An arrhythmia describes an irregular heartbeat – the heart may beat too fast, too slowly, too early, or irregularly. Arrhythmias occur when the electrical signals to the heart that coordinate heartbeats are not working properly. For instance, some people experience irregular heartbeats, which may feel like a racing heart or fluttering.

Many heart arrhythmias are harmless; however, if they are particularly abnormal, or result from a weak or damaged heart, arrhythmias can cause serious and even potentially fatal symptoms.

Arrhythmias are broken down into:

  • Slow heartbeat: bradycardia.
  • Fast heartbeat: tachycardia.
  • Irregular heartbeat: flutter or fibrillation.
  • Early heartbeat: premature contraction.
What are the causes of arrhythmia?

Any interruption to the electrical impulses that cause the heart to contract can result in arrhythmia.

For a person with a healthy heart, they should have a heart rate of between 60-100 beats per minute when resting.

The more fit a person is, the lower their resting heart rate.

Olympic athletes, for example, will usually have a resting heart rate of under 60 beats per minute because their hearts are very efficient.

A number of factors can cause the heart to work incorrectly, they include:

  • alcohol abuse
  • diabetes
  • drug abuse
  • excessive coffee consumption
  • heart disease like congestive heart failure
  • hypertension (high blood pressure)
What are symptoms of arrhythmia?

Some patients have no symptoms, but a doctor might detect an arrhythmia during a routine examination or on an EKG.

Symptoms are depend on the type of arrhythmia. Some of them common are;

  • dizziness
  • chest pain
  • sudden weakness
  • shortness of breath
  • diaphoresis, or sweating
How are arrhythmias diagnosed?

Tests used to diagnose an arrhythmia or determine its cause include:

  • Electrocardiogram
  • Holter monitor
  • Event monitor
  • Stress test
  • Echocardiogram
  • Cardiac catheterization
What are the types of arrhythmia?

There are several types of arrhythmia:

  • Atrial fibrillation: This is irregular beating of the atrial chambers – nearly always too fast. Atrial fibrillation is common and mainly affects older patients. Instead of producing a single, strong contraction, the chamber fibrillates (quivers).
  • Atrial flutter: While fibrillation consists of many random and different quivers in the atrium, atrial flutter is usually from one area in the atrium that is not conducting properly, so the abnormal heart conduction has a consistent pattern. Neither are ideal for pumping blood through the heart.
  • Supraventricular tachycardia (SVT): A regular, abnormally rapid heartbeat. The patient experiences a burst of accelerated heartbeats that can last from a few seconds to a few hours. Typically, a patient with SVT will have a heart rate of 160-200 beats per minute. Atrial fibrillation and flutter are classified under SVTs.
  • Ventricular tachycardia: Abnormal electrical impulses that start in the ventricles and cause an abnormally fast heartbeat. This often happens if the heart has a scar from a previous heart attack. Usually, the ventricle will contract more than 200 times a minute.

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