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URLhttps://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/other-heart-rhythm-disorders
Last Crawled2026-04-10 12:39:53 (4 days ago)
First Indexed2018-08-01 15:05:43 (7 years ago)
HTTP Status Code200
Meta TitleOther Heart Rhythm Disorders | American Heart Association
Meta DescriptionThe American Heart Association explains rhythm disorders such as Adams-Stokes disease, atrial flutter, sick sinus syndrome and Wolf-Parkinson-White Syndrome.
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Arrhythmias include many conditions such as bradycardias  and tachycardias . Additional heart rhythm disorders are: Adams-Stokes Disease Atrial flutter Sick sinus syndrome Sinus arrhythmia Wolff-Parkinson-White Syndrome Adams-Stokes Disease Adams-Stokes Disease, also called Stokes-Adams disease, refers to a heart block  or other arrhythmia that can slow the heart rate considerably, causing fainting (syncope) or convulsions. It’s caused when the heart’s electrical signals are interrupted as they pass from the upper (atria) to the lower (ventricles) chambers. Atrial flutter Atrial flutter occurs when rapidly firing electrical signals cause the muscles in the heart’s upper chambers (atria) to contract at a very rapid rate (250 to 350 times per minute). This leads to an overly fast heartbeat, which can have either a regular or irregular rhythm. Atrial flutter is much less common than atrial fibrillation  (AFib or AF), but its causes and consequences are similar. People with atrial flutter can also have periods of atrial fibrillation.  Symptoms of atrial flutter Atrial flutter may present with a heartbeat that’s overly fast, irregular or with heart palpitations (feeling a hard, fast or irregular heartbeat in the chest). Other symptoms include: Fast, steady pulse Chest pain (angina) Shortness of breath Weakness Lightheadedness Fainting (syncope) Heart palpitations Irregular heart rhythm combined with AFib Stroke If you have these symptoms and think you may have atrial flutter, contact your health care professional immediately. Other conditions and risk factors Atrial flutter is often associated with other conditions such as: Heart failure Previous heart attack Open-heart (bypass) surgery Heart valve surgery Valve abnormalities or congenital defects High blood pressure Atrial fibrillation Thyroid dysfunction Alcoholism (especially binge drinking) Chronic lung disease Diabetes Smoking Previous stroke Learn more about atrial flutter . Sick sinus syndrome When the sinus node (also called the sinoatrial or SA node) doesn’t produce its electrical signals properly, the heart rate slows down, pauses or speeds up. This is referred to as sick sinus syndrome. In this condition, the heart rate can change between an overly slow rate ( bradycardia ) and an overly fast rate ( tachycardia ). Sinus arrhythmia Common in children, this type of irregular heart rhythm refers to changes in the heart rate during breathing. The heart beats faster for a few moments when you breathe in. When you breathe out, it slows down. Sinus arrhythmia is normal. Wolff-Parkinson-White Syndrome (WPW) In this disorder, the electrical pathways between the heart’s upper (atria) and lower (ventricles) chambers malfunction. This allows electrical signals to reach the ventricles too early. Those electrical impulses can then be “bounced back” to the atria. This can produce overly fast heart rates. Other people with WPW Syndrome may not feel any obvious symptoms but still face serious risk. Some people with WPW also have atrial fibrillation. Diagnosis and treatment Your health care professional can detect WPW Syndrome through an electrocardiogram  (EKG or ECG). This noninvasive test can show irregularities in your heart rhythm. Your treatment plan will depend on many factors, including your risk of future arrhythmias as well as how frequent and severe your symptoms are. People who don’t have symptoms may not need treatment. Possible treatment options for WPW Syndrome may include: Medications that regulate heart rhythm Cardioversion Ablation Open heart surgery Ablation is the most common treatment for WPW Syndrome. It has a high success rate and a low risk of complications. Watch an animation of a normal heart beat .
