Conversation: The conversation between human and AI assistant.
[|Human|] hi i have a five year old daughter who was born with alarge vsd which was repaired when she was five months old she also has another whole in her heart which is not operated on and also overgrown muscle bundles whch were removed during her surgery and some growth has reappeared. my question is that last night she woke up with a high tempreature and complained of pain in her chest i felt her heart and it was doing 118 beats a minute is this normal for a child with this condition or was it due to the temp and if it occours again what should i do do i take her to hospital or sit her at a higher position like last night and it calmed down within a hour
[|AI|]  Hi.... high heart rates are expected in high fever. But in a 5-year-old even with high fever heart rate nearing 120 beats per minute is quite high and that too keeping in mind the structural heart disease which your child is having. Any child with structural heart disease with high fever should be evaluated for infective endocarditis and I suggest you take her to the nearest Emergency Room and get her evaluated. Regards -