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| Meta Title | Abnormal Heart Rhythms: Types, Causes, Diagnosis, Treatment |
| Meta Description | An irregular heartbeat (arrhythmia) is a change in the heart's beating pattern. Learn the different types, causes, and effects. |
| Meta Canonical | null |
| Boilerpipe Text | Your heart contains a complex system of valves, nodes, and chambers. They control how and when blood is pumped throughout your body. If these are disrupted, damaged, or compromised, it can change your heart rate or rhythm.
Arrhythmias can cause no symptoms, or you may feel some symptoms. They may include:
discomfort
fluttering or pounding in your chest
pain in your chest
shortness of breath
lightheadedness
fatigue
fainting
Not all arrhythmias are life threatening or cause health complications. But to be safe, you should report any abnormal heart rhythm to a doctor.
The most common types of abnormal heart rhythms include:
Tachycardia
Tachycardia means that your heart is beating too fast. For example, a typical heart beats 60 to 100 times per minute in adults. Tachycardia is any resting heart rate
over 100
beats per minute (bpm).
There are three subtypes of tachycardia:
Sinus tachycardia:
This is an increased heart rate that can occur in response to exercise, pain, dehydration, excitement, fever, or illness. With
sinus tachycardia
, your heartbeat returns to its usual rate once you get better or become calm.
Supraventricular tachycardia:
Supraventricular tachycardia originates in the upper chambers of your heart, known as the atria.
Ventricular tachycardia:
Ventricular tachycardia is a very fast heart rate that occurs in the lower chambers, known as the ventricles.
Atrial fibrillation
This disorganized heart rhythm occurs in the upper chambers of your heart. It’s the most common arrhythmia.
Atrial fibrillation
, or AFib, occurs when many unstable electrical impulses misfire, causing your atria to quiver erratically.
AFib causes your heart to beat irregularly and can increase your heart rate to
80 to 180 bpm
, which is much faster than the typical 60 to 100 bpm.
Atrial flutter
An
atrial flutter
typically occurs in the right atrium, one of your heart’s two upper chambers. It may occur in the left atrium as well.
Atrial flutter is a type of arrhythmia that originates in the atrium and results in rapid atrial rhythm. It’s due to an abnormal circuit of electrical activity. In atrial flutter, your heart’s overall rhythm can be regular, but your heart rate is often fast.
Atrial flutter also
increases
your risk of stroke.
Bradycardia
If you have bradycardia, you have a
slow heart rate
(less than
60 bpm
). Bradycardia generally occurs when the electrical signals traveling from the atria to the ventricles become disrupted.
Some
athletes
have slower heart rates because they’re in excellent physical condition, which isn’t usually due to a heart problem.
Bradycardia can result from:
medications, including certain blood pressure and antiarrhythmic medications
hypothyroidism
hypothermia
other heart conditions
Ventricular fibrillation
Ventricular fibrillation
is a life threatening arrhythmia in which the ventricles beat rapidly and erratically. This impairs the flow of blood from your heart and leads to cardiac arrest.
It’s a serious condition that results in death if not immediately treated with defibrillation.
Premature contractions
A premature contraction is a beat that occurs early. It can occur in the atrium (premature atrial contraction) or in the ventricle (premature ventricular contraction).
In either case, when feeling your pulse, it may feel as though your heart pauses or skips a beat.
Several factors may cause an abnormal heart rhythm. These can include:
High blood pressure
High blood pressure
means too much force is required to push the blood through your blood vessels. It creates more resistance to blood flow and can affect how your heart works. Over time, high blood pressure can lead to heart disease.
Coronary heart disease
Coronary heart disease
is a serious heart problem that occurs when cholesterol and other deposits block your coronary arteries.
This plaque prevents oxygen and essential nutrients from reaching your heart.
Heart conditions or damage to the heart
A heart condition or an injury to your heart can lead you to develop an atypical heart rate. Some of these conditions may have other symptoms as well.
They may include:
changes in your heart’s muscle after illness or injury
healing after heart surgery
structural abnormalities of your heart
heart failure, which happens when your heart can’t pump an adequate amount of blood
damage to your heart after a heart attack
Medications
Some medications or substances
may cause
your heart rate to change.
