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| Meta Title | Arrhythmia: Types, causes, symptoms, and treatment |
| Meta Description | Arrhythmia is an irregular heartbeat. It is not always serious but can indicate severe heart damage. Learn about the types, causes, treatments, and more. |
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| Boilerpipe Text | An arrhythmia is an irregular heartbeat that may feel like a racing or fluttering heart. It is not always serious but can sometimes indicate a potentially fatal heart problem.
Arrhythmias — sometimes called dysrhythmias — occur when the electrical signals that coordinate heartbeats are not working correctly.
The heart may beat too quickly, too slowly, too early, or with an irregular rhythm. In contrast, a “normal sinus rhythm” refers to how the heart beats when it is working properly.
If they are highly irregular or result from a weak or damaged heart, arrhythmias can cause severe and potentially fatal symptoms and complications.
Read on to learn more about arrhythmia, including the types, causes, and symptoms. This article also discusses treatment options, how doctors diagnose arrhythmia, possible complications, and more.
Cardiac arrhythmia refers to conditions in which the heart beats irregularly, too slowly, or too quickly.
There are
several
types, including:
bradycardia
, a slow heartbeat
tachycardia
, a fast heartbeat
irregular heartbeat, also known as a flutter or fibrillation, such as
atrial fibrillation (AFib)
Arrhythmias are not always serious, but some can increase the risk of stroke or cardiac arrest.
There are several types of arrhythmia.
AFib
AFib is the irregular beating of the atrial chambers and nearly always involves tachycardia. It is common and mainly develops in adults
over 65 years
.
Instead of a single, strong contraction, the chamber fibrillates or quivers, often producing a rapid heartbeat.
Atrial flutter
While fibrillation causes many random and different quivers in the atrium,
atrial flutter
usually
stems from
one area in the atrium not conducting correcty.
Atrial flutter can be a serious condition and usually leads to fibrillation without treatment.
Some people may experience both flutter and fibrillation.
Supraventricular tachycardia
Supraventricular tachycardia (SVT)
is a rapid heartbeat that
begins
in the upper chambers of the heart. It prevents blood from filling the heart’s chambers fully between contractions.
Doctors classify atrial fibrillation and flutter under SVT.
Ventricular tachycardia
Ventricular tachycardia (VT)
refers to abnormal electrical impulses that start in the lower chambers and cause an abnormally fast heartbeat.
A possible cause of VT is scarring from a previous heart attack.
Ventricular fibrillation
Ventricular fibrillation (VFib)
is an irregular heart rhythm consisting of rapid, uncoordinated, and fluttering contractions of the ventricles. The ventricles of the lower chamber
do not pump
blood but quiver instead.
VFib can be life threatening and has links to heart disease. A heart attack often triggers it.
Bradycardia
Bradycardia is when the heart rhythm is slower than usual, below
60 beats per minute (bpm)
for most people. It happens when there is a problem with the sinoatrial node, the heart’s natural pacemaker.
Possible causes include:
various types of heart disease
chest trauma
genetic factors
the use of certain drugs and medications
hypothermia
Long QT syndrome
Long QT syndrome
refers to
a heart rhythm disorder that a person is born with. It sometimes causes rapid, uncoordinated heartbeats. It can be life threatening and causes a rhythm known as
QT prolongation
.
It can also occur due to genetic susceptibility or taking certain medications.
There are many risk factors for arrhythmias, and different types may have different risk factors.
Examples of risk factors for arrhythmias
include
:
aging, as it is more common in older adults
family history of arrhythmia
smoking
using certain recreational drugs, such as cocaine or amphetamines
excess alcohol consumption
certain medications, such as antibiotics and over-the-counter cold and allergy medications
some conditions, such as:
obesity
diabetes
kidney disease
lung disease
sleep apnea
heart and blood vessel diseases
Arrhythmia does not always cause noticeable symptoms. However, a doctor may detect an arrhythmia during a routine examination.
Having symptoms does not necessarily mean the arrhythmia is severe. Some people have
life threatening arrhythmias
with no symptoms, while others with symptoms may not have a severe arrhythmia.
Symptoms depend on the type of arrhythmia.
Symptoms of tachycardia
The symptoms of a rapid heartbeat include:
breathlessness
dizziness
fainting
or nearly fainting
fluttering in the chest, known as
heart palpitations
chest pain
lightheadedness
sudden
weakness
Symptoms of bradycardia
Bradycardia can cause the following symptoms:
angina
, or chest pain
difficulty concentrating
confusion
difficulty exercising
dizziness
tiredness
lightheadedness
palpitations
shortness of breath
fainting or nearly fainting
profuse sweating
Symptoms of AFib
When AFib symptoms occur, they often have a rapid onset and may involve:
angina
breathlessness
dizziness
palpitations
fainting or nearly fainting
weakness
To diagnose arrhythmia, a doctor will need to identify the unusual heartbeat and try to find the source of the change.
