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Heart rhythm problems (arrhythmia)

Find out about the symptoms of heart rhythm problems and what causes them, and when you should see a GP.

About this information

This NHS content is written for people in England. Services, entitlements and contact routes may differ in other countries.

Symptoms of heart rhythm problems

There are different types of heart rhythm problem.

You may have a fast heartbeat (tachycardia), a slow heartbeat (bradycardia) or an irregular heartbeat where the rhythm changes.

This can make you feel:

  • like your heart is pounding, racing, fluttering or missing a beat (heart palpitations) – this may last for a few seconds up to a few minutes
  • short of breath
  • lightheaded, dizzy or like you might faint
  • tired
  • chest pain or discomfort

Having these symptoms does not necessarily mean you have a heart rhythm problem.

See a GP if:

  • you think you may have heart rhythm problems
  • you have heart palpitations that keep happening or are getting worse

Call 999 or go to A&E if:

You currently have heart palpitations with any of these symptoms:

  • chest pain
  • shortness of breath
  • feeling dizzy or lightheaded
  • fainting or feeling like you might faint
Find your nearest A&E Information:

If you've had these symptoms but they've now stopped, ask your GP surgery for an urgent appointment, call 111 or get help from 111 online .

A&E safety messaging

Do not drive to A&E. Ask someone to drive you or call 999 and ask for an ambulance.

Bring any medicines you take with you.

Treatment for heart rhythm problems

How a heart rhythm problem is treated depends on the type you have and what's causing it.

Many people may not need any treatment at all or will only need regular check-ups.

Possible treatments include:

  • medicine to control the rate and rhythm of your heartbeat, such as beta blockers
  • burning or freezing the section of heart that's causing your faulty heart rhythm (ablation)
  • using electrical signals to reset your heart rhythm (cardioversion)
  • having a small electronic device that helps monitor and correct your heart rhythm fitted under your skin (pacemaker)

You may also need treatment for any condition that's causing your heart rhythm problems.

Causes of heart rhythm problems

Heart rhythm problems happen when there's a fault with the electrical system that makes your heart beat.

This can be the result of a heart rhythm condition, such as atrial fibrillation or supraventricular tachycardia (SVT).

Sometimes other conditions can also cause heart rhythm problems, including:

You can also get an abnormal heartbeat from:

  • medicines
  • viruses
  • caffeine
  • alcohol, smoking or drugs

Heart rhythm problems (arrhythmia)

Symptoms

Heart rhythm problems (arrhythmia)

Causes

Heart rhythm problems (arrhythmia)

Medical treatments

Signs of heart rhythm problems are a fast, slow or irregular heartbeat, a racing or fluttering heart, feeling breathless, dizzy or having chest pain.

Heart rhythm problems can happen by themselves but are often caused by conditions like high blood pressure, heart disease or after a heart attack.

Treatment for heart rhythm problems is not always needed but can include medicine or having a device fitted to monitor and correct your heartbeat.

Content supplied by the NHS website

Content supplied by the NHS website, refreshed 19 August 2026. View the original NHS article ↗

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