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Professionals [Professional Resources](https://www.heart.org/en/professional) - Get Involved [Get Involved](https://www.heart.org/en/get-involved) - Ways to Give [Ways to Give](https://www.heart.org/en/get-involved/ways-to-give) - - [American Heart Challenge](https://www2.heart.org/site/SPageNavigator/ahc_resources_search.html) - [Cor Vitae Society](https://www.heart.org/en/get-involved/ways-to-give/cor-vitae-society) - [Create a Tribute Page](https://ahatribute.funraise.org/) - [Donor Advised Fund](https://www.heart.org/en/get-involved/ways-to-give/planned-giving/ways-to-give-now/donor-advised-fund) - [Fundraising Events](https://www.heart.org/en/get-involved/ways-to-give/for-companies/fundraising-events) - [Gifts of Stock and Mutual Funds](https://www.heart.org/en/get-involved/ways-to-give/planned-giving/ways-to-give-now/stock-gifts-and-mutual-funds) - [Heritage Brick Walk](https://www.heart.org/en/get-involved/ways-to-give/heritage-brick-walk) - [Honor a Loved One](https://mygiving.heart.org/-/XCBTSYZR "Honor a Loved One") - [Kids Heart Challenge](https://www2.heart.org/site/SPageNavigator/khc_resources_search.html) - [Make a Crypto Gift](https://www.heart.org/en/get-involved/ways-to-give/cryptocurrency) - [Make a Memorial Gift](https://mygiving.heart.org/-/XTPMHHQM "Memorial Gifts") - [Monthly Giving As Seen On TV](https://www.heart.org/en/get-involved/ways-to-give/monthly-giving-saves-lives "Monthly Giving Saves Lives") - [Paul Dudley White Legacy Circle](https://www.heart.org/en/get-involved/ways-to-give/planned-giving/paul-dudley-white-legacy-circle) - [Planned Giving](https://www.heart.org/en/get-involved/ways-to-give/planned-giving) - [Raise Your Way](https://raiseyourwayforaha.funraise.org/) - [Retail Supporters](https://www.heart.org/en/get-involved/ways-to-give/life-is-why) - [Social Impact Funds](https://www.heart.org/en/get-involved/ways-to-give/social-impact-fund) - [Wills and Trusts](https://www.heart.org/en/get-involved/ways-to-give/planned-giving/ways-to-leave-a-legacy/wills-and-trusts) - - [Donate Once](https://mygiving.heart.org/-/XMNFTTTW) - [Donate Monthly](https://pages.heart.org/drtv_helpheart?s_subsrc=site_nav) - About Us - Learn CPR [CPR and First Aid](https://cpr.heart.org/en/) - In Your Community - [Heart Attack and Stroke Symptoms](https://www.heart.org/en/about-us/heart-attack-and-stroke-symptoms) - [Learn CPR](https://cpr.heart.org/en/) - [Volunteer](https://www.heart.org/en/volunteer) - [ShopHeart](https://www.shopheart.org/?utm_source=heart.org&utm_medium=Referral&utm_campaign=AHA-Parent-Site-Top-Nav-Mobile) 1. [Home](https://www.heart.org/en/) 2. [Health Topics](https://www.heart.org/en/health-topics) 3. [Arrhythmia](https://www.heart.org/en/health-topics/arrhythmia) 4. [About Arrhythmia](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia) 5. [Other Heart Rhythm Disorders](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/other-heart-rhythm-disorders) # Other Heart Rhythm Disorders Arrhythmias include many conditions such as [bradycardias](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/bradycardia--slow-heart-rate) and [tachycardias](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/tachycardia--fast-heart-rate). Additional heart rhythm disorders are: - [**Adams-Stokes Disease**](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/other-heart-rhythm-disorders#adams) - **[Atrial flutter](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/other-heart-rhythm-disorders#flutter)** - **[Sick sinus syndrome](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/other-heart-rhythm-disorders#sick)** - **[Sinus arrhythmia](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/other-heart-rhythm-disorders#sinus)** - [**Wolff-Parkinson-White Syndrome**](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/other-heart-rhythm-disorders#wpw) ## [Adams-Stokes