They may start by asking questions about any symptoms and
carrying out
a physical exam to:
measure the heart rate, pulse, and blood pressure
listen for a
heart murmur
check for symptoms such as swelling due to fluid retention
A doctor may also recommend:
blood and urine tests
electrocardiogram
a
Holter monitor
an electrophysiology study to measure electrical activity in the heart
a
tilt table test
to help identify whether sudden decreases in blood pressure or heart rate are the cause
genetic testing, in some cases
heart imaging tests
, such as a
CT scan or MRI
Sometimes, a doctor may monitor the heart rhythm but
not recommend
treatment.
A person may need treatment if they have:
an underlying condition
a risk of complications
severe symptoms
The various arrhythmias require different treatments.
Treatments for tachycardia
There are several treatments for tachycardia. The precise options will depend on the type and cause, but may include:
carotid sinus massage, where a medical professional will gently apply pressure
Valsalva maneuver
cardioversion
implantable cardioverter-defibrillator
cardiac ablation surgery
medications to reduce the frequency of episodes or promote electrical conduction through the heart
Treatments for bradycardia
Treatment for bradycardia
may involve
the following:
intravenous atropine if tests show that blood pressure is unstable
warming up the person before deciding on treatment if bradycardia is due to
hypothermia
providing appropriate treatment for a heart problem or other underlying condition
implanting a
pacemaker
Treatment for AFib
Treatment options for AFib
include
:
applicable lifestyle measures, such as:
physical activity
following a
heart-healthy diet
quitting smoking
avoiding alcohol
maintaining a
moderate weight
managing stress
using medication, such as
beta-blockers
, blood thinners, or
calcium channel blockers
, as a doctor prescribes
procedures such as electrical cardioversion or installing a pacemaker
heart surgery, such as
catheter ablation
or closing off part of the heart
Some people with arrhythmia do not experience active symptoms. However, treatment is still essential because life threatening complications
can arise
.
Possible complications of arrhythmia
include
:
stroke
heart failure
cardiac arrest
Contacting a doctor as soon as a person has concerns about arrhythmia or other heart problems can help reduce the likelihood of complications.
Steps a person can take to reduce their risk can include:
seeking help for any underlying condition and following the treatment plan
getting enough regular exercise or physical activity
avoiding the use of tobacco and recreational drugs
limiting alcohol consumption
checking with a doctor before using any medications or supplements
Here are some common questions about arrhythmia.
What is the main cause of arrhythmia?
Overall risk factors for arrhythmia include having an existing heart condition, being born with unusual structural features in the heart, and being over the age of
65 years
. Certain other conditions and medications can also increase the risk of arrhythmia.
Is arrhythmia serious?
Arrhythmia is not always serious, but it can indicate an underlying heart problem or a higher risk of a stroke or heart attack. Anyone with signs of arrhythmia should seek medical advice and follow the recommended treatment plan.
What are the warning signs of arrhythmia?
Common warning signs can depend on the type of arrhythmia but may include fatigue, dizziness, fainting, palpitations or pounding in the chest, shortness of breath, and sweating. Some people have no symptoms, but routine examinations reveal an unusual heartbeat.
Do arrhythmias go away?
Arrhythmia may resolve on its own in some cases. For example, a person may experience a single episode of AFib due to another illness. However, as arrhythmia can lead to serious complications, it is important to contact a doctor for an accurate diagnosis and suitable treatment plan where necessary.
Arrhythmia is when the heart does not beat as it should.
There are many causes of arrhythmia, but underlying heart disease is often a factor. Other causes include the use of certain medications. In some cases, arrhythmia may be a sign of a serious condition, and it can lead to severe complications. For this reason, it is essential to seek medical advice if a person notices symptoms of arrhythmia.
It is not always possible to prevent arrhythmias, but regular physical activity, maintaining a moderate weight, and seeking treatment for underlying conditions may help. |
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# What to know about arrhythmia

[Medically reviewed]() by [Uzochukwu Ibe, MD, MPH]() — Written by [Tim Newman]() — [Updated on May 22, 2024]()
- [Definition](https://www.medicalnewstoday.com/articles/8887#definition)
- [Types and causes](https://www.medicalnewstoday.com/articles/8887#types-and-causes)
- [Risk factors](https://www.medicalnewstoday.com/articles/8887#risk-factors)
- [Symptoms](https://www.medicalnewstoday.com/articles/8887#symptoms)
- [Diagnosis](https://www.medicalnewstoday.com/articles/8887#diagnosis)
- [Treatments](https://www.medicalnewstoday.com/articles/8887#treatments)
- [Complications](https://www.medicalnewstoday.com/articles/8887#complications)
- [Prevention](https://www.medicalnewstoday.com/articles/8887#prevention)
- [FAQ](https://www.medicalnewstoday.com/articles/8887#faq)
- [Summary](https://www.medicalnewstoday.com/articles/8887#summary)
An arrhythmia is an irregular heartbeat that may feel like a racing or fluttering heart. It is not always serious but can sometimes indicate a potentially fatal heart problem.
Arrhythmias — sometimes called dysrhythmias — occur when the electrical signals that coordinate heartbeats are not working correctly.
The heart may beat too quickly, too slowly, too early, or with an irregular rhythm. In contrast, a “normal sinus rhythm” refers to how the heart beats when it is working properly.
If they are highly irregular or result from a weak or damaged heart, arrhythmias can cause severe and potentially fatal symptoms and complications.