Medications that may cause your heart rate to increase include:
caffeine
nicotine
decongestants, such as phenylephrine or pseudoephedrine
amphetamines, which are drugs that stimulate the brain
asthma medications, such as an albuterol inhaler
other recreational drugs, such as cocaine
Medications that can cause your heart rate to decrease may include:
beta-blockers
, which treat high blood pressure
calcium channel blockers
certain antiarrhythmic medications, such as digoxin and amiodarone, clonidine, and
donepezil
Anxiety or emotional distress
Anxiety or other emotional distress can increase your heart rate as part of your body’s fight-or-flight response. This can cause sinus tachycardia.
You may feel heart palpitations. Your accelerated heart rate typically slows once you calm down.
Illness or fever
Having an illness or fever
may temporarily
cause sinus tachycardia. This may temporarily raise your heart rate.
Once your illness resolves, your heart rate typically returns to its normal rate.
Other causes
Other factors can also cause alterations in your heart’s rhythm. These can include:
pain
electrolyte imbalances, such as low potassium, calcium, and magnesium
sleep apnea
blood clots
anemia
hypothyroidism
other health conditions
The risks for arrhythmia can include:
smoking
previous heart conditions, or a
family history
of heart conditions
diabetes
stress
being overweight
being physically inactive
a diet high in fats and cholesterol
high blood pressure or other health problems
drinking alcohol in excess
drug misuse
sleep apnea
A doctor typically performs a physical examination, which may include listening to your heart with a stethoscope and examining your heart’s electrical impulses with an
electrocardiogram (EKG)
machine. This can help them determine whether your heart rhythm is abnormal and identify the cause.
Other tools that doctors use to diagnose an arrhythmia include:
Echocardiogram:
This test is also known as a cardiac echo. It uses sound waves to take pictures of your heart.
Rhythm monitoring:
You’ll wear ambulatory rhythm monitoring, such as a
Holter monitor
or event recorder, for at least 24 hours while doing your daily activities.
These monitors allow your doctor to track changes in your heart’s rhythm throughout the day.
Stress test:
For
this test
, a doctor has you walk or jog on a treadmill to see how exercise affects your heart.
The
Healthline FindCare tool
can provide options in your area if you need help finding a cardiologist.
The treatment for an arrhythmia depends on its cause.
You may need to make lifestyle changes, such as increasing your activity level or changing your diet (for example, limiting caffeine intake). If you smoke, a doctor may recommend you consider quitting smoking and provide resources or medication to help.
You might also require medication to control your heart rate and any secondary symptoms. This may include rate-controlling medication or antiarrhythmics to control your heart’s rate and rhythm.
Certain arrhythmias, such as AFib and atrial flutter, can increase your risk of a stroke. A doctor may recommend blood-thinning medications to lower your risk of stroke.
For severe abnormalities that don’t go away with behavioral changes or medication, a doctor may recommend:
pharmacologic
cardioversion
, which uses medication, or electrical cardioversion, which uses an electrical shock to your heart
other heart testing and procedures, such as cardiac catheterization, to diagnose a heart problem
catheter ablation
to identify and destroy tissue that causes abnormal rhythms
implantation of a
pacemaker
or cardioverter defibrillator
surgery to correct an abnormality
Although arrhythmias can be quite serious, they can often be managed with treatment. Along with treatment, a doctor may monitor your condition with regular checkups.
Once your arrhythmia is under control, a doctor may discuss ways to keep it from returning.
Certain lifestyle choices can go a long way toward helping you control your condition. A doctor will probably recommend that you:
eat a
heart-healthy diet
exercise regularly
quit smoking
, if you smoke
reduce alcohol intake, if you drink alcohol
Arrhythmia can occur if your heart rate is too fast, too slow, or irregular. It may be accompanied by other symptoms, such as the feeling that your heart is pounding.
It can occur with conditions that affect the heart and certain medications, substances, or emotional states.