Disease]() Adams-Stokes Disease, also called Stokes-Adams disease, refers to a [heart block](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/conduction-disorders) or other arrhythmia that can slow the heart rate considerably, causing fainting (syncope) or convulsions. It’s caused when the heart’s electrical signals are interrupted as they pass from the upper (atria) to the lower (ventricles) chambers. ## [Atrial flutter]() Atrial flutter occurs when rapidly firing electrical signals cause the muscles in the heart’s upper chambers (atria) to contract at a very rapid rate (250 to 350 times per minute). This leads to an overly fast heartbeat, which can have either a regular or irregular rhythm. Atrial flutter is much less common than [atrial fibrillation](https://www.heart.org/en/health-topics/atrial-fibrillation/what-is-atrial-fibrillation-afib-or-af) (AFib or AF), but its causes and consequences are similar. People with atrial flutter can also have periods of atrial fibrillation. ### Symptoms of atrial flutter Atrial flutter may present with a heartbeat that’s overly fast, irregular or with heart palpitations (feeling a hard, fast or irregular heartbeat in the chest). Other symptoms include: - Fast, steady pulse - [Chest pain (angina)](https://www.heart.org/en/health-topics/heart-attack/angina-chest-pain/angina-pectoris-stable-angina) - Shortness of breath - Weakness - Lightheadedness - [Fainting (syncope)](https://www.heart.org/en/health-topics/arrhythmia/symptoms-diagnosis--monitoring-of-arrhythmia/syncope-fainting) - Heart palpitations - Irregular heart rhythm combined with AFib - [Stroke](https://www.stroke.org/en/about-stroke) If you have these symptoms and think you may have atrial flutter, contact your health care professional immediately. ### Other conditions and risk factors Atrial flutter is often associated with other conditions such as: - [Heart failure](https://www.heart.org/en/health-topics/heart-failure/what-is-heart-failure) - Previous [heart attack](https://www.heart.org/en/health-topics/heart-attack/about-heart-attacks) - [Open-heart (bypass) surgery](https://www.heart.org/en/health-topics/heart-attack/treatment-of-a-heart-attack/cardiac-procedures-and-surgeries) - Heart valve surgery - [Valve abnormalities](https://www.heart.org/en/health-topics/heart-valve-problems-and-disease/heart-valve-problems-and-causes) or [congenital defects](https://www.heart.org/en/health-topics/congenital-heart-defects/about-congenital-heart-defects) - [High blood pressure](https://www.heart.org/en/health-topics/high-blood-pressure/the-facts-about-high-blood-pressure) - [Atrial fibrillation](https://www.heart.org/en/health-topics/atrial-fibrillation) - Thyroid dysfunction - Alcoholism (especially binge drinking) - Chronic lung disease - [Diabetes](https://www.heart.org/en/health-topics/diabetes/about-diabetes) - Smoking - Previous stroke Learn more about [atrial flutter](https://www.heart.org/en/health-topics/atrial-fibrillation/what-is-atrial-fibrillation-afib-or-af/atrial-flutter). ## [Sick sinus syndrome]() When the sinus node (also called the sinoatrial or SA node) doesn’t produce its electrical signals properly, the heart rate slows down, pauses or speeds up. This is referred to as sick sinus syndrome. In this condition, the heart rate can change between an overly slow rate ([bradycardia](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/bradycardia--slow-heart-rate)) and an overly fast rate ([tachycardia](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/tachycardia--fast-heart-rate)). ## [Sinus arrhythmia]() Common in children, this type of irregular heart rhythm refers to changes in the heart rate during breathing. The heart beats faster for a few moments when you breathe in. When you breathe out, it slows down. Sinus arrhythmia is normal. ## [Wolff-Parkinson-White Syndrome (WPW)]() In this disorder, the electrical pathways between the heart’s