Arrhythmias may not cause any signs or symptoms. In fact, your doctor might find you have an arrhythmia before you do, during a routine examination. Noticeable signs and symptoms don't necessarily mean you have a serious problem, however.
Noticeable arrhythmia symptoms may include:
- A fluttering in your chest
- A racing heartbeat (tachycardia)
- A slow heartbeat (bradycardia)
- Chest pain
- Shortness of breath
- Lightheadedness or dizziness
- Fainting (syncope) or near fainting
Many things can lead to, or cause, an arrhythmia, including:
- A heart attack that's occurring right now
- Scarring of heart tissue from a prior heart attack
- Changes to your heart's structure, such as from cardiomyopathy
- Blocked arteries in your heart (coronary artery disease)
- High blood pressure
- Overactive thyroid gland (hyperthyroidism)
- Underactive thyroid gland (hypothyroidism)
- Drinking too much alcohol or caffeine
- Drug abuse
- Certain medications and supplements, including over-the-counter cold and allergy drugs and nutritional supplements
- Sleep apnea
Certain factors may increase your risk of developing an arrhythmia. These include:
- Coronary artery disease, other heart problems and previous heart surgery. Narrowed heart arteries, a heart attack, abnormal heart valves, prior heart surgery, heart failure, cardiomyopathy and other heart damage are risk factors for almost any kind of arrhythmia.
- High blood pressure. This increases your risk of developing coronary artery disease. It may also cause the walls of your left ventricle to become stiff and thick, which can change how electrical impulses travel through your heart.
- Congenital heart disease. Being born with a heart abnormality may affect your heart's rhythm.
- Thyroid problems. Having an overactive or underactive thyroid gland can raise your risk of arrhythmias.
- Drugs and supplements. Certain over-the-counter cough and cold medicines and certain prescription drugs may contribute to arrhythmia development.
- Diabetes. Your risk of developing coronary artery disease and high blood pressure greatly increases with uncontrolled diabetes.
- Obstructive sleep apnea. This disorder, in which your breathing is interrupted during sleep, can increase your risk of bradycardia, atrial fibrillation and other arrhythmias.
- Electrolyte imbalance. Substances in your blood called electrolytes — such as potassium, sodium, calcium and magnesium — help trigger and conduct the electrical impulses in your heart. Electrolyte levels that are too high or too low can affect your heart's electrical impulses and contribute to arrhythmia development.
- Drinking too much alcohol. Drinking too much alcohol can affect the electrical impulses in your heart and can increase the chance of developing atrial fibrillation.
- Caffeine or nicotine use. Caffeine, nicotine and other stimulants can cause your heart to beat faster and may contribute to the development of more-serious arrhythmias. Illegal drugs, such as amphetamines and cocaine, may profoundly affect the heart and lead to many types of arrhythmias or to sudden death due to ventricular fibrillation.
Certain arrhythmias may increase your risk of developing conditions such as:
Stroke. When your heart quivers, it's unable to pump blood effectively, which can cause blood to pool. This can cause blood clots to form. If a clot breaks loose, it can travel from your heart to your brain. There it might block blood flow, causing a stroke.
Certain medications, such as blood thinners, can greatly lower your risk of stroke or damage to other organs caused by blood clots. Your doctor will determine if a blood-thinning medication is appropriate for you, depending on your type of arrhythmia and your risk of blood clots.
- Heart failure. Heart failure can result if your heart is pumping ineffectively for a prolonged period due to a bradycardia or tachycardia, such as atrial fibrillation. Sometimes controlling the rate of an arrhythmia that's causing heart failure can improve your heart's function.
Aug. 04, 2017
- Marx JA, et al., eds. Dysrhythmias. In: Rosen's Emergency Medicine: Concepts and Clinical Practice. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2014. http://www.clinicalkey.com.
- What is an arrhythmia? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/arr. Accessed Oct. 21, 2015.
- About arrhythmia. American Heart Association. http://www.heart.org/HEARTORG/Conditions/Arrhythmia/AboutArrhythmia/About-Arrhythmia_UCM_002010_Article.jsp. Accessed Oct. 25, 2015.
- Neumar RW, et al. Part 1: Executive summary 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2015;132(suppl):S315.
- Overview of arrhythmias. Merck Manual Professional Version. http://www.merckmanuals.com/professional/cardiovascular-disorders/arrhythmias-and-conduction-disorders/overview-of-arrhythmias?qt=arrhythmias&alt=sh. Accessed Oct. 25, 2015.
- Zipes DP, et al. Assessment of the patient with a cardiac arrhythmia. In: Cardiac Electrophysiology: From Cell to Bedside. 6th ed. Philadelphia, Pa.: Saunders Elsevier; 2014. http://www.clinicalkey.com. Accessed Oct. 25, 2015.
- Bonow RO, et al. Specific arrhythmias: Diagnosis and treatment. In: Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2015.
- Pederson CT, et al. EHRA/HRS/APHRS expert consensus on ventricular arrhythmias. Heart Rhythm. 2014;11:e166.
- Heart diseases and disorders. Heart Rhythm Society. http://www.hrsonline.org/Patient-Resources/Heart-Diseases-Disorders#a. Oct. 28, 2015.
- Levy S, et al. Arrhythmia management for the primary care clinician. http://www.uptodate.com/home. Accessed Oct. 25, 2015.
- Riggin ER. Allscripts EPSi. Mayo Clinic, Rochester, Minn. Oct. 5, 2015.
- Brenyo A, et al. Review of complementary and alternative medicine medical treatment of arrhythmias. The American Journal of Cardiology. 2014;113:897.
- Alcohol and heart health. American Heart Association. http://www.heart.org/HEARTORG/GettingHealthy/NutritionCenter/HealthyEating/Alcohol-and-Heart-Health_UCM_305173_Article.jsp#.VjEP0rerTIU. Accessed Oct. 28, 2015.
- Mankad R (expert opinion). Mayo Clinic, Rochester, Minn. Nov. 16, 2015.