Read on to learn more about arrhythmia, including the types, causes, and symptoms. This article also discusses treatment options, how doctors diagnose arrhythmia, possible complications, and more.
## [What is arrhythmia?]()

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Cardiac arrhythmia refers to conditions in which the heart beats irregularly, too slowly, or too quickly.
There are [several](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia) types, including:
- [bradycardia](https://www.medicalnewstoday.com/articles/324264), a slow heartbeat
- [tachycardia](https://www.medicalnewstoday.com/articles/175241), a fast heartbeat
- irregular heartbeat, also known as a flutter or fibrillation, such as [atrial fibrillation (AFib)](https://www.medicalnewstoday.com/articles/323621.php)
Arrhythmias are not always serious, but some can increase the risk of stroke or cardiac arrest.
Learn about [what a heart rate should be](https://www.medicalnewstoday.com/articles/235710).
## [What are the types and causes of arrhythmia?]()
There are several types of arrhythmia.
### AFib
AFib is the irregular beating of the atrial chambers and nearly always involves tachycardia. It is common and mainly develops in adults [over 65 years](https://www.nhlbi.nih.gov/health/atrial-fibrillation/causes).
Instead of a single, strong contraction, the chamber fibrillates or quivers, often producing a rapid heartbeat.
### Atrial flutter
While fibrillation causes many random and different quivers in the atrium, [atrial flutter](https://www.medicalnewstoday.com/articles/what-is-atrial-flutter) usually [stems from](https://www.ncbi.nlm.nih.gov/books/NBK540985/) one area in the atrium not conducting correcty.
Atrial flutter can be a serious condition and usually leads to fibrillation without treatment.
Some people may experience both flutter and fibrillation.
### Supraventricular tachycardia
[Supraventricular tachycardia (SVT)](https://www.medicalnewstoday.com/articles/svt-heart) is a rapid heartbeat that [begins](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/tachycardia--fast-heart-rate) in the upper chambers of the heart. It prevents blood from filling the heart’s chambers fully between contractions.
Doctors classify atrial fibrillation and flutter under SVT.
### Ventricular tachycardia
[Ventricular tachycardia (VT)](https://www.medicalnewstoday.com/articles/what-is-ventricular-tachycardia) refers to abnormal electrical impulses that start in the lower chambers and cause an abnormally fast heartbeat.
A possible cause of VT is scarring from a previous heart attack.
### Ventricular fibrillation
[Ventricular fibrillation (VFib)](https://www.medicalnewstoday.com/articles/188837) is an irregular heart rhythm consisting of rapid, uncoordinated, and fluttering contractions of the ventricles. The ventricles of the lower chamber [do not pump](https://www.ncbi.nlm.nih.gov/books/NBK537120/) blood but quiver instead.
VFib can be life threatening and has links to heart disease. A heart attack often triggers it.
### Bradycardia
Bradycardia is when the heart rhythm is slower than usual, below [60 beats per minute (bpm)](https://www.ncbi.nlm.nih.gov/books/NBK493201/) for most people. It happens when there is a problem with the sinoatrial node, the heart’s natural pacemaker.
Possible causes include:
- various types of heart disease
- chest trauma
- genetic factors
- the use of certain drugs and medications
- hypothermia
### Long QT syndrome
Long QT syndrome [refers to](https://rarediseases.org/rare-diseases/romano-ward-syndrome/) a heart rhythm disorder that a person is born with. It sometimes causes rapid, uncoordinated heartbeats. It can be life threatening and causes a rhythm known as [QT prolongation](https://www.medicalnewstoday.com/articles/qt-prolongation).
It can also occur due to genetic susceptibility or taking certain medications.
Learn more about [long QT syndrome](https://www.medicalnewstoday.com/articles/long-qt-syndrome).
## [What are the risk factors for arrhythmia?]()
There are many risk factors for arrhythmias, and different types may have different risk factors.
Examples of risk factors for arrhythmias [include](https://www.nhlbi.nih.gov/health/arrhythmias/causes):
- aging, as it is more common in older adults
- family history of arrhythmia
- smoking
- using certain recreational drugs, such as cocaine or amphetamines
- excess alcohol consumption
- certain medications, such as antibiotics and over-the-counter cold and allergy medications
- some conditions, such as:
- obesity
- diabetes
- kidney disease
- lung disease
- sleep apnea
- heart and blood vessel diseases
## [What are the symptoms of arrhythmia?]()
Arrhythmia does not always cause noticeable symptoms. However, a doctor may detect an arrhythmia during a routine examination.
Having symptoms does not necessarily mean the arrhythmia is severe. Some people have [life threatening arrhythmias](https://www.medicalnewstoday.com/articles/life-threatening-arrhythmias) with no symptoms, while others with symptoms may not have a severe arrhythmia.
Symptoms depend on the type of arrhythmia.