upper (atria) and lower (ventricles) chambers malfunction. This allows electrical signals to reach the ventricles too early. Those electrical impulses can then be “bounced back” to the atria. This can produce overly fast heart rates. Other people with WPW Syndrome may not feel any obvious symptoms but still face serious risk. Some people with WPW also have atrial fibrillation. ### Diagnosis and treatment Your health care professional can detect WPW Syndrome through an [electrocardiogram](https://www.heart.org/en/health-topics/heart-attack/diagnosing-a-heart-attack/electrocardiogram) (EKG or ECG). This noninvasive test can show irregularities in your heart rhythm. Your treatment plan will depend on many factors, including your risk of future arrhythmias as well as how frequent and severe your symptoms are. People who don’t have symptoms may not need treatment. Possible treatment options for WPW Syndrome may include: - [Medications](https://www.heart.org/en/health-topics/arrhythmia/prevention--treatment-of-arrhythmia/medications-for-arrhythmia) that regulate heart rhythm - [Cardioversion](https://www.heart.org/en/health-topics/arrhythmia/prevention--treatment-of-arrhythmia/cardioversion) - [Ablation](https://www.heart.org/en/health-topics/arrhythmia/prevention--treatment-of-arrhythmia/ablation-for-arrhythmias) - Open heart surgery Ablation is the most common treatment for WPW Syndrome. It has a high success rate and a low risk of complications. [![arrhythmia](https://www.heart.org/-/media/Images/Health-Topics/Arrhythmia/Arrhythmias.jpg?sc_lang=en)](https://watchlearnlive.heart.org/index.php?moduleSelect=arrhyt) [Watch an animation of a normal heart beat](https://watchlearnlive.heart.org/index.php?moduleSelect=arrhyt). *** Last Reviewed: Sep 25, 2024 [![X formerly known as Twitter](https://www.heart.org/en/-/media/Feature/Navigation/Social/x_color.svg?h=54&iar=0&mw=1910&w=54&sc_lang=en)](https://x.com/intent/post?url=https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/other-heart-rhythm-disorders) [![Facebook](https://www.heart.org/en/-/media/Feature/Navigation/Social/facebook.svg?h=52&iar=0&mw=1910&w=52&sc_lang=en)](https://www.facebook.com/sharer/sharer.php?u=https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/other-heart-rhythm-disorders) [![LinkedIn](https://www.heart.org/en/-/media/Feature/Navigation/Social/linkedin.svg?h=52&iar=0&mw=1910&w=52&sc_lang=en)](https://www.linkedin.com/shareArticle?url=https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/other-heart-rhythm-disorders) [![Email](https://www.heart.org/en/-/media/Feature/Social/mail.svg?h=52&iar=0&mw=1910&w=52&sc_lang=en)](mailto:?subject=Other%20Heart%20Rhythm%20Disorders&body=https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/other-heart-rhythm-disorders) ![Copy site URL to your clipboard](https://www.heart.org/en/-/media/Feature/Social/copylink.svg?h=52&iar=0&mw=1910&w=52&sc_lang=en) [![Print](https://www.heart.org/en/-/media/Feature/Social/print.svg?h=52&iar=0&mw=1910&w=52&sc_lang=en)](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/other-heart-rhythm-disorders) [Arrhythmia](https://www.heart.org/en/health-topics/arrhythmia) [Arrhythmia](https://www.heart.org/en/health-topics/arrhythmia) - [About Arrhythmia](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia) - [Bradycardia: Slow Heart Rate](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/bradycardia--slow-heart-rate) - [Conduction Disorders](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/conduction-disorders) - [Premature Contractions ‒ PACs and PVCs](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/premature-contractions-pacs-and-pvcs) - [Tachycardia: Fast Heart Rate](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/tachycardia--fast-heart-rate) - [Ventricular Fibrillation](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/ventricular-fibrillation) - [Other Heart Rhythm