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| Meta Title | Arrhythmia – Symptoms and Causes | Penn Medicine |
| Meta Description | A cardiac arrhythmia is an abnormal heartbeat resulting from malfunctioning electrical impulses that govern your heartbeat. |
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| Boilerpipe Text | What is an arrhythmia?
A cardiac arrhythmia is an abnormal heartbeat resulting from malfunctioning electrical impulses that govern your heartbeat. With a cardiac arrhythmia, your heart may be beating too slowly, too quickly, or irregularly. This can feel like your heart is fluttering or racing in your chest.
There are several types of arrhythmias, including:
Tachycardia – rapid heartbeat with a rate of more than 100 beats per minute.
Bradycardia – a slow heartbeat with a rate of less than 60 beats per minute.
Ventricular arrhythmias – irregular heartbeats that originate in the lower chambers or ventricles.
Supraventricular arrhythmias – irregular heartbeats that originate in the heart’s upper chambers or atria.
Bradyarrhythmias – slow heartbeats that may be caused by disease.
Symptoms of a cardiac arrhythmia
Many people may never notice their arrhythmias, or they may experience a slight fluttering or feeling of a skipped beat.
You could experience any of the following symptoms from an arrhythmia:
Heart palpitations
Chest pain or pounding in the chest
Dizziness
Shortness of breath
Lightheadedness
Weakness or fatigue
Fainting
What causes a cardiac arrhythmia?
How irregular heartbeats are diagnosed
If you’re showing symptoms, you should make an appointment with a cardiologist or electrophysiologist to determine the cause and severity of your arrhythmia, and you may undergo one or more of the following tests:
Echocardiogram
Ambulatory monitoring such as a
Holter monitor
 or transtelephonic monitor
Stress test
Cardiac catheterization
Electrocardiogram
(ECG or EKG)
Electrophysiology study
Tilt table test
Arrhythmia treatment at Penn Medicine
Medications and lifestyle changes may be all you need to treat and control your arrhythmia. However, if you require the next step in treatment, know that Penn Medicine is a national and international leader the most common treatments for cardiac arrhythmias, including implantable cardio defibrillators (ICD), catheter ablations and open heart surgery. Penn surgeons take on the most challenging cases, offering a variety of approaches not commonly available at other medical centers.
When you choose Penn Medicine, you’re choosing to work with a dedicated team of cardiologists and electrophysiologists who have pioneered and long perfected these treatments, leading the field in new research and innovation.
Related specialties
Patient stories |
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# Cardiac arrhythmia
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## What is an arrhythmia?
A cardiac arrhythmia is an abnormal heartbeat resulting from malfunctioning electrical impulses that govern your heartbeat. With a cardiac arrhythmia, your heart may be beating too slowly, too quickly, or irregularly. This can feel like your heart is fluttering or racing in your chest.
There are several types of arrhythmias, including:
- Tachycardia – rapid heartbeat with a rate of more than 100 beats per minute.
- Bradycardia – a slow heartbeat with a rate of less than 60 beats per minute.
- Ventricular arrhythmias – irregular heartbeats that originate in the lower chambers or ventricles.
- Supraventricular arrhythmias – irregular heartbeats that originate in the heart’s upper chambers or atria.
- Bradyarrhythmias – slow heartbeats that may be caused by disease.
## Symptoms of a cardiac arrhythmia
Many people may never notice their arrhythmias, or they may experience a slight fluttering or feeling of a skipped beat.
You could experience any of the following symptoms from an arrhythmia:
- Heart palpitations
- Chest pain or pounding in the chest
- Dizziness
- Shortness of breath
- Lightheadedness
- Weakness or fatigue
- Fainting
## What causes a cardiac arrhythmia?
Many things can cause cardiac arrhythmia, including the following:
- [High blood pressure](https://www.pennmedicine.org/Conditions/Hypertension)
- [Valve disorders](https://www.pennmedicine.org/Specialties/Heart-valve-disease-care)
- [Cardiomyopathy](https://www.pennmedicine.org/Conditions/Cardiomyopathy)
- [Coronary artery disease](https://www.pennmedicine.org/Conditions/Coronary-artery-disease)
- Electrolyte imbalances
- Heart attack injury, such as scarring
- [Diabetes](https://www.pennmedicine.org/Specialties/Diabetes-care)
- Smoking
- [Alcohol overconsumption](https://www.pennmedicine.org/adam-data/conditions/2025/04/21/19/50/Alcohol-use-disorder)
- Too much caffeine
- Some prescription medications
- Stress
- Drug abuse
- Thyroid issues ([hyperthyroidism](https://www.pennmedicine.org/Conditions/Hyperthyroidism) and [hypothyroidism](https://www.pennmedicine.org/Conditions/Hypothyroidism))
## How irregular heartbeats are diagnosed
If you’re showing symptoms, you should make an appointment with a cardiologist or electrophysiologist to determine the cause and severity of your arrhythmia, and you may undergo one or more of the following tests:
- [Echocardiogram](https://www.pennmedicine.org/adam-data/treatments/2025/06/12/17/31/Echocardiogram)
- Ambulatory monitoring such as a [Holter monitor](https://www.pennmedicine.org/adam-data/treatments/2025/06/12/17/31/Holter-monitor-24h) or transtelephonic monitor
- [Stress test](https://www.pennmedicine.org/adam-data/treatments/2025/06/12/17/31/Exercise-stress-test)
- [Cardiac catheterization](https://www.pennmedicine.org/Treatments/Cardiac-catheterization)
- [Electrocardiogram](https://www.pennmedicine.org/adam-data/treatments/2025/06/12/17/31/Electrocardiogram) (ECG or EKG)
- Electrophysiology study
- Tilt table test
## Arrhythmia treatment at Penn Medicine
Medications and lifestyle changes may be all you need to treat and control your arrhythmia. However, if you require the next step in treatment, know that Penn Medicine is a national and international leader the most common treatments for cardiac arrhythmias, including implantable cardio defibrillators (ICD), catheter ablations and open heart surgery. Penn surgeons take on the most challenging cases, offering a variety of approaches not commonly available at other medical centers.
When you choose Penn Medicine, you’re choosing to work with a dedicated team of cardiologists and electrophysiologists who have pioneered and long perfected these treatments, leading the field in new research and innovation.
## Related specialties
[Cardiac arrhythmia care When an abnormal heartbeat sounds the alarm, we seek the cause and work to restore a healthy rhythm.](https://www.pennmedicine.org/specialties/cardiac-arrhythmia-care)
[Cardiology We specialize in diagnosing and treating cardiovascular conditions, from routine care to complex issues.](https://www.pennmedicine.org/specialties/primary-cardiology)
[Heart and vascular care Our clinicians, researchers, and educators provide comprehensive, best-in-class heart and vascular care.](https://www.pennmedicine.org/specialties/heart-vascular-care)
[Women’s cardiovascular health We specialize in women’s cardiovascular health—diagnosing and treating all heart conditions.](https://www.pennmedicine.org/specialties/womens-cardiovascular-health)
## Patient stories

