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Types Of Arrhythmias Explained

Learn about the various types of arrhythmias, including their causes, symptoms, and treatments, to better understand irregular heart rhythms and how they affect your health.

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Written by Dr. Siri Nallapu

Reviewed by Dr. Vasanthasree Nair MBBS

Last updated on 29th Jul, 2025

Introduction

Heart rhythm disorders, known as arrhythmias, can be confusing and concerning. If you or a loved one has been diagnosed with an arrhythmia, you might have questions about what it means and how it affects your health. This article will explain the different types of arrhythmias in simple terms, their symptoms, causes, and ways to manage them effectively.

What is an Arrhythmia?

An arrhythmia occurs when the heart beats too fast, too slow, or irregularly. Normally, the heart follows a steady rhythm controlled by electrical signals. When these signals get disrupted, the heart may not pump blood efficiently, leading to health issues.

Types of Arrhythmias

Arrhythmias are broadly classified into two categories based on heart rate:

1. Tachycardia (Fast Heartbeat – Over 100 BPM)

When the heart beats too fast, it may not fill properly with blood, reducing oxygen supply to the body.

Common Types of Tachycardia:

  • Atrial Fibrillation (AFib): The upper chambers (atria) beat irregularly and rapidly. This can increase the risk of stroke.

  • Atrial Flutter: Similar to AFib but with a more organised rhythm.

  • Supraventricular Tachycardia (SVT): A rapid heartbeat starting above the ventricles, causing sudden palpitations.

  • Ventricular Tachycardia (VT): A dangerous fast rhythm starting in the lower chambers (ventricles), which can lead to cardiac arrest.

  • Ventricular Fibrillation (VFib): A life-threatening condition where the ventricles quiver instead of pumping blood, requiring immediate medical attention.

2. Bradycardia (Slow Heartbeat – Below 60 BPM)

A slow heartbeat can mean the heart isn’t pumping enough blood.

Common Types of Bradycardia:

  • Sinus Bradycardia: A slower-than-normal heart rate, common in athletes but may cause dizziness in others.

  • Heart Block: Electrical signals between the atria and ventricles are delayed or blocked, leading to a very slow pulse.

3. Premature or Extra Beats

  • Premature Atrial Contractions (PACs): Early beats in the atria, usually harmless.

  • Premature Ventricular Contractions (PVCs): Extra beats from the ventricles, often felt as a "skipped beat."

Symptoms of Arrhythmias

Some people may not feel any symptoms, while others experience:

  • Palpitations (fluttering or pounding heart)

  • Dizziness or lightheadedness

  • Shortness of breath

  • Chest pain or discomfort

  • Fatigue or weakness

  • Fainting (syncope)

Get Your Symptoms Checked By A Cardiologist

Dr. Jayarajah Mariappan, Cardiologist

Dr. Jayarajah Mariappan

Cardiologist

45 Years • MBBS, MD(GEN MEDICINE), DM(CARDIOLOGY)

Chennai

Sooriya Hospital, Chennai

1875

700

Dr. S B Bhattacharyya, Cardiologist

Dr. S B Bhattacharyya

Cardiologist

22 Years • MBBS, MD(General Medicine),DM (Cardiology)

Kolkata

Gariaheart Clinic, Kolkata

1875

Dr. Sumanta Chatterjee, Cardiologist

Dr. Sumanta Chatterjee

Cardiologist

12 Years • MBBS,MD General Medicine,DM Cardiology

Kolkata

HealthYou Speciality Clinic & Diagnostics., Kolkata

recommendation

87%

(25+ Patients)

1100

1100

No Booking Fees

What Causes Arrhythmias?

Arrhythmias can be triggered by:

  • Heart disease (high blood pressure, coronary artery disease, heart attack)

  • Electrolyte imbalances (low potassium or magnesium)

  • Stress, caffeine, alcohol, or smoking

  • Medications or stimulants

  • Thyroid disorders

  • Congenital heart defects

How Are Arrhythmias Diagnosed?

Doctors may recommend:

  • Electrocardiogram (ECG/EKG): Records heart’s electrical activity.

  • Holter Monitor: A portable ECG worn for 24-48 hours.

  • Event Monitor: Records heart rhythms over weeks.

  • Echocardiogram: Ultrasound of the heart.

  • Stress Test: Checks heart function during exercise.

Managing Arrhythmias: Lifestyle & Treatment

Here’s how to manage arrhythmias:

Lifestyle Changes

  • Eat a heart-healthy diet (low salt, saturated fats, and rich in fruits, vegetables, and whole grains).

  • Exercise regularly (as advised by your doctor).

  • Limit caffeine, alcohol, and tobacco.

  • Manage stress with meditation, yoga, or deep breathing.