Disorders](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/other-heart-rhythm-disorders) - [Types of Arrhythmia in Children](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/types-of-arrhythmia-in-children) - [Understand Your Risk for Arrhythmia](https://www.heart.org/en/health-topics/arrhythmia/understand-your-risk-for-arrhythmia) - [Symptoms, Diagnosis and Monitoring of Arrhythmia](https://www.heart.org/en/health-topics/arrhythmia/symptoms-diagnosis--monitoring-of-arrhythmia) - [Common Tests for Arrhythmia](https://www.heart.org/en/health-topics/arrhythmia/symptoms-diagnosis--monitoring-of-arrhythmia/common-tests-for-arrhythmia) - [Cardiac Event Recorder](https://www.heart.org/en/health-topics/arrhythmia/symptoms-diagnosis--monitoring-of-arrhythmia/cardiac-event-recorder) - [Electrophysiology Studies](https://www.heart.org/en/health-topics/arrhythmia/symptoms-diagnosis--monitoring-of-arrhythmia/electrophysiology-studies) - [Holter Monitor](https://www.heart.org/en/health-topics/arrhythmia/symptoms-diagnosis--monitoring-of-arrhythmia/holter-monitor) - [Syncope (Fainting)](https://www.heart.org/en/health-topics/arrhythmia/symptoms-diagnosis--monitoring-of-arrhythmia/syncope-fainting) - [Tilt-Table Test](https://www.heart.org/en/health-topics/arrhythmia/symptoms-diagnosis--monitoring-of-arrhythmia/tilt-table-test) - [Prevention and Treatment](https://www.heart.org/en/health-topics/arrhythmia/prevention--treatment-of-arrhythmia) - [Medications for Arrhythmia](https://www.heart.org/en/health-topics/arrhythmia/prevention--treatment-of-arrhythmia/medications-for-arrhythmia) - [A Guide to Taking Warfarin](https://www.heart.org/en/health-topics/arrhythmia/prevention--treatment-of-arrhythmia/a-patients-guide-to-taking-warfarin) - [Ablation for Arrhythmias](https://www.heart.org/en/health-topics/arrhythmia/prevention--treatment-of-arrhythmia/ablation-for-arrhythmias) - [Cardioversion](https://www.heart.org/en/health-topics/arrhythmia/prevention--treatment-of-arrhythmia/cardioversion) - [Implantable Cardioverter Defibrillator (ICD)](https://www.heart.org/en/health-topics/arrhythmia/prevention--treatment-of-arrhythmia/implantable-cardioverter-defibrillator-icd) - [Living With Your ICD](https://www.heart.org/en/health-topics/arrhythmia/prevention--treatment-of-arrhythmia/living-with-your-icd) - [ICD Questions to Ask Your Doctor](https://www.heart.org/en/health-topics/arrhythmia/prevention--treatment-of-arrhythmia/questions-to-ask-your-doctor--implantable-cardioverter-defibrillator-icd) - [Pacemaker](https://www.heart.org/en/health-topics/arrhythmia/prevention--treatment-of-arrhythmia/pacemaker) - [Living With Your Pacemaker](https://www.heart.org/en/health-topics/arrhythmia/prevention--treatment-of-arrhythmia/living-with-your-pacemaker) - [Devices That May Interfere With ICDs and Pacemakers](https://www.heart.org/en/health-topics/arrhythmia/prevention--treatment-of-arrhythmia/devices-that-may-interfere-with-icds-and-pacemakers) - [Treating Arrhythmias in Children](https://www.heart.org/en/health-topics/arrhythmia/prevention--treatment-of-arrhythmia/treating-arrhythmias-in-children) - [Arrhythmia Tools and Resources](https://www.heart.org/en/health-topics/arrhythmia/arrhythmia-tools--resources) Related Articles [![heart diagram showing leads for EP study](https://www.heart.org/-/media/Images/Health-Topics/Arrhythmia/EP-study.jpg?h=381&w=400&sc_lang=en&hash=A7ECAF8296CEDE4BC9FE93287F1690F5) Ablation for Arrhythmias](https://www.heart.org/en/health-topics/arrhythmia/prevention--treatment-of-arrhythmia/ablation-for-arrhythmias) [![Woman passed out on floor](https://www.heart.org/-/media/Images/Health-Topics/Arrhythmia/woman-passed-out.jpg?h=533&w=800&sc_lang=en&hash=BEA6CFC7DA40239099E852D6C32B4108) Syncope (Fainting)](https://www.heart.org/en/health-topics/arrhythmia/symptoms-diagnosis--monitoring-of-arrhythmia/syncope-fainting) Donate today to help end heart disease and stroke for everyone. 