### Symptoms of tachycardia
The symptoms of a rapid heartbeat include:
- [breathlessness](https://www.medicalnewstoday.com/articles/314963)
- [dizziness](https://www.medicalnewstoday.com/articles/325251)
- [fainting](https://www.medicalnewstoday.com/articles/182524) or nearly fainting
- fluttering in the chest, known as [heart palpitations](https://www.medicalnewstoday.com/articles/318275)
- [chest pain](https://www.medicalnewstoday.com/articles/321650)
- [lightheadedness](https://www.medicalnewstoday.com/articles/323717)
- sudden [weakness](https://www.medicalnewstoday.com/articles/asthenia-weakness)
### Symptoms of bradycardia
Bradycardia can cause the following symptoms:
- [angina](https://www.medicalnewstoday.com/articles/8886), or chest pain
- difficulty concentrating
- [confusion](https://www.medicalnewstoday.com/articles/confusion)
- difficulty exercising
- dizziness
- [tiredness](https://www.medicalnewstoday.com/articles/248002)
- lightheadedness
- palpitations
- shortness of breath
- fainting or nearly fainting
- [profuse sweating](https://www.medicalnewstoday.com/articles/182130)
### Symptoms of AFib
When AFib symptoms occur, they often have a rapid onset and may involve:
- angina
- breathlessness
- dizziness
- palpitations
- fainting or nearly fainting
- weakness
## [How do doctors diagnose arrhythmia?]()
To diagnose arrhythmia, a doctor will need to identify the unusual heartbeat and try to find the source of the change.
They may start by asking questions about any symptoms and [carrying out](https://www.nhlbi.nih.gov/health/arrhythmias/diagnosis) a physical exam to:
- measure the heart rate, pulse, and blood pressure
- listen for a [heart murmur](https://www.medicalnewstoday.com/articles/326802)
- check for symptoms such as swelling due to fluid retention
A doctor may also recommend:
- blood and urine tests
- [electrocardiogram](https://www.medicalnewstoday.com/articles/ecg-vs-ekg)
- a [Holter monitor](https://www.medicalnewstoday.com/articles/322145)
- an electrophysiology study to measure electrical activity in the heart
- a [tilt table test](https://www.medicalnewstoday.com/articles/tilt-table-test) to help identify whether sudden decreases in blood pressure or heart rate are the cause
- genetic testing, in some cases
- [heart imaging tests](https://www.medicalnewstoday.com/articles/heart-imaging), such as a [CT scan or MRI](https://www.medicalnewstoday.com/articles/326839)
## [What are the treatments for arrhythmia?]()
Sometimes, a doctor may monitor the heart rhythm but [not recommend](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/tachycardia--fast-heart-rate) treatment.
A person may need treatment if they have:
- an underlying condition
- a risk of complications
- severe symptoms
The various arrhythmias require different treatments.
### Treatments for tachycardia
There are several treatments for tachycardia. The precise options will depend on the type and cause, but may include:
- carotid sinus massage, where a medical professional will gently apply pressure
- [Valsalva maneuver](https://www.medicalnewstoday.com/articles/322661)
- [cardioversion](https://www.medicalnewstoday.com/articles/cardioversion)
- [implantable cardioverter-defibrillator](https://www.medicalnewstoday.com/articles/implantable-cardioverter-defibrillators-what-to-know)
- [cardiac ablation surgery](https://www.medicalnewstoday.com/articles/cardiac-ablation-surgery)
- medications to reduce the frequency of episodes or promote electrical conduction through the heart
### Treatments for bradycardia
Treatment for bradycardia [may involve](https://www.ncbi.nlm.nih.gov/books/NBK493201/) the following:
- intravenous atropine if tests show that blood pressure is unstable
- warming up the person before deciding on treatment if bradycardia is due to [hypothermia](https://www.medicalnewstoday.com/articles/182197)
- providing appropriate treatment for a heart problem or other underlying condition
- implanting a [pacemaker](https://www.medicalnewstoday.com/articles/324662.php)
### Treatment for AFib
Treatment options for AFib [include](https://www.nhlbi.nih.gov/health/atrial-fibrillation/treatment):
- applicable lifestyle measures, such as:
- physical activity
- following a [heart-healthy diet](https://www.medicalnewstoday.com/articles/cardiac-diet)
- [quitting smoking](https://www.medicalnewstoday.com/articles/241302)
- avoiding alcohol
- maintaining a [moderate weight](https://www.medicalnewstoday.com/articles/323446)
- [managing stress](https://www.medicalnewstoday.com/articles/145855)
- using medication, such as [beta-blockers](https://www.medicalnewstoday.com/articles/173068), blood thinners, or [calcium channel blockers](https://www.medicalnewstoday.com/articles/326788), as a doctor prescribes
- procedures such as electrical cardioversion or installing a pacemaker
- heart surgery, such as [catheter ablation](https://www.medicalnewstoday.com/articles/316554) or closing off part of the heart
Learn more about [medications for arrhythmia](https://www.medicalnewstoday.com/articles/what-is-the-best-medication-for-irregular-heartbeat).
## [What are the possible complications of arrhythmia?]()
Some people with arrhythmia do not experience active symptoms. However, treatment is still essential because life threatening complications [can arise](https://www.nhlbi.nih.gov/health/arrhythmias).