If you experience an abnormal heart rhythm, consider making an appointment with a doctor to determine the cause. |
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# What You Need to Know About Abnormal Heart Rhythms

[Medically reviewed]() by [Helen Chen MCMSc, PA-C]() — Written by Brindles Lee Macon — [Updated on July 22, 2025]()
- [Types](https://www.healthline.com/health/abnormal-heart-rhythms#types)
- [Symptoms](https://www.healthline.com/health/abnormal-heart-rhythms#symptoms)
- [Causes](https://www.healthline.com/health/abnormal-heart-rhythms#causes)
- [Risk factors](https://www.healthline.com/health/abnormal-heart-rhythms#risk-factors)
- [Diagnosis](https://www.healthline.com/health/abnormal-heart-rhythms#diagnosis)
- [Treatment](https://www.healthline.com/health/abnormal-heart-rhythms#treatment)
- [Outlook](https://www.healthline.com/health/abnormal-heart-rhythms#outlook)
- [Prevention](https://www.healthline.com/health/abnormal-heart-rhythms#prevention)
- [Takeaway](https://www.healthline.com/health/abnormal-heart-rhythms#takeaway)
### Key takeaways
- An abnormal heart rhythm, also known as an arrhythmia, occurs when the heart beats too fast, too slow, or irregularly, which can be caused by various factors affecting the heart’s complex system.
- Symptoms of abnormal heart rhythms can vary, including discomfort, palpitations, chest pain, shortness of breath, lightheadedness, fatigue, and fainting. While not all arrhythmias are life-threatening, any abnormal heart rhythm should be reported to a doctor.
- Lifestyle changes, such as adopting a heart-healthy diet, exercising regularly, and quitting smoking, can help manage and prevent the return of arrhythmias, along with medical treatments like medication or procedures.
***
Your heart contains a complex system of valves, nodes, and chambers. They control how and when blood is pumped throughout your body. If these are disrupted, damaged, or compromised, it can change your heart rate or rhythm.
Arrhythmias can cause no symptoms, or you may feel some symptoms. They may include:
- discomfort
- fluttering or pounding in your chest
- pain in your chest
- shortness of breath
- lightheadedness
- fatigue
- fainting
Not all arrhythmias are life threatening or cause health complications. But to be safe, you should report any abnormal heart rhythm to a doctor.
## [The types of abnormal heart rhythms]()
The most common types of abnormal heart rhythms include:
### Tachycardia
Tachycardia means that your heart is beating too fast. For example, a typical heart beats 60 to 100 times per minute in adults. Tachycardia is any resting heart rate [over 100](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/tachycardia--fast-heart-rate) beats per minute (bpm).
There are three subtypes of tachycardia:
- **Sinus tachycardia:** This is an increased heart rate that can occur in response to exercise, pain, dehydration, excitement, fever, or illness. With [sinus tachycardia](https://www.healthline.com/health/sinus-tachycardia), your heartbeat returns to its usual rate once you get better or become calm.
- **Supraventricular tachycardia:** Supraventricular tachycardia originates in the upper chambers of your heart, known as the atria.
- **Ventricular tachycardia:** Ventricular tachycardia is a very fast heart rate that occurs in the lower chambers, known as the ventricles.
### Atrial fibrillation
This disorganized heart rhythm occurs in the upper chambers of your heart. It’s the most common arrhythmia.
[Atrial fibrillation](https://www.healthline.com/health/living-with-atrial-fibrillation), or AFib, occurs when many unstable electrical impulses misfire, causing your atria to quiver erratically.
AFib causes your heart to beat irregularly and can increase your heart rate to [80 to 180 bpm](https://www.ncbi.nlm.nih.gov/books/NBK526072/), which is much faster than the typical 60 to 100 bpm.
### Atrial flutter
An [atrial flutter](https://www.healthline.com/health/heart-disease/atrial-flutter) typically occurs in the right atrium, one of your heart’s two upper chambers. It may occur in the left atrium as well.
Atrial flutter is a type of arrhythmia that originates in the atrium and results in rapid atrial rhythm. It’s due to an abnormal circuit of electrical activity. In atrial flutter, your heart’s overall rhythm can be regular, but your heart rate is often fast.