  • Maintain a healthy weight.

Medical Treatments

  • Medications (beta-blockers, calcium channel blockers, blood thinners).

  • Pacemaker (for slow heartbeats).

  • Implantable Cardioverter-Defibrillator (ICD) (for life-threatening arrhythmias).

  • Catheter Ablation (destroys abnormal heart tissue causing irregular rhythms).

When to See a Doctor?

Seek immediate help if you experience:

  • Chest pain

  • Severe shortness of breath

  • Fainting spells

  • Rapid or irregular heartbeat lasting long

If you suspect an arrhythmia, consult a cardiologist for proper evaluation. Apollo24|7 offers expert consultations and diagnostic tests—book an appointment today for personalised care.

Conclusion

While some arrhythmias are harmless, others require medical attention. Understanding your condition, following a healthy lifestyle, and staying in touch with your doctor can help you manage it effectively.

Consult Top Cardiologists

Dr. Jayarajah Mariappan, Cardiologist

Dr. Jayarajah Mariappan

Cardiologist

45 Years • MBBS, MD(GEN MEDICINE), DM(CARDIOLOGY)

Chennai

Sooriya Hospital, Chennai

1875

700

Dr. S B Bhattacharyya, Cardiologist

Dr. S B Bhattacharyya

Cardiologist

22 Years • MBBS, MD(General Medicine),DM (Cardiology)

Kolkata

Gariaheart Clinic, Kolkata

1875

Dr. Sumanta Chatterjee, Cardiologist

Dr. Sumanta Chatterjee

Cardiologist

12 Years • MBBS,MD General Medicine,DM Cardiology

Kolkata

HealthYou Speciality Clinic & Diagnostics., Kolkata

recommendation

87%

(25+ Patients)

1100

1100

No Booking Fees

Get Your Symptoms Checked By A Cardiologist

Dr. Jayarajah Mariappan, Cardiologist

Dr. Jayarajah Mariappan

Cardiologist

45 Years • MBBS, MD(GEN MEDICINE), DM(CARDIOLOGY)

Chennai

Sooriya Hospital, Chennai

1875

700

Dr. S B Bhattacharyya, Cardiologist

Dr. S B Bhattacharyya

Cardiologist

22 Years • MBBS, MD(General Medicine),DM (Cardiology)

Kolkata

Gariaheart Clinic, Kolkata

1875

Dr. Aditya Verma, Cardiologist

Dr. Aditya Verma

Cardiologist

13 Years • MBBS, MD General Medicine, DM Cardiology

Kolkata

Apollo Clinic_Opposite South City Mall, Kolkata

1000

No Booking Fees

Dr. Sumanta Chatterjee, Cardiologist

Dr. Sumanta Chatterjee

Cardiologist

12 Years • MBBS,MD General Medicine,DM Cardiology

Kolkata

HealthYou Speciality Clinic & Diagnostics., Kolkata

recommendation

87%

(25+ Patients)

1100

1100

No Booking Fees

Dr. Mangesh Danej, Cardiologist

Dr. Mangesh Danej

Cardiologist

8 Years • MBBS, MD (General Medicine), DNB (Cardiology)

Pune

Dr Danej clinic, Pune

recommendation

98%

(375+ Patients)

800

No Booking Fees

Consult Top Cardiologists

Dr. Jayarajah Mariappan, Cardiologist

Dr. Jayarajah Mariappan

Cardiologist

45 Years • MBBS, MD(GEN MEDICINE), DM(CARDIOLOGY)

Chennai

Sooriya Hospital, Chennai

1875

700

Dr. S B Bhattacharyya, Cardiologist

Dr. S B Bhattacharyya

Cardiologist

22 Years • MBBS, MD(General Medicine),DM (Cardiology)

Kolkata

Gariaheart Clinic, Kolkata

1875

Dr. Aditya Verma, Cardiologist

Dr. Aditya Verma

Cardiologist

13 Years • MBBS, MD General Medicine, DM Cardiology

Kolkata

Apollo Clinic_Opposite South City Mall, Kolkata

1000

No Booking Fees

Dr. Sumanta Chatterjee, Cardiologist

Dr. Sumanta Chatterjee

Cardiologist

12 Years • MBBS,MD General Medicine,DM Cardiology

Kolkata

HealthYou Speciality Clinic & Diagnostics., Kolkata

recommendation

87%

(25+ Patients)

1100

1100

No Booking Fees

Dr. Mangesh Danej, Cardiologist

Dr. Mangesh Danej

Cardiologist

8 Years • MBBS, MD (General Medicine), DNB (Cardiology)

Pune

Dr Danej clinic, Pune

recommendation

98%

(375+ Patients)

800

No Booking Fees

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