## A runner’s rapid save
A pulmonary embolism is life-threatening—and urgent. For Molly Fadden, Penn Medicine was ready to get her to the right experts, right in time.
[Learn More](https://www.pennmedicine.org/news/a-runners-rapid-save)

## Father and son undergo aortic repairs a year apart
A father and son share a genetic heart condition called bicuspid aortic valve and had successful surgeries at Penn Medicine a year apart.
[Learn More](https://www.pennmedicine.org/news/father-and-son-undergo-aortic-repairs)

## Embracing life’s rhythm: Kathleen’s robotic surgery journey
Kathleen Tierney talks about her journey having robotic mitral valve surgery performed at Penn Medicine.
[Learn More](https://www.pennmedicine.org/news/embracing-lifes-rhythm-kathleens-robotic-surgery-journey)

## A new way to treat Afib: Pulsed field ablation
Rick Smith chose pulsed field ablation for its precision and faster recovery. One month later, he’s back on the road, grateful for the care he received.
[Learn More](https://www.pennmedicine.org/news/a-new-way-to-treat-afib-pulsed-field-ablation)

## A hole in the heart repaired
After a heart attack, Vilma Patel's family brought her from India to Lancaster for lifesaving VSD repair.
[Learn More](https://www.pennmedicine.org/news/a-hole-in-the-heart-repaired)

## A skipped heartbeat reveals a silent and serious heart risk
A healthy, active man was alarmed to notice his heart was skipping a beat, revealing a thoracic aortic aneurysm and a bicuspid aortic valve (BAV).
[Learn More](https://www.pennmedicine.org/news/skipped-heartbeat-reveals-silent-and-serious-heart-risk)

## A runner’s rapid save
A pulmonary embolism is life-threatening—and urgent. For Molly Fadden, Penn Medicine was ready to get her to the right experts, right in time.
[Learn More](https://www.pennmedicine.org/news/a-runners-rapid-save)