Possible complications of arrhythmia [include](https://www.nhlbi.nih.gov/health/arrhythmias):
- [stroke](https://www.medicalnewstoday.com/articles/7624.php)
- [heart failure](https://www.medicalnewstoday.com/articles/156849)
- [cardiac arrest](https://www.medicalnewstoday.com/articles/cardiac-arrest)
Contacting a doctor as soon as a person has concerns about arrhythmia or other heart problems can help reduce the likelihood of complications.
### Is it a heart attack?
Heart attacks occur when there is a lack of blood supply to the heart. Symptoms include:
- chest pain, pressure, or tightness
- pain that may spread to the arms, neck, jaw, or back
- nausea and vomiting
- sweaty or clammy skin
- heartburn or indigestion
- shortness of breath
- coughing or wheezing
- lightheadedness or dizziness
- anxiety that can feel similar to a panic attack
If [you think](https://cpr.heart.org/en/resuscitation-science/cpr-and-ecc-guidelines/algorithms) someone is having a heart attack:
1. Dial 911 or the number of the nearest emergency department.
2. Stay with the person until emergency services arrive.
If a person stops breathing before emergency services arrive, perform manual chest compressions:
1. Lock fingers together and place the base of hands in the center of the chest.
2. Position shoulders over hands and lock elbows.
3. Press hard and fast, at a rate of 100 to 120 compressions per minute, to a depth of 2 inches.
4. Continue these movements until the person starts to breathe or move.
5. If needed, swap over with someone else without pausing compressions.
Use an automatic external defibrillator (AED) available in many public places:
1. An AED provides a shock that may restart the heart.
2. Follow the instructions on the defibrillator or listen to the guided instructions.
## [Is it possible to prevent arrhythmia?]()
It is [not always possible](https://www.nhs.uk/conditions/arrhythmia/) to prevent arrhythmia.
Steps a person can take to reduce their risk can include:
- seeking help for any underlying condition and following the treatment plan
- getting enough regular exercise or physical activity
- avoiding the use of tobacco and recreational drugs
- limiting alcohol consumption
- checking with a doctor before using any medications or supplements
## [Frequently asked questions]()
Here are some common questions about arrhythmia.
### What is the main cause of arrhythmia?
Overall risk factors for arrhythmia include having an existing heart condition, being born with unusual structural features in the heart, and being over the age of [65 years](https://www.nhlbi.nih.gov/health/atrial-fibrillation/causes). Certain other conditions and medications can also increase the risk of arrhythmia.
### Is arrhythmia serious?
Arrhythmia is not always serious, but it can indicate an underlying heart problem or a higher risk of a stroke or heart attack. Anyone with signs of arrhythmia should seek medical advice and follow the recommended treatment plan.
### What are the warning signs of arrhythmia?
Common warning signs can depend on the type of arrhythmia but may include fatigue, dizziness, fainting, palpitations or pounding in the chest, shortness of breath, and sweating. Some people have no symptoms, but routine examinations reveal an unusual heartbeat.
### Do arrhythmias go away?
Arrhythmia may resolve on its own in some cases. For example, a person may experience a single episode of AFib due to another illness. However, as arrhythmia can lead to serious complications, it is important to contact a doctor for an accurate diagnosis and suitable treatment plan where necessary.
## [Summary]()
Arrhythmia is when the heart does not beat as it should.
There are many causes of arrhythmia, but underlying heart disease is often a factor. Other causes include the use of certain medications. In some cases, arrhythmia may be a sign of a serious condition, and it can lead to severe complications. For this reason, it is essential to seek medical advice if a person notices symptoms of arrhythmia.
It is not always possible to prevent arrhythmias, but regular physical activity, maintaining a moderate weight, and seeking treatment for underlying conditions may help.
- [Arrhythmia](https://www.medicalnewstoday.com/categories/arrhythmia)
- [Heart Disease](https://www.medicalnewstoday.com/categories/heart-disease)
- [Cardiovascular / Cardiology](https://www.medicalnewstoday.com/categories/cardiovascular)
- [arrhythmia](https://www.medicalnewstoday.com/categories/cat1-arrhythmia)
- [Cat 1](https://www.medicalnewstoday.com/categories/cat1-en)
### How we reviewed this article:
Sources
Medical News Today 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.medicalnewstoday.com/articles/process).
- Arrhythmia. (2021).
<https://www.nhs.uk/conditions/arrhythmia/>
- Atrial fibrillation. (2022).
<https://www.nhlbi.nih.gov/health/atrial-fibrillation>
- Hafeez Y, et al. (2023). Sinus bradycardia.
<https://www.ncbi.nlm.nih.gov/books/NBK493201/>
- Long QT syndrome. (2017).
<https://rarediseases.org/rare-diseases/romano-ward-syndrome/>
- Ludhwani D, et al. (2023). Ventricular fibrillation.
<https://www.ncbi.nlm.nih.gov/books/NBK537120/>
- Tachycardia: Fast heart rate. (2022).
<https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/tachycardia--fast-heart-rate>
- What is an arrhythmia? (2022).
<https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia>
- Ziccardi MR, et al. (2022). Atrial flutter.
