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Types Of Heart Arrhythmias Explained

Understand the different types of heart arrhythmias, their causes, symptoms, and treatment options to help manage irregular heartbeats and maintain a healthy cardiovascular system.

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Written by Dr. M L Ezhilarasan

Reviewed by Dr. Rohinipriyanka Pondugula MBBS

Last updated on 29th Jul, 2025

Introduction

Your heart is a remarkable organ that beats around 100,000 times a day, pumping blood to every part of your body. Normally, it follows a steady rhythm, but sometimes, this rhythm can become irregular—a condition known as heart arrhythmia. While some arrhythmias are harmless, others can be serious and require medical attention.

In this article, we’ll explain the different types of heart arrhythmias, their symptoms, causes, and how they can affect your health. We’ll also share practical tips for managing them and when to seek medical help.

What Is a Heart Arrhythmia?

A heart arrhythmia is an irregular heartbeat—either too fast, too slow, or with an uneven pattern. This happens when the electrical signals that control your heartbeat don’t work properly.

Common Symptoms of Arrhythmias

  • Palpitations (feeling like your heart is fluttering, pounding, or skipping beats)

  • Dizziness or lightheadedness

  • Shortness of breath

  • Chest discomfort

  • Fatigue or weakness

  • Fainting (syncope) or near-fainting spells

Some people may not feel any symptoms, while others experience severe discomfort. If you notice any of these signs, it’s best to consult a doctor.

Types of Heart Arrhythmias

Heart arrhythmias are broadly classified into two categories:

1. Tachycardia: When the heart beats too fast (over 100 beats per minute).

2. Bradycardia: When the heart beats too slow (under 60 beats per minute).

Let’s explore the most common types:

1. Atrial Fibrillation (AFib)

  • What happens? The upper chambers (atria) beat irregularly and out of sync with the lower chambers (ventricles).

  • Symptoms: Palpitations, fatigue, shortness of breath, dizziness.

  • Risks: Increases the chance of stroke and heart failure if untreated.

2. Atrial Flutter

  • What happens? Similar to AFib, but the atria beat in a fast but regular rhythm.

  • Symptoms: Rapid heartbeat, weakness, breathlessness.

  • Risks: Can lead to blood clots and stroke.

Consult Top Cardiologists For More Information

Dr. Anand Ravi, General Physician

Dr. Anand Ravi

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

Dr. E Prabhakar Sastry, General Physician/ Internal Medicine Specialist

Dr. E Prabhakar Sastry

General Physician/ Internal Medicine Specialist

40 Years • MD(Internal Medicine)

Manikonda Jagir

Apollo Clinic, Manikonda, Manikonda Jagir

recommendation

89%

(125+ Patients)

1000

1000

No Booking Fees

Dr. Janjirala Seshivardhan, Cardiologist

Dr. Janjirala Seshivardhan

Cardiologist

7 Years • MBBS,DNB(GM),DM(Cardiology)

Manikonda Jagir

Apollo Clinic, Manikonda, Manikonda Jagir

850

850

No Booking Fees

Dr. Zulkarnain, General Physician

Dr. Zulkarnain

General Physician

2 Years • MBBS, PGDM, FFM

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

Dr. Tripti Deb, Cardiologist

Dr. Tripti Deb

Cardiologist

40 Years • MBBS, MD, DM, FACC, FESC

Hyderabad

Apollo Hospitals Jubilee Hills, Hyderabad

550

1000

No Booking Fees

3. Supraventricular Tachycardia (SVT)

  • What happens? A sudden, rapid heartbeat originating above the ventricles.

  • Symptoms: Heart racing, chest pain, sweating.

  • Risks: Usually not life-threatening but can be uncomfortable.

4. Ventricular Tachycardia (VT)

  • What happens? Fast heart rate originating in the ventricles.

  • Symptoms: Dizziness, fainting, cardiac arrest in severe cases.

  • Risks: Can be life-threatening if not treated promptly.

5. Ventricular Fibrillation (VFib)

  • What happens? The ventricles quiver instead of pumping blood effectively.

  • Symptoms: Sudden collapse, loss of consciousness.

  • Risks: A medical emergency—requires immediate CPR and defibrillation.

6. Bradycardia (Slow Heartbeat)

  • What happens? The heart beats too slowly, reducing blood flow.

  • Symptoms: Fatigue, dizziness, fainting.

  • Risks: Can lead to heart failure if severe.

7. Premature Contractions (Extra Beats)

  • What happens? Early beats in the atria (PACs) or ventricles (PVCs).

  • Symptoms: Feeling a skipped or extra beat.

  • Risks: Usually harmless but can be bothersome.

What Causes Heart Arrhythmias?

Several factors can trigger an irregular heartbeat, including:

  • Heart disease 

  • High blood pressure

  • Diabetes

  • Thyroid problems 

  • Excessive alcohol or caffeine

  • Smoking

  • Stress or anxiety

  • Medications or stimulants

  • Electrolyte imbalances 

Sometimes, arrhythmias occur without any clear cause.

How Are Arrhythmias Diagnosed?

If you experience symptoms, your doctor may recommend:

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

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

  • Event Monitor: Records heart activity over weeks.

