what to do other than keeping a close eye on him and see if the pain continues, if it does than take him in to looked at. Pain in the chest just scream alarm but I am not sure. I hope someone can help!

    Veronica - February 4, 2015 at 5:03 pm Reply
  3. I have an 11 year old that has started complaining of chest pain for a little over 2 months. The pain comes and goes quickly lasting a minute or less. It also does not strike in the same spot usually above either breast bone.He has had it twice towards the center of left breast bone. It has always stricken during down time sitting in class or just at home. Last night it happened on our drive home after 50 minute karate class about 15 minutes into our drive. I am one of those worry some moms. He has been to the cardiologist and EKG was normal and so was his chest ultrasound (dont know if thats what its called). Our doctor gave us a monitor for 1 month to record episodes and out of the 5 we have so far everything looks normal. Im looking for some insight with your experience of what might be causing this. Or a suggestion of any further test. He is very active 95 pounds. No passing out or sweating no temperature during episodes. Heart rate high 90’s when it occurs. Thanks in advance.

    Marcie - February 6, 2015 at 10:59 am Reply
  4. My 14yo son has complained about chest pain while training for,and playing, basketball and on one occasion after a bike ride. Today during his game he had pain, his face was white and afterwards, though he felt better, his face was blotchy, very red around his eyes and still white in patches. He also on occasion has mentioned feeling dizzy. I am planning to take him to see our gp next week. Should I take him sooner?

    Michelle - February 6, 2015 at 10:01 pm Reply
  5. My son is 4 years old. He keeps complaining about his heart pain. It happens after eating his food and at times even before eating . Is it a chest burn or some thing else. I showed him to a pedestrian. The doc says it’s just chest burn. I am confused because it’s happening for past 5 to six months..

    Roshni - February 7, 2015 at 5:58 am Reply
  6. Hi,

    My 6 year old girl, is complaining that her “heart hurts”. She seems to be happy and active, but comes back every 40 mins complaining again.

    I dont want to just assume its muscular and it actually be something bigger.

    Please advise


    mirium - February 8, 2015 at 7:03 am Reply
  7. My daughter will be 8 in one week. She had a cold several weeks ago but got through it fairly quickly and since then occasionally complains of chest pain. It is often accompanied by stomach pain. When we’ve walked the family dog she does fine unless we go fast (very light jog), then complains of chest pain again. Today we went shopping with my mom, she had stomach pain that went away after using the restroom, and then she had a big lunch and within about 30 minutes was complaining of stomach, chest and jaw pain. I was taking her to urgent care but buy the time we got to the parking lot she said it was just her stomach, not her chest or jaw anymore so we left, and then later she said it hurt a little again. As of right now I plan to watch her very closely and try to get her in to see our pediatrician this week and go from there.

    Nicole - February 8, 2015 at 7:54 pm Reply
  8. My son is 6 and half average height and weight and normally very active. He has had no illnesses, not even any colds and is very healthy. He had be complaining of pain in his heart after exercise (running, karate ttrampolining etc) he says it feels like his heart is going to explode and he has to stop the activity to stop the pain
    He has been to his paedratucian who did an ecg which was normal and she also referred for a chest x Ray also normal. She has done a referral for a cardiologist but we can’t be seen for 5 weeks and I am worried as he is now complaining when just walking. I already took him to the ER has he had it happen at school playing tag and was in aginy so went to the school nurse. No one (dr or insurance) seems to be treating it urgently despite my numerous calls/visits expressing my concern. They way I see it a normally active ) year old is struggling during physical activity and this doesn’t seem normal to me!
    Thanks Sarah

    Sarah Gavaghan - February 9, 2015 at 10:16 pm Reply
  9. My daughter is 10 years old and she had ear infection first and doctor gave antibiotics. By taking antibiotics she got chest pain and again doctor gave high dose of pain killer still she has chest pain and heart pain from 2 weeks, her pediatric said its acidity and constipation and gave her constipation powder but pain is still same.
    Is the pain is because of acidity and constipation or she has something else problem.
    Iam really worried for her and can’t see her in pain.