Atrial flutter also [increases](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/other-heart-rhythm-disorders) your risk of stroke.
### Bradycardia
If you have bradycardia, you have a [slow heart rate](https://www.healthline.com/health/slow-heart-rate) (less than [60 bpm](https://www.ncbi.nlm.nih.gov/books/NBK493201/)). Bradycardia generally occurs when the electrical signals traveling from the atria to the ventricles become disrupted.
Some [athletes](https://www.healthline.com/health/athlete-heart-rate) have slower heart rates because they’re in excellent physical condition, which isn’t usually due to a heart problem.
Bradycardia can result from:
- medications, including certain blood pressure and antiarrhythmic medications
- hypothyroidism
- hypothermia
- other heart conditions
### Ventricular fibrillation
[Ventricular fibrillation](https://www.healthline.com/health/ventricular-fibrillation) is a life threatening arrhythmia in which the ventricles beat rapidly and erratically. This impairs the flow of blood from your heart and leads to cardiac arrest.
It’s a serious condition that results in death if not immediately treated with defibrillation.
### Premature contractions
A premature contraction is a beat that occurs early. It can occur in the atrium (premature atrial contraction) or in the ventricle (premature ventricular contraction).
In either case, when feeling your pulse, it may feel as though your heart pauses or skips a beat.
## [What are the symptoms of abnormal heart rhythms?]()
If you have an abnormal heart rhythm, you may experience some or all of these symptoms:
- feeling faint, dizzy, or [lightheaded](https://www.healthline.com/health/lightheadedness)
- [shortness of breath](https://www.healthline.com/health/what-does-shortness-of-breath-feel-like)
- irregular pulse or [heart palpitations](https://www.healthline.com/health/heart-palpitations)
- [chest pain](https://www.healthline.com/health/causes-of-chest-pain)
- [pale skin](https://www.healthline.com/health/paleness)
- sweating
- fainting
- fatigue
## [What causes abnormal heart rhythms?]()
Several factors may cause an abnormal heart rhythm. These can include:
### High blood pressure
[High blood pressure](https://www.healthline.com/health/high-blood-pressure-hypertension) means too much force is required to push the blood through your blood vessels. It creates more resistance to blood flow and can affect how your heart works. Over time, high blood pressure can lead to heart disease.
### Coronary heart disease
[Coronary heart disease](https://www.healthline.com/health/heart-disease/causes-risks) is a serious heart problem that occurs when cholesterol and other deposits block your coronary arteries.
This plaque prevents oxygen and essential nutrients from reaching your heart.
### Heart conditions or damage to the heart
A heart condition or an injury to your heart can lead you to develop an atypical heart rate. Some of these conditions may have other symptoms as well.
They may include:
- changes in your heart’s muscle after illness or injury
- healing after heart surgery
- structural abnormalities of your heart
- heart failure, which happens when your heart can’t pump an adequate amount of blood
- damage to your heart after a heart attack
### Medications
Some medications or substances [may cause](https://www.ahajournals.org/doi/10.1161/CIR.0000000000000905) your heart rate to change.
Medications that may cause your heart rate to increase include:
- caffeine
- nicotine
- decongestants, such as phenylephrine or pseudoephedrine
- amphetamines, which are drugs that stimulate the brain
- asthma medications, such as an albuterol inhaler
- other recreational drugs, such as cocaine
Medications that can cause your heart rate to decrease may include:
- [beta-blockers](https://www.healthline.com/health/heart-disease/beta-blockers), which treat high blood pressure
- calcium channel blockers
- certain antiarrhythmic medications, such as digoxin and amiodarone, clonidine, and [donepezil](https://www.healthline.com/health/drugs/donepezil-oral-tablet)
### Anxiety or emotional distress
Anxiety or other emotional distress can increase your heart rate as part of your body’s fight-or-flight response. This can cause sinus tachycardia.
You may feel heart palpitations. Your accelerated heart rate typically slows once you calm down.
### Illness or fever
Having an illness or fever [may temporarily](https://www.ncbi.nlm.nih.gov/books/NBK562334/) cause sinus tachycardia. This may temporarily raise your heart rate.