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[Find more information on our content editorial process](https://www.heart.org/en/about-us/editorial-guidelines). ![American Heart Association](https://www.heart.org/en/-/media/Images/Logos/Global-Do-No-Edit/Header/AHA_Full.svg?h=256&iar=0&mw=1910&w=426&sc_lang=en) ## Contact Us **National Center** 7272 Greenville Ave. Dallas, TX 75231 **Customer Service** 1-800-242-8721 [Contact Us](https://www.heart.org/en/about-us/contact-us) **Hours** Monday - Friday: 7 a.m. – 7 p.m. CT Saturday: 9 a.m. - 5 p.m. CT Closed on Sundays **Tax Identification Number** 13-5613797 ## About Us About Us - [About the American Heart Association](https://www.heart.org/en/about-us "About the American Heart Association") - [Our Impact](https://www.heart.org/en/impact-map "Our Impact") - [Annual Report](https://www.heart.org/en/about-us/2024-2025-annual-report "Annual Report") - [Financial Information](https://www.heart.org/en/about-us/aha-financial-information "Financial Information") - [International Programs](https://www.heart.org/en/about-us/international-programs "International Programs") - 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Readable Markdown
Arrhythmias include many conditions such as [bradycardias](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/bradycardia--slow-heart-rate) and [tachycardias](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/tachycardia--fast-heart-rate). Additional heart rhythm disorders are: - [**Adams-Stokes Disease**](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/other-heart-rhythm-disorders#adams) - **[Atrial flutter](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/other-heart-rhythm-disorders#flutter)** - **[Sick sinus syndrome](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/other-heart-rhythm-disorders#sick)** - **[Sinus arrhythmia](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/other-heart-rhythm-disorders#sinus)** - [**Wolff-Parkinson-White Syndrome**](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/other-heart-rhythm-disorders#wpw) ## [Adams-Stokes Disease]() Adams-Stokes Disease, also called Stokes-Adams disease, refers to a [heart block](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/conduction-disorders) or other arrhythmia that can slow the heart rate considerably, causing fainting (syncope) or convulsions. It’s caused when the heart’s electrical signals are interrupted as they pass from the upper (atria) to the lower (ventricles) chambers. ## [Atrial flutter]() Atrial flutter occurs when rapidly firing electrical signals cause the muscles in the heart’s upper chambers (atria) to contract at a very rapid rate (250 to 350 times per minute). This leads to an overly fast heartbeat, which can have either a regular or irregular rhythm. Atrial flutter is much less common than [atrial fibrillation](https://www.heart.org/en/health-topics/atrial-fibrillation/what-is-atrial-fibrillation-afib-or-af) (AFib or AF), but its causes and consequences are similar. People with atrial flutter can also have periods of atrial fibrillation. ### Symptoms of atrial flutter Atrial flutter may present with a heartbeat that’s overly fast, irregular or with heart palpitations (feeling a hard, fast or irregular heartbeat in the chest). Other symptoms include: - Fast, steady pulse - [Chest pain (angina)](https://www.heart.org/en/health-topics/heart-attack/angina-chest-pain/angina-pectoris-stable-angina) - Shortness of breath - Weakness - Lightheadedness - [Fainting (syncope)](https://www.heart.org/en/health-topics/arrhythmia/symptoms-diagnosis--monitoring-of-arrhythmia/syncope-fainting) - Heart palpitations - Irregular heart rhythm combined with AFib - [Stroke](https://www.stroke.org/en/about-stroke) If you have these symptoms and think you may have atrial flutter, contact your health care professional immediately. ### Other conditions