Understanding Abnormal Heart Rhythms (Arrhythmias)

Introduction

The heart normally beats in a steady rhythm, controlled by electrical signals. When these signals become irregular, it results in an abnormal heart rhythm, or arrhythmia. Some arrhythmias are harmless, while others can be dangerous and require medical attention.

Types of Arrhythmias

  1. Tachycardia (Fast Heart Rate) – More than 100 beats per minute.

    • Atrial Fibrillation (AFib): Irregular and rapid beating of the atria.
    • Supraventricular Tachycardia (SVT): Fast heartbeats from above the ventricles.
    • Ventricular Tachycardia: A fast and potentially life-threatening rhythm from the ventricles.
  2. Bradycardia (Slow Heart Rate) – Fewer than 60 beats per minute.

    • Sinus Bradycardia: Can be normal, especially in athletes.
    • Heart Block: Electrical signals are delayed or blocked, disturbing rhythm.
  3. Premature Heartbeats – Extra beats that can originate from the atria or ventricles.

Causes of Abnormal Rhythms

  • Heart disease (coronary artery disease, heart failure)
  • Electrolyte imbalances (low potassium or magnesium)
  • Thyroid problems (hyperthyroidism or hypothyroidism)
  • High blood pressure
  • Medication side effects
  • Excessive caffeine, alcohol, or smoking
  • Stress and anxiety

Symptoms of Arrhythmias

  • Palpitations (fluttering sensation in chest)
  • Dizziness or fainting
  • Shortness of breath
  • Chest pain or discomfort
  • Fatigue
  • Sudden collapse in severe cases

When to Seek Medical Help?

  • If you experience frequent or severe episodes of palpitations.
  • If you faint or have unexplained dizziness.
  • If you have underlying heart disease and detect rhythm changes.
  • If you feel chest pain or shortness of breath.

Diagnosis and Treatment

Diagnosis:

  • Electrocardiogram (ECG or EKG) – Records heart electrical activity.
  • Holter Monitor – Tracks heart rhythm for 24–48 hours.
  • Echocardiogram – Evaluates heart structure and function.
  • Electrophysiology Study (EPS) – Assesses electrical pathways.

Treatment Options:

  • Lifestyle changes (limiting caffeine, stopping smoking)
  • Medications (beta-blockers, antiarrhythmic drugs)
  • Pacemaker (for bradycardia conditions)
  • Ablation therapy (destroying problematic electrical pathways)
  • Implantable Cardioverter Defibrillator (ICD) for life-threatening rhythms

Conclusion

Abnormal heart rhythms range from mild to life-threatening. Identifying and treating them early can prevent complications. If you have concerns about your heart rhythm, consult a cardiologist for proper evaluation.

Source recommendations

1. American Heart Association Guidelines on Arrhythmias

  1. https://www.heart.org/en/health-topics/arrhythmia
  2. https://www.ahajournals.org/doi/10.1161/CIR.0000000000001193
  3. https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia
  4. https://www.ahajournals.org/doi/10.1161/CIR.0000000000000549
  5. https://pubmed.ncbi.nlm.nih.gov/29084733/

2. European Society of Cardiology Guidelines on Arrhythmia Management

  1. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Atrial-Fibrillation
  2. https://academic.oup.com/eurheartj/article/43/40/3997/6675633
  3. https://www.ahajournals.org/doi/10.1161/CIR.0000000000001193
  4. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Ventricular-Arrhythmias-and-the-Prevention-of-Sudden-Cardiac-Death
  5. https://academic.oup.com/eurheartj/article/45/36/3314/7738779

Our advantages:

patient2376100
Best practices from USA, EU and Japan
Our answers to your questions are based on the clinical recommendations of countries with the most developed healthcare systems in the field of cardiology in the USA, the EU and Japan.
prescription18648039
Always up-to-date information
On a daily basis, we monitor for you all new scientific research publications in leading scientific journals on medical issues of interest to you.
We monitor all innovations and changes in the field of cardiac disease treatment on a daily basis.
fvfflf7q
Get second opinion
Here you can learn everything that even your doctor may not know about cardiology (if he does not speak English and he does not read 117 leading medical journals on cardiology every month).
1xr4duup
The most comprehensive and up-to-date collection of free cardiology materials
Our website contains the most comprehensive and up-to-date collection of free cardiology materials in your country.
Every 3-5 years, half of the scientific approaches to treatment in the field of cardiology are reviewed as a result of specialized scientific discoveries. With us, you don't have to wait these years to learn about the best ways to treat you and your loved ones.
arrow
Please register in order to receive information regarding possible complications and new approaches to treatment of cardiovascular diseases via email in our Newsletters.
arrow