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Everything About Heart Arrhythmias: Symptoms and Treatment at Hospital CMQ

Comprendiendo las Arritmias

Medically reviewed by Alex Pacheco Bouthillier, MD. CardiologyLast reviewed:

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About the author: Dr. Alex Pacheco Bouthillier is an outstanding national reference in the area of Cardiology, Electrophysiology, and Arrhythmias with more than 15 years of