## Father and son undergo aortic repairs a year apart
A father and son share a genetic heart condition called bicuspid aortic valve and had successful surgeries at Penn Medicine a year apart.
[Learn More](https://www.pennmedicine.org/news/father-and-son-undergo-aortic-repairs)

## Embracing life’s rhythm: Kathleen’s robotic surgery journey
Kathleen Tierney talks about her journey having robotic mitral valve surgery performed at Penn Medicine.
[Learn More](https://www.pennmedicine.org/news/embracing-lifes-rhythm-kathleens-robotic-surgery-journey)

## A new way to treat Afib: Pulsed field ablation
Rick Smith chose pulsed field ablation for its precision and faster recovery. One month later, he’s back on the road, grateful for the care he received.
[Learn More](https://www.pennmedicine.org/news/a-new-way-to-treat-afib-pulsed-field-ablation)

## A hole in the heart repaired
After a heart attack, Vilma Patel's family brought her from India to Lancaster for lifesaving VSD repair.
[Learn More](https://www.pennmedicine.org/news/a-hole-in-the-heart-repaired)

## A skipped heartbeat reveals a silent and serious heart risk
A healthy, active man was alarmed to notice his heart was skipping a beat, revealing a thoracic aortic aneurysm and a bicuspid aortic valve (BAV).
[Learn More](https://www.pennmedicine.org/news/skipped-heartbeat-reveals-silent-and-serious-heart-risk)
### Schedule an appointment
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| Readable Markdown | What is an arrhythmia?
A cardiac arrhythmia is an abnormal heartbeat resulting from malfunctioning electrical impulses that govern your heartbeat. With a cardiac arrhythmia, your heart may be beating too slowly, too quickly, or irregularly. This can feel like your heart is fluttering or racing in your chest.
There are several types of arrhythmias, including:
- Tachycardia – rapid heartbeat with a rate of more than 100 beats per minute.
- Bradycardia – a slow heartbeat with a rate of less than 60 beats per minute.
- Ventricular arrhythmias – irregular heartbeats that originate in the lower chambers or ventricles.
- Supraventricular arrhythmias – irregular heartbeats that originate in the heart’s upper chambers or atria.
- Bradyarrhythmias – slow heartbeats that may be caused by disease.
Symptoms of a cardiac arrhythmia
Many people may never notice their arrhythmias, or they may experience a slight fluttering or feeling of a skipped beat.
You could experience any of the following symptoms from an arrhythmia:
- Heart palpitations
- Chest pain or pounding in the chest
- Dizziness
- Shortness of breath
- Lightheadedness
- Weakness or fatigue
- Fainting
What causes a cardiac arrhythmia?
How irregular heartbeats are diagnosed
If you’re showing symptoms, you should make an appointment with a cardiologist or electrophysiologist to determine the cause and severity of your arrhythmia, and you may undergo one or more of the following tests:
- [Echocardiogram](https://www.pennmedicine.org/adam-data/treatments/2025/06/12/17/31/Echocardiogram)
- Ambulatory monitoring such as a [Holter monitor](https://www.pennmedicine.org/adam-data/treatments/2025/06/12/17/31/Holter-monitor-24h) or transtelephonic monitor
- [Stress test](https://www.pennmedicine.org/adam-data/treatments/2025/06/12/17/31/Exercise-stress-test)
- [Cardiac catheterization](https://www.pennmedicine.org/Treatments/Cardiac-catheterization)
- [Electrocardiogram](https://www.pennmedicine.org/adam-data/treatments/2025/06/12/17/31/Electrocardiogram) (ECG or EKG)
- Electrophysiology study
- Tilt table test
Arrhythmia treatment at Penn Medicine
Medications and lifestyle changes may be all you need to treat and control your arrhythmia. However, if you require the next step in treatment, know that Penn Medicine is a national and international leader the most common treatments for cardiac arrhythmias, including implantable cardio defibrillators (ICD), catheter ablations and open heart surgery. Penn surgeons take on the most challenging cases, offering a variety of approaches not commonly available at other medical centers.
When you choose Penn Medicine, you’re choosing to work with a dedicated team of cardiologists and electrophysiologists who have pioneered and long perfected these treatments, leading the field in new research and innovation.
Related specialties
Patient stories |
| Shard | 173 (laksa) |
| Root Hash | 11763615100892604773 |
| Unparsed URL | org,pennmedicine!www,/conditions/cardiac-arrhythmia s443 |