<https://www.ncbi.nlm.nih.gov/books/NBK540985/>
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Medically reviewed by [Uzochukwu Ibe, MD, MPH](https://www.medicalnewstoday.com/reviewers/uzochukwu-ibe-md) — Written by [Tim Newman](https://www.medicalnewstoday.com/authors/tim-newman) — Updated on May 22, 2024
## More in [A Deeper Understanding of Hypertrophic Cardiomyopathy](https://www.medicalnewstoday.com/program/a-deeper-understanding-of-hypertrophic-cardiomyopathy)
- [Cardiomyopathy: What to know](https://www.medicalnewstoday.com/articles/327456)
- [Cardiomyopathy vs. heart failure: What is the difference?](https://www.medicalnewstoday.com/articles/cardiomyopathy-vs-heart-failure)
- [What is the life expectancy for a person with hypertrophic cardiomyopathy?](https://www.medicalnewstoday.com/articles/hypertrophic-cardiomyopathy-life-expectancy)
- [Everything you need to know about heart disease](https://www.medicalnewstoday.com/articles/237191)
- [View all](https://www.medicalnewstoday.com/program/a-deeper-understanding-of-hypertrophic-cardiomyopathy)
### Related Coverage
- [Cardiomyopathy: What to know](https://www.medicalnewstoday.com/articles/327456?utm_source=ReadNext)
[Cardiomyopathy is a disease that involves a weakened heart muscle. The condition makes it difficult for the heart to pump blood throughout the body…](https://www.medicalnewstoday.com/articles/327456?utm_source=ReadNext)
[READ MORE](https://www.medicalnewstoday.com/articles/327456?utm_source=ReadNext)
- [Cardiomyopathy vs. heart failure: What is the difference?](https://www.medicalnewstoday.com/articles/cardiomyopathy-vs-heart-failure?utm_source=ReadNext)
[Cardiomyopathy is one of many potential causes for heart failure. Learn the difference between cardiomyopathy versus heart failure.](https://www.medicalnewstoday.com/articles/cardiomyopathy-vs-heart-failure?utm_source=ReadNext)
[READ MORE](https://www.medicalnewstoday.com/articles/cardiomyopathy-vs-heart-failure?utm_source=ReadNext)
- [What is the life expectancy for a person with hypertrophic cardiomyopathy?](https://www.medicalnewstoday.com/articles/hypertrophic-cardiomyopathy-life-expectancy?utm_source=ReadNext)
[What is HCM and how may it influence life expectancy? Read on to learn more about this heart condition and how to manage heart health.](https://www.medicalnewstoday.com/articles/hypertrophic-cardiomyopathy-life-expectancy?utm_source=ReadNext)
[READ MORE](https://www.medicalnewstoday.com/articles/hypertrophic-cardiomyopathy-life-expectancy?utm_source=ReadNext)
- [Everything you need to know about heart disease](https://www.medicalnewstoday.com/articles/237191?utm_source=ReadNext)
[Heart disease is a major cause of death. In this article, learn about the different types, how to recognize the symptoms, and what treatment to expect.](https://www.medicalnewstoday.com/articles/237191?utm_source=ReadNext)
[READ MORE](https://www.medicalnewstoday.com/articles/237191?utm_source=ReadNext)
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© 2026 Healthline Media UK Ltd, London, UK. All rights reserved. MNT is the registered trade mark of Healthline Media. Healthline Media is an RVO Health Company. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. [See additional information](https://www.medicalnewstoday.com/about/additional-information).
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| Readable Markdown | An arrhythmia is an irregular heartbeat that may feel like a racing or fluttering heart. It is not always serious but can sometimes indicate a potentially fatal heart problem.
Arrhythmias — sometimes called dysrhythmias — occur when the electrical signals that coordinate heartbeats are not working correctly.
The heart may beat too quickly, too slowly, too early, or with an irregular rhythm. In contrast, a “normal sinus rhythm” refers to how the heart beats when it is working properly.
If they are highly irregular or result from a weak or damaged heart, arrhythmias can cause severe and potentially fatal symptoms and complications.
Read on to learn more about arrhythmia, including the types, causes, and symptoms. This article also discusses treatment options, how doctors diagnose arrhythmia, possible complications, and more.
Cardiac arrhythmia refers to conditions in which the heart beats irregularly, too slowly, or too quickly.
There are [several](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia) types, including:
- [bradycardia](https://www.medicalnewstoday.com/articles/324264), a slow heartbeat
- [tachycardia](https://www.medicalnewstoday.com/articles/175241), a fast heartbeat
- irregular heartbeat, also known as a flutter or fibrillation, such as [atrial fibrillation (AFib)](https://www.medicalnewstoday.com/articles/323621.php)
Arrhythmias are not always serious, but some can increase the risk of stroke or cardiac arrest.
There are several types of arrhythmia.
AFib
AFib is the irregular beating of the atrial chambers and nearly always involves tachycardia. It is common and mainly develops in adults [over 65 years](https://www.nhlbi.nih.gov/health/atrial-fibrillation/causes).
Instead of a single, strong contraction, the chamber fibrillates or quivers, often producing a rapid heartbeat.
Atrial flutter
While fibrillation causes many random and different quivers in the atrium, [atrial flutter](https://www.medicalnewstoday.com/articles/what-is-atrial-flutter) usually [stems from](https://www.ncbi.nlm.nih.gov/books/NBK540985/) one area in the atrium not conducting correcty.