and risk factors Atrial flutter is often associated with other conditions such as: - [Heart failure](https://www.heart.org/en/health-topics/heart-failure/what-is-heart-failure) - Previous [heart attack](https://www.heart.org/en/health-topics/heart-attack/about-heart-attacks) - [Open-heart (bypass) surgery](https://www.heart.org/en/health-topics/heart-attack/treatment-of-a-heart-attack/cardiac-procedures-and-surgeries) - Heart valve surgery - [Valve abnormalities](https://www.heart.org/en/health-topics/heart-valve-problems-and-disease/heart-valve-problems-and-causes) or [congenital defects](https://www.heart.org/en/health-topics/congenital-heart-defects/about-congenital-heart-defects) - [High blood pressure](https://www.heart.org/en/health-topics/high-blood-pressure/the-facts-about-high-blood-pressure) - [Atrial fibrillation](https://www.heart.org/en/health-topics/atrial-fibrillation) - Thyroid dysfunction - Alcoholism (especially binge drinking) - Chronic lung disease - [Diabetes](https://www.heart.org/en/health-topics/diabetes/about-diabetes) - Smoking - Previous stroke Learn more about [atrial flutter](https://www.heart.org/en/health-topics/atrial-fibrillation/what-is-atrial-fibrillation-afib-or-af/atrial-flutter). ## [Sick sinus syndrome]() When the sinus node (also called the sinoatrial or SA node) doesn’t produce its electrical signals properly, the heart rate slows down, pauses or speeds up. This is referred to as sick sinus syndrome. In this condition, the heart rate can change between an overly slow rate ([bradycardia](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/bradycardia--slow-heart-rate)) and an overly fast rate ([tachycardia](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/tachycardia--fast-heart-rate)). ## [Sinus arrhythmia]() Common in children, this type of irregular heart rhythm refers to changes in the heart rate during breathing. The heart beats faster for a few moments when you breathe in. When you breathe out, it slows down. Sinus arrhythmia is normal. ## [Wolff-Parkinson-White Syndrome (WPW)]() In this disorder, the electrical pathways between the heart’s upper (atria) and lower (ventricles) chambers malfunction. This allows electrical signals to reach the ventricles too early. Those electrical impulses can then be “bounced back” to the atria. This can produce overly fast heart rates. Other people with WPW Syndrome may not feel any obvious symptoms but still face serious risk. Some people with WPW also have atrial fibrillation. ### Diagnosis and treatment Your health care professional can detect WPW Syndrome through an [electrocardiogram](https://www.heart.org/en/health-topics/heart-attack/diagnosing-a-heart-attack/electrocardiogram) (EKG or ECG). This noninvasive test can show irregularities in your heart rhythm. Your treatment plan will depend on many factors, including your risk of future arrhythmias as well as how frequent and severe your symptoms are. People who don’t have symptoms may not need treatment. Possible treatment options for WPW Syndrome may include: - [Medications](https://www.heart.org/en/health-topics/arrhythmia/prevention--treatment-of-arrhythmia/medications-for-arrhythmia) that regulate heart rhythm - [Cardioversion](https://www.heart.org/en/health-topics/arrhythmia/prevention--treatment-of-arrhythmia/cardioversion) - [Ablation](https://www.heart.org/en/health-topics/arrhythmia/prevention--treatment-of-arrhythmia/ablation-for-arrhythmias) - Open heart surgery Ablation is the most common treatment for WPW Syndrome. It has a high success rate and a low risk of complications. [![arrhythmia](https://www.heart.org/-/media/Images/Health-Topics/Arrhythmia/Arrhythmias.jpg?sc_lang=en)](https://watchlearnlive.heart.org/index.php?moduleSelect=arrhyt) [Watch an animation of a normal heart beat](https://watchlearnlive.heart.org/index.php?moduleSelect=arrhyt).
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