  • Echocardiogram: Uses ultrasound to check heart structure.

  • Stress Test: Monitors heart rhythm during exercise.

If needed, your doctor may refer you to a cardiologist for further evaluation.

Managing and Preventing Arrhythmias

Here’s how to manage arrhythmias:

Lifestyle Changes

  • Eat a heart-healthy diet: Focus on fruits, vegetables, whole grains, and lean proteins.

  • Exercise regularly: Activities like walking, swimming, or yoga can help—always consult your doctor first.

  • Limit stimulants: Reduce intake of caffeine, alcohol, and avoid tobacco use.

  • Manage stress: Try meditation, deep breathing, or mindfulness exercises.

  • Maintain a healthy weight: Keep your weight within a recommended range to reduce heart strain.

Medical Treatments

  • Medications like beta-blockers, calcium channel blockers, anti-arrhythmic drugs.

  • Pacemaker for slow heartbeats.

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

  • Catheter Ablation, a procedure to destroy abnormal heart tissue causing arrhythmia.

When to Seek Emergency Help?

Call emergency services if you experience:

  • Chest pain

  • Severe shortness of breath

  • Fainting or near-fainting

  • Sudden weakness or confusion

Conclusion

Heart arrhythmias can range from harmless to life-threatening. If you notice unusual heart rhythms or symptoms, don’t ignore them—early diagnosis and treatment can make a big difference.

If you’re concerned about your heart health, consider booking a consultation with a cardiologist through Apollo 24|7. They can guide you with personalised advice and treatment options.

Consult Top Cardiologists

Dr. Anand Ravi, General Physician

Dr. Anand Ravi

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

Dr. E Prabhakar Sastry, General Physician/ Internal Medicine Specialist

Dr. E Prabhakar Sastry

General Physician/ Internal Medicine Specialist

40 Years • MD(Internal Medicine)

Manikonda Jagir

Apollo Clinic, Manikonda, Manikonda Jagir

recommendation

89%

(125+ Patients)

1000

1000

No Booking Fees

Dr. Janjirala Seshivardhan, Cardiologist

Dr. Janjirala Seshivardhan

Cardiologist

7 Years • MBBS,DNB(GM),DM(Cardiology)

Manikonda Jagir

Apollo Clinic, Manikonda, Manikonda Jagir

850

850

No Booking Fees

Dr. Zulkarnain, General Physician

Dr. Zulkarnain

General Physician

2 Years • MBBS, PGDM, FFM

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

Dr. Tripti Deb, Cardiologist

Dr. Tripti Deb

Cardiologist

40 Years • MBBS, MD, DM, FACC, FESC

Hyderabad

Apollo Hospitals Jubilee Hills, Hyderabad

550

1000

No Booking Fees

Consult Top Cardiologists For More Information

Dr. Anand Ravi, General Physician

Dr. Anand Ravi

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

Dr. E Prabhakar Sastry, General Physician/ Internal Medicine Specialist

Dr. E Prabhakar Sastry

General Physician/ Internal Medicine Specialist

40 Years • MD(Internal Medicine)

Manikonda Jagir

Apollo Clinic, Manikonda, Manikonda Jagir

recommendation

89%

(125+ Patients)

1000

1000

No Booking Fees

Dr. Janjirala Seshivardhan, Cardiologist

Dr. Janjirala Seshivardhan

Cardiologist

7 Years • MBBS,DNB(GM),DM(Cardiology)

Manikonda Jagir

Apollo Clinic, Manikonda, Manikonda Jagir

850

850

No Booking Fees

Dr. Zulkarnain, General Physician

Dr. Zulkarnain

General Physician

2 Years • MBBS, PGDM, FFM

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

Dr. Tripti Deb, Cardiologist

Dr. Tripti Deb

Cardiologist

40 Years • MBBS, MD, DM, FACC, FESC

Hyderabad

Apollo Hospitals Jubilee Hills, Hyderabad

550

1000

No Booking Fees

Consult Top Cardiologists

Dr. Anand Ravi, General Physician

Dr. Anand Ravi

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

Dr. E Prabhakar Sastry, General Physician/ Internal Medicine Specialist

Dr. E Prabhakar Sastry

General Physician/ Internal Medicine Specialist

40 Years • MD(Internal Medicine)

Manikonda Jagir

Apollo Clinic, Manikonda, Manikonda Jagir

recommendation

89%

(125+ Patients)

1000

1000

No Booking Fees

Dr. Janjirala Seshivardhan, Cardiologist

Dr. Janjirala Seshivardhan

Cardiologist

7 Years • MBBS,DNB(GM),DM(Cardiology)

Manikonda Jagir

Apollo Clinic, Manikonda, Manikonda Jagir

850

850

No Booking Fees

Dr. Zulkarnain, General Physician

Dr. Zulkarnain

General Physician

2 Years • MBBS, PGDM, FFM

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

Dr. Tripti Deb, Cardiologist

Dr. Tripti Deb

Cardiologist

40 Years • MBBS, MD, DM, FACC, FESC

Hyderabad

Apollo Hospitals Jubilee Hills, Hyderabad

550

1000

No Booking Fees

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