Once your illness resolves, your heart rate typically returns to its normal rate.
### Other causes
Other factors can also cause alterations in your heart’s rhythm. These can include:
- pain
- electrolyte imbalances, such as low potassium, calcium, and magnesium
- sleep apnea
- blood clots
- anemia
- hypothyroidism
- other health conditions
## [What are the risk factors for abnormal heart rhythms?]()
The risks for arrhythmia can include:
- smoking
- previous heart conditions, or a [family history](https://www.healthline.com/health/family-health-history-day) of heart conditions
- diabetes
- [stress](https://www.healthline.com/health/stress)
- being overweight
- being physically inactive
- a diet high in fats and cholesterol
- high blood pressure or other health problems
- drinking alcohol in excess
- drug misuse
- [sleep apnea](https://www.healthline.com/health/sleep-apnea/effects-on-body)
## [Diagnosing abnormal heart rhythms]()
A doctor typically performs a physical examination, which may include listening to your heart with a stethoscope and examining your heart’s electrical impulses with an [electrocardiogram (EKG)](https://www.healthline.com/health/electrocardiogram) machine. This can help them determine whether your heart rhythm is abnormal and identify the cause.
Other tools that doctors use to diagnose an arrhythmia include:
- **Echocardiogram:** This test is also known as a cardiac echo. It uses sound waves to take pictures of your heart.
- **Rhythm monitoring:** You’ll wear ambulatory rhythm monitoring, such as a [Holter monitor](https://www.healthline.com/health/abnormal-heart-rhythms) or event recorder, for at least 24 hours while doing your daily activities. These monitors allow your doctor to track changes in your heart’s rhythm throughout the day.
- **Stress test:** For [this test](https://www.healthline.com/health/exercise-stress-test), a doctor has you walk or jog on a treadmill to see how exercise affects your heart.
The [Healthline FindCare tool](https://www.healthline.com/find-care) can provide options in your area if you need help finding a cardiologist.
## [Treating abnormal heart rhythms]()
The treatment for an arrhythmia depends on its cause.
You may need to make lifestyle changes, such as increasing your activity level or changing your diet (for example, limiting caffeine intake). If you smoke, a doctor may recommend you consider quitting smoking and provide resources or medication to help.
You might also require medication to control your heart rate and any secondary symptoms. This may include rate-controlling medication or antiarrhythmics to control your heart’s rate and rhythm.
Certain arrhythmias, such as AFib and atrial flutter, can increase your risk of a stroke. A doctor may recommend blood-thinning medications to lower your risk of stroke.
For severe abnormalities that don’t go away with behavioral changes or medication, a doctor may recommend:
- pharmacologic
[cardioversion](https://www.heart.org/en/health-topics/arrhythmia/prevention--treatment-of-arrhythmia/cardioversion)
, which uses medication, or electrical cardioversion, which uses an electrical shock to your heart
- other heart testing and procedures, such as cardiac catheterization, to diagnose a heart problem
- [catheter ablation](https://www.healthline.com/health/cardiac-ablation-procedures) to identify and destroy tissue that causes abnormal rhythms
- implantation of a [pacemaker](https://www.healthline.com/health/heart-pacemaker) or cardioverter defibrillator
- surgery to correct an abnormality
## [Outlook: What should I expect in the long term?]()
Although arrhythmias can be quite serious, they can often be managed with treatment. Along with treatment, a doctor may monitor your condition with regular checkups.
## [Prevention]()
Once your arrhythmia is under control, a doctor may discuss ways to keep it from returning.
Certain lifestyle choices can go a long way toward helping you control your condition. A doctor will probably recommend that you:
- eat a [heart-healthy diet](https://www.healthline.com/nutrition/a-heart-healthy-diet-food-lists-diet-tips-and-more)
- exercise regularly
- [quit smoking](https://www.healthline.com/health/what-happens-when-you-quit-smoking), if you smoke
- reduce alcohol intake, if you drink alcohol
## [Takeaway]()
Arrhythmia can occur if your heart rate is too fast, too slow, or irregular. It may be accompanied by other symptoms, such as the feeling that your heart is pounding.