Atrial flutter can be a serious condition and usually leads to fibrillation without treatment.
Some people may experience both flutter and fibrillation.
Supraventricular tachycardia
[Supraventricular tachycardia (SVT)](https://www.medicalnewstoday.com/articles/svt-heart) is a rapid heartbeat that [begins](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/tachycardia--fast-heart-rate) in the upper chambers of the heart. It prevents blood from filling the heart’s chambers fully between contractions.
Doctors classify atrial fibrillation and flutter under SVT.
Ventricular tachycardia
[Ventricular tachycardia (VT)](https://www.medicalnewstoday.com/articles/what-is-ventricular-tachycardia) refers to abnormal electrical impulses that start in the lower chambers and cause an abnormally fast heartbeat.
A possible cause of VT is scarring from a previous heart attack.
Ventricular fibrillation
[Ventricular fibrillation (VFib)](https://www.medicalnewstoday.com/articles/188837) is an irregular heart rhythm consisting of rapid, uncoordinated, and fluttering contractions of the ventricles. The ventricles of the lower chamber [do not pump](https://www.ncbi.nlm.nih.gov/books/NBK537120/) blood but quiver instead.
VFib can be life threatening and has links to heart disease. A heart attack often triggers it.
Bradycardia
Bradycardia is when the heart rhythm is slower than usual, below [60 beats per minute (bpm)](https://www.ncbi.nlm.nih.gov/books/NBK493201/) for most people. It happens when there is a problem with the sinoatrial node, the heart’s natural pacemaker.
Possible causes include:
- various types of heart disease
- chest trauma
- genetic factors
- the use of certain drugs and medications
- hypothermia
Long QT syndrome
Long QT syndrome [refers to](https://rarediseases.org/rare-diseases/romano-ward-syndrome/) a heart rhythm disorder that a person is born with. It sometimes causes rapid, uncoordinated heartbeats. It can be life threatening and causes a rhythm known as [QT prolongation](https://www.medicalnewstoday.com/articles/qt-prolongation).
It can also occur due to genetic susceptibility or taking certain medications.
There are many risk factors for arrhythmias, and different types may have different risk factors.
Examples of risk factors for arrhythmias [include](https://www.nhlbi.nih.gov/health/arrhythmias/causes):
- aging, as it is more common in older adults
- family history of arrhythmia
- smoking
- using certain recreational drugs, such as cocaine or amphetamines
- excess alcohol consumption
- certain medications, such as antibiotics and over-the-counter cold and allergy medications
- some conditions, such as:
- obesity
- diabetes
- kidney disease
- lung disease
- sleep apnea
- heart and blood vessel diseases
Arrhythmia does not always cause noticeable symptoms. However, a doctor may detect an arrhythmia during a routine examination.
Having symptoms does not necessarily mean the arrhythmia is severe. Some people have [life threatening arrhythmias](https://www.medicalnewstoday.com/articles/life-threatening-arrhythmias) with no symptoms, while others with symptoms may not have a severe arrhythmia.
Symptoms depend on the type of arrhythmia.
Symptoms of tachycardia
The symptoms of a rapid heartbeat include:
- [breathlessness](https://www.medicalnewstoday.com/articles/314963)
- [dizziness](https://www.medicalnewstoday.com/articles/325251)
- [fainting](https://www.medicalnewstoday.com/articles/182524) or nearly fainting
- fluttering in the chest, known as [heart palpitations](https://www.medicalnewstoday.com/articles/318275)
- [chest pain](https://www.medicalnewstoday.com/articles/321650)
- [lightheadedness](https://www.medicalnewstoday.com/articles/323717)
- sudden [weakness](https://www.medicalnewstoday.com/articles/asthenia-weakness)
Symptoms of bradycardia
Bradycardia can cause the following symptoms:
- [angina](https://www.medicalnewstoday.com/articles/8886), or chest pain
- difficulty concentrating
- [confusion](https://www.medicalnewstoday.com/articles/confusion)
- difficulty exercising
- dizziness
- [tiredness](https://www.medicalnewstoday.com/articles/248002)
- lightheadedness
- palpitations
- shortness of breath
- fainting or nearly fainting
- [profuse sweating](https://www.medicalnewstoday.com/articles/182130)
Symptoms of AFib
When AFib symptoms occur, they often have a rapid onset and may involve:
- angina
- breathlessness
- dizziness
- palpitations
- fainting or nearly fainting
- weakness
To diagnose arrhythmia, a doctor will need to identify the unusual heartbeat and try to find the source of the change.
They may start by asking questions about any symptoms and [carrying out](https://www.nhlbi.nih.gov/health/arrhythmias/diagnosis) a physical exam to:
- measure the heart rate, pulse, and blood pressure
- listen for a [heart murmur](https://www.medicalnewstoday.com/articles/326802)
- check for symptoms such as swelling due to fluid retention
A doctor may also recommend:
- blood and urine tests
- [electrocardiogram](https://www.medicalnewstoday.com/articles/ecg-vs-ekg)
- a [Holter monitor](https://www.medicalnewstoday.com/articles/322145)
- an electrophysiology study to measure electrical activity in the heart
- a [tilt table test](https://www.medicalnewstoday.com/articles/tilt-table-test) to help identify whether sudden decreases in blood pressure or heart rate are the cause
- genetic testing, in some cases
- [heart imaging tests](https://www.medicalnewstoday.com/articles/heart-imaging), such as a [CT scan or MRI](https://www.medicalnewstoday.com/articles/326839)
Sometimes, a doctor may monitor the heart rhythm but [not recommend](https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/tachycardia--fast-heart-rate) treatment.
