Abnormal Heart Rhythms (Arrhythmias)

Understanding types of arrhythmias

The word arrhythmia comes from the Greek (meaning “without rhythm”) and refers to an irregular heartbeat. If you have an arrhythmia your heart may beat too quickly (what’s known as tachycardia) or too slowly (a condition known as bradycardia), or your heart may simply beat erratically. All arrhythmias occur as a result of disruption of the electrical signals that tell the heart to beat at regular intervals of 60 to 100 beats per minute.

Possible causes and symptoms of arrhythmias

Arrhythmia may be caused by behavioral and lifestyle factors such as stress, drinking too much caffeine, or smoking, or by medical conditions such as high blood pressure, heart disease, or an electrolyte imbalance in the blood.

While some people experience no symptoms of arrhythmia, others may notice:

  • Heart palpitations or fluttering
  • Pounding in the chest
  • Dizziness
  • Light-headedness
  • Shortness of breath

While some types of arrhythmias are harmless, others such as ventricular fibrillation and atrial fibrillation can significantly affect the heart’s ability to pump blood, which then affects blood flow to vital organs.

Diagnosing cardiac arrhythmias

There are different tests to diagnose arrhythmia and a doctor may prescribe more than one depending on your condition and type of arrhythmia. Tests may include:

If you’re experiencing unusual sensations in your chest or have any concerns about potential arrhythmia, be sure to talk to your doctor.

To schedule an appointment with a Lankenau Heart Institute specialist, call 1.866.CALL.MLH (1.866.225.5654) or use our secure online appointment request form.

Treatments

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Ambulatory Cardiac Monitoring

If you have certain heart-related symptoms or a condition such as arrhythmia (abnormal heart beat), but a standard electrocardiogram (ECG/EKG) is unable to detect any abnormality, your doctor may recommend ambulatory cardiac monitoring.

Beta Blockers

These drugs reduce signs and symptoms of heart failure, improve heart function and help extend patients’ lives.

Cardiac Stress Test

While walking on a treadmill, your blood pressure, heart rate and breathing will be monitored to see how your heart responds to exercise “stress.”

Echocardiogram (Echo)

An echo is an imaging technique using sound waves to take pictures of your heart while it’s beating. It shows how chambers, valves and vessels move together.

Electrocardiograms

An electrocardiogram, commonly referred to as an ECG or EKG testing, is a test that records the electrical activity of your heart and can help screen for heart disease.

Echocardiogram (Echo)

An echo is an imaging technique using sound waves to take pictures of your heart while it’s beating. It shows how chambers, valves and vessels move together.

Left Atrial Appendage Closure (LAAC) Device

Left atrial appendage closure (LAAC) devices such as Watchman and LARIAT offer some patients with non-valvular atrial fibrillation an attractive alternative to anticoagulants like warfarin.

Tilt Table Testing

If you have had unexplained fainting, a tilt test is a painless test to see how your heart rate and blood pressure respond to movement, such as going from sitting to standing.

Genetics and Risk Assessment

Genetic evaluation is becoming an important part of personalized care, as many health conditions have a genetic basis and genetic test results can help to guide medical decisions. Our genetic counselors provide consultations related to cancer genetics, cardiovascular genetics and prenatal genetics.