It can occur with conditions that affect the heart and certain medications, substances, or emotional states.
If you experience an abnormal heart rhythm, consider making an appointment with a doctor to determine the cause.
### How we reviewed this article:
Sources
History
Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical journals and associations. We only use quality, credible sources to ensure content accuracy and integrity. You can learn more about how we ensure our content is accurate and current by reading our [editorial policy](https://www.healthline.com/about/process).
- Arrhythmias: What is arrhythmia? (2022).
<https://www.nhlbi.nih.gov/health/arrhythmias>
- Atrial fibrillation: What is atrial fibrillation? (2022).
<https://www.nhlbi.nih.gov/health/atrial-fibrillation>
- Balli S, et al. (2023). Physiology, fever.
<https://www.ncbi.nlm.nih.gov/books/NBK562334/>
- Cardioversion. (2024).
<https://www.heart.org/en/health-topics/arrhythmia/prevention--treatment-of-arrhythmia/cardioversion>
- Coronary heart disease: What is coronary heart disease? (2024).
<https://www.nhlbi.nih.gov/health/coronary-heart-disease>
- Hafeez Y, et al. (2023). Sinus bradycardia.
<https://www.ncbi.nlm.nih.gov/books/NBK493201/>
- Ludhwani D, et al. (2023). Ventricular fibrillation.
<https://www.ncbi.nlm.nih.gov/books/NBK537120/>
- Nesheiwat Z, et al. (2023). Atrial fibrillation.
<https://www.ncbi.nlm.nih.gov/books/NBK526072/>
- Other heart rhythm disorders. (2024).
<https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/other-heart-rhythm-disorders>
- Premature contractions - PACs and PVCs. (2024).
<https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/premature-contractions-pacs-and-pvcs>
- Tachycardia: Fast heart rate. (2024).
<https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/tachycardia--fast-heart-rate>
- Tisdale JE, et al. (2020). Drug-induced arrhythmias: A scientific statement from the American Heart Association.
<https://www.ahajournals.org/doi/10.1161/CIR.0000000000000905>
Share this article

[Medically reviewed]() by [Helen Chen MCMSc, PA-C]() — Written by Brindles Lee Macon — [Updated on July 22, 2025]()
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| Readable Markdown | Your heart contains a complex system of valves, nodes, and chambers. They control how and when blood is pumped throughout your body. If these are disrupted, damaged, or compromised, it can change your heart rate or rhythm.
Arrhythmias can cause no symptoms, or you may feel some symptoms. They may include:
- discomfort
- fluttering or pounding in your chest
- pain in your chest
- shortness of breath
- lightheadedness
- fatigue
- fainting
Not all arrhythmias are life threatening or cause health complications. But to be safe, you should report any abnormal heart rhythm to a doctor.
The most common types of abnormal heart rhythms include:
Tachycardia
Tachycardia means that your heart is beating too fast. For example, a typical heart beats 60 to 100 times per minute in adults. Tachycardia is any resting heart rate [over 100](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/tachycardia--fast-heart-rate) beats per minute (bpm).
There are three subtypes of tachycardia:
- **Sinus tachycardia:** This is an increased heart rate that can occur in response to exercise, pain, dehydration, excitement, fever, or illness. With [sinus tachycardia](https://www.healthline.com/health/sinus-tachycardia), your heartbeat returns to its usual rate once you get better or become calm.
- **Supraventricular tachycardia:** Supraventricular tachycardia originates in the upper chambers of your heart, known as the atria.
- **Ventricular tachycardia:** Ventricular tachycardia is a very fast heart rate that occurs in the lower chambers, known as the ventricles.
Atrial fibrillation
This disorganized heart rhythm occurs in the upper chambers of your heart. It’s the most common arrhythmia.
[Atrial fibrillation](https://www.healthline.com/health/living-with-atrial-fibrillation), or AFib, occurs when many unstable electrical impulses misfire, causing your atria to quiver erratically.
AFib causes your heart to beat irregularly and can increase your heart rate to [80 to 180 bpm](https://www.ncbi.nlm.nih.gov/books/NBK526072/), which is much faster than the typical 60 to 100 bpm.