A person may need treatment if they have:
- an underlying condition
- a risk of complications
- severe symptoms
The various arrhythmias require different treatments.
Treatments for tachycardia
There are several treatments for tachycardia. The precise options will depend on the type and cause, but may include:
- carotid sinus massage, where a medical professional will gently apply pressure
- [Valsalva maneuver](https://www.medicalnewstoday.com/articles/322661)
- [cardioversion](https://www.medicalnewstoday.com/articles/cardioversion)
- [implantable cardioverter-defibrillator](https://www.medicalnewstoday.com/articles/implantable-cardioverter-defibrillators-what-to-know)
- [cardiac ablation surgery](https://www.medicalnewstoday.com/articles/cardiac-ablation-surgery)
- medications to reduce the frequency of episodes or promote electrical conduction through the heart
Treatments for bradycardia
Treatment for bradycardia [may involve](https://www.ncbi.nlm.nih.gov/books/NBK493201/) the following:
- intravenous atropine if tests show that blood pressure is unstable
- warming up the person before deciding on treatment if bradycardia is due to [hypothermia](https://www.medicalnewstoday.com/articles/182197)
- providing appropriate treatment for a heart problem or other underlying condition
- implanting a [pacemaker](https://www.medicalnewstoday.com/articles/324662.php)
Treatment for AFib
Treatment options for AFib [include](https://www.nhlbi.nih.gov/health/atrial-fibrillation/treatment):
- applicable lifestyle measures, such as:
- physical activity
- following a [heart-healthy diet](https://www.medicalnewstoday.com/articles/cardiac-diet)
- [quitting smoking](https://www.medicalnewstoday.com/articles/241302)
- avoiding alcohol
- maintaining a [moderate weight](https://www.medicalnewstoday.com/articles/323446)
- [managing stress](https://www.medicalnewstoday.com/articles/145855)
- using medication, such as [beta-blockers](https://www.medicalnewstoday.com/articles/173068), blood thinners, or [calcium channel blockers](https://www.medicalnewstoday.com/articles/326788), as a doctor prescribes
- procedures such as electrical cardioversion or installing a pacemaker
- heart surgery, such as [catheter ablation](https://www.medicalnewstoday.com/articles/316554) or closing off part of the heart
Some people with arrhythmia do not experience active symptoms. However, treatment is still essential because life threatening complications [can arise](https://www.nhlbi.nih.gov/health/arrhythmias).
Possible complications of arrhythmia [include](https://www.nhlbi.nih.gov/health/arrhythmias):
- [stroke](https://www.medicalnewstoday.com/articles/7624.php)
- [heart failure](https://www.medicalnewstoday.com/articles/156849)
- [cardiac arrest](https://www.medicalnewstoday.com/articles/cardiac-arrest)
Contacting a doctor as soon as a person has concerns about arrhythmia or other heart problems can help reduce the likelihood of complications.
Steps a person can take to reduce their risk can include:
- seeking help for any underlying condition and following the treatment plan
- getting enough regular exercise or physical activity
- avoiding the use of tobacco and recreational drugs
- limiting alcohol consumption
- checking with a doctor before using any medications or supplements
Here are some common questions about arrhythmia.
What is the main cause of arrhythmia?
Overall risk factors for arrhythmia include having an existing heart condition, being born with unusual structural features in the heart, and being over the age of [65 years](https://www.nhlbi.nih.gov/health/atrial-fibrillation/causes). Certain other conditions and medications can also increase the risk of arrhythmia.
Is arrhythmia serious?
Arrhythmia is not always serious, but it can indicate an underlying heart problem or a higher risk of a stroke or heart attack. Anyone with signs of arrhythmia should seek medical advice and follow the recommended treatment plan.
What are the warning signs of arrhythmia?
Common warning signs can depend on the type of arrhythmia but may include fatigue, dizziness, fainting, palpitations or pounding in the chest, shortness of breath, and sweating. Some people have no symptoms, but routine examinations reveal an unusual heartbeat.
Do arrhythmias go away?
Arrhythmia may resolve on its own in some cases. For example, a person may experience a single episode of AFib due to another illness. However, as arrhythmia can lead to serious complications, it is important to contact a doctor for an accurate diagnosis and suitable treatment plan where necessary.
Arrhythmia is when the heart does not beat as it should.
There are many causes of arrhythmia, but underlying heart disease is often a factor. Other causes include the use of certain medications. In some cases, arrhythmia may be a sign of a serious condition, and it can lead to severe complications. For this reason, it is essential to seek medical advice if a person notices symptoms of arrhythmia.
It is not always possible to prevent arrhythmias, but regular physical activity, maintaining a moderate weight, and seeking treatment for underlying conditions may help. |
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