    Janvi - February 10, 2015 at 1:46 am Reply
  10. My son is 11 and is a very stout young man.He is active and is able to lift and carry nearly 100 pounds as well as very broad shouldered and barrel chested. He has been complaining of right sided chest pain for a week or so. We’ve taken him to the chiropractor and had him adjusted and he has indicated chostochondritis. I’ve been giving ibuprofen and heat packs for the discomfort. It has not been activity based pain as it seems worse in the evening as he is quiet. The pain seems to be more intense today than it has been with making it difficult to get comfortable enough to sleep or even breath deeply. I do know that they have been doing intense exercise in their physical education class and question this being some of the issue. Wondering if chostochondritis vs. Pluresey or something else? Please help!!

    Roxanne Hevelone - February 10, 2015 at 4:03 am Reply
  11. My 14 year old grandaughter while playing on basketball team had 2 events occur at 2 games. While playing ,had to come out of game very pale , co squeezing in her chest and inability to breathe. Breaths were very shallow. She rested for a 15 min period went back into the game but lasted only seconds. Complained of heart hurting. Pain in chest center. 2 nd event even worse than first. No complaint prior to game or ever. Fine since. As stated she got very pale . SHe has appt. next week with dr. Should I be concerned. She is in my care.

    Gail - February 11, 2015 at 2:02 pm Reply
  12. My 14 yr old son has Addison’s Disease, and MEN, and araynauds. For the past two weeks he has been complaining of an “odd pressure” in his chest. I asked him if it felt like trapped gas (he’s had that before). He said “no. It feels like something is trying to come out of my chest, and I can’t breathe well.”
    He is permanently on lower levels of prednisone for his Addison’s, so his immune system is very weak, and he pretty much catches everything. Does this sound like something I should address with his pediatrician, or his endocrinologist, or both?

    Angela - February 21, 2015 at 8:41 pm Reply
  13. 10yr daughter, complains of having “kiddy heart attack” when she is in active play from dance game on Wii, to limbo at church. I heard this a couple times in last 6 months, but apparently had this in public school last year. She is homeschool now and is very tired about 1 hour after eating and needs a nap, complains of stomach aches almost daily at different times of day. She is not on any meds. Last week she chose not to do something for fear her chest would hurt. We have no insurance or pediatrician. She is up to date on shots, and has not had Streep throat since being out of school. (3 x a year in school). Could I just call a local pediatric cardiology office to save $$$ on a pediatrician visit, or should I find one. I understand the less than 1 percent heart issues. Husband thinks it will pass. But what about the 1 percent, are we stressing her heart. No stress now she is home very relax and happy. Home from.school since Aug 2014

    robyn addison - February 22, 2015 at 5:18 pm Reply
  14. Hello, my name is Filippa and I will be turning sixteen this year (born 1999). I have been experiencing a Very sharp pain in my chest both on the left and right side but its more common on the left side. Before having chest pains I didn’t do any activity, actually there’s been several times where I’ve woke up and then had chest pains, also when I go to bed while laying still. I haven’t been sick recently but I’ve had a headache for a long time. The chest pains come and go, sometimes months between. The chest pains have been going on since 2014. The pain definitely increased when I tried to sit up in my bed and if I would’ve rate it, it would have been a sharp 7-9/10. These chest pains only last for a couple of seconds sometimes longer then earlier, but I dont feel any tenderness around the area. I feel very uncomfortable with these chest pains and haven’t told my parents yet but I know my brother have experienced the same thing. I can never predict these chest pains or feel them coming. Also, I don’t feel any kind of stress, although I’m stressed very often. When I experience these chest pains it sometimes makes it hard to breathe and I don’t know what to do to stop them, I’ve tried not moving but that doesn’t work either and when I tried to sit up it hurt even more. In general I would say the pain often is severe.

    Filippa - February 23, 2015 at 4:19 am Reply
  15. My 14 year-old daughter has been complaining of a feeling of “pressure” right above her chest. It comes and goes and she rates the pain about a #5 on a pain scale of 1-10. She has UC and about 2 weeks ago she went off of her daily meds (Lialda) for good. She had this same symptom (chest pressure) when she was going off of prednisone but then it went away. Do you think it could just be growing pains? Or do you think it has something to do with her UC/going off her meds? She is in excellent health, otherwise. Her inflammation numbers (in her blood and stool) were just tested in December and they were great! Any advice would be really appreciated! Thanks a million Dr. Madsen…….so glad you went to med school:)lol!

    Jen - February 23, 2015 at 2:06 pm Reply
  16. Thank you for responding

    Robyn Addison - February 24, 2015 at 10:27 am Reply

Leave a Comment