Atrial flutter
An [atrial flutter](https://www.healthline.com/health/heart-disease/atrial-flutter) typically occurs in the right atrium, one of your heart’s two upper chambers. It may occur in the left atrium as well.
Atrial flutter is a type of arrhythmia that originates in the atrium and results in rapid atrial rhythm. It’s due to an abnormal circuit of electrical activity. In atrial flutter, your heart’s overall rhythm can be regular, but your heart rate is often fast.
Atrial flutter also [increases](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/other-heart-rhythm-disorders) your risk of stroke.
Bradycardia
If you have bradycardia, you have a [slow heart rate](https://www.healthline.com/health/slow-heart-rate) (less than [60 bpm](https://www.ncbi.nlm.nih.gov/books/NBK493201/)). Bradycardia generally occurs when the electrical signals traveling from the atria to the ventricles become disrupted.
Some [athletes](https://www.healthline.com/health/athlete-heart-rate) have slower heart rates because they’re in excellent physical condition, which isn’t usually due to a heart problem.
Bradycardia can result from:
- medications, including certain blood pressure and antiarrhythmic medications
- hypothyroidism
- hypothermia
- other heart conditions
Ventricular fibrillation
[Ventricular fibrillation](https://www.healthline.com/health/ventricular-fibrillation) is a life threatening arrhythmia in which the ventricles beat rapidly and erratically. This impairs the flow of blood from your heart and leads to cardiac arrest.
It’s a serious condition that results in death if not immediately treated with defibrillation.
Premature contractions
A premature contraction is a beat that occurs early. It can occur in the atrium (premature atrial contraction) or in the ventricle (premature ventricular contraction).
In either case, when feeling your pulse, it may feel as though your heart pauses or skips a beat.
Several factors may cause an abnormal heart rhythm. These can include:
High blood pressure
[High blood pressure](https://www.healthline.com/health/high-blood-pressure-hypertension) means too much force is required to push the blood through your blood vessels. It creates more resistance to blood flow and can affect how your heart works. Over time, high blood pressure can lead to heart disease.
Coronary heart disease
[Coronary heart disease](https://www.healthline.com/health/heart-disease/causes-risks) is a serious heart problem that occurs when cholesterol and other deposits block your coronary arteries.
This plaque prevents oxygen and essential nutrients from reaching your heart.
Heart conditions or damage to the heart
A heart condition or an injury to your heart can lead you to develop an atypical heart rate. Some of these conditions may have other symptoms as well.
They may include:
- changes in your heart’s muscle after illness or injury
- healing after heart surgery
- structural abnormalities of your heart
- heart failure, which happens when your heart can’t pump an adequate amount of blood
- damage to your heart after a heart attack
Medications
Some medications or substances [may cause](https://www.ahajournals.org/doi/10.1161/CIR.0000000000000905) your heart rate to change.
Medications that may cause your heart rate to increase include:
- caffeine
- nicotine
- decongestants, such as phenylephrine or pseudoephedrine
- amphetamines, which are drugs that stimulate the brain
- asthma medications, such as an albuterol inhaler
- other recreational drugs, such as cocaine
Medications that can cause your heart rate to decrease may include:
- [beta-blockers](https://www.healthline.com/health/heart-disease/beta-blockers), which treat high blood pressure
- calcium channel blockers
- certain antiarrhythmic medications, such as digoxin and amiodarone, clonidine, and [donepezil](https://www.healthline.com/health/drugs/donepezil-oral-tablet)
Anxiety or emotional distress
Anxiety or other emotional distress can increase your heart rate as part of your body’s fight-or-flight response. This can cause sinus tachycardia.
You may feel heart palpitations. Your accelerated heart rate typically slows once you calm down.
Illness or fever
Having an illness or fever [may temporarily](https://www.ncbi.nlm.nih.gov/books/NBK562334/) cause sinus tachycardia. This may temporarily raise your heart rate.
Once your illness resolves, your heart rate typically returns to its normal rate.
Other causes
Other factors can also cause alterations in your heart’s rhythm. These can include:
- pain
- electrolyte imbalances, such as low potassium, calcium, and magnesium
- sleep apnea
- blood clots
- anemia
- hypothyroidism
- other health conditions
The risks for arrhythmia can include:
- smoking
- previous heart conditions, or a [family history](https://www.healthline.com/health/family-health-history-day) of heart conditions
- diabetes
- [stress](https://www.healthline.com/health/stress)
- being overweight
- being physically inactive
- a diet high in fats and cholesterol
- high blood pressure or other health problems
- drinking alcohol in excess
- drug misuse
- [sleep apnea](https://www.healthline.com/health/sleep-apnea/effects-on-body)
A doctor typically performs a physical examination, which may include listening to your heart with a stethoscope and examining your heart’s electrical impulses with an [electrocardiogram (EKG)](https://www.healthline.com/health/electrocardiogram) machine. This can help them determine whether your heart rhythm is abnormal and identify the cause.
Other tools that doctors use to diagnose an arrhythmia include:
- **Echocardiogram:** This test is also known as a cardiac echo. It uses sound waves to take pictures of your heart.
- **Rhythm monitoring:** You’ll wear ambulatory rhythm monitoring, such as a [Holter monitor](https://www.healthline.com/health/abnormal-heart-rhythms) or event recorder, for at least 24 hours while doing your daily activities. These monitors allow your doctor to track changes in your heart’s rhythm throughout the day.
- **Stress test:** For [this test](https://www.healthline.com/health/exercise-stress-test), a doctor has you walk or jog on a treadmill to see how exercise affects your heart.
The [Healthline FindCare tool](https://www.healthline.com/find-care) can provide options in your area if you need help finding a cardiologist.
The treatment for an arrhythmia depends on its cause.
You may need to make lifestyle changes, such as increasing your activity level or changing your diet (for example, limiting caffeine intake). If you smoke, a doctor may recommend you consider quitting smoking and provide resources or medication to help.
You might also require medication to control your heart rate and any secondary symptoms. This may include rate-controlling medication or antiarrhythmics to control your heart’s rate and rhythm.
Certain arrhythmias, such as AFib and atrial flutter, can increase your risk of a stroke. A doctor may recommend blood-thinning medications to lower your risk of stroke.
For severe abnormalities that don’t go away with behavioral changes or medication, a doctor may recommend:
- pharmacologic
[cardioversion](https://www.heart.org/en/health-topics/arrhythmia/prevention--treatment-of-arrhythmia/cardioversion)
, which uses medication, or electrical cardioversion, which uses an electrical shock to your heart
- other heart testing and procedures, such as cardiac catheterization, to diagnose a heart problem
- [catheter ablation](https://www.healthline.com/health/cardiac-ablation-procedures) to identify and destroy tissue that causes abnormal rhythms
- implantation of a [pacemaker](https://www.healthline.com/health/heart-pacemaker) or cardioverter defibrillator
- surgery to correct an abnormality
Although arrhythmias can be quite serious, they can often be managed with treatment. Along with treatment, a doctor may monitor your condition with regular checkups.
Once your arrhythmia is under control, a doctor may discuss ways to keep it from returning.
Certain lifestyle choices can go a long way toward helping you control your condition. A doctor will probably recommend that you:
- eat a [heart-healthy diet](https://www.healthline.com/nutrition/a-heart-healthy-diet-food-lists-diet-tips-and-more)
- exercise regularly
- [quit smoking](https://www.healthline.com/health/what-happens-when-you-quit-smoking), if you smoke
- reduce alcohol intake, if you drink alcohol
Arrhythmia can occur if your heart rate is too fast, too slow, or irregular. It may be accompanied by other symptoms, such as the feeling that your heart is pounding.
It can occur with conditions that affect the heart and certain medications, substances, or emotional states.
If you experience an abnormal heart rhythm, consider making an appointment with a doctor to determine the cause. |
| Shard | 98 (laksa) |
| Root Hash | 11478817528691466898 |
| Unparsed URL | com,healthline!www,/health/abnormal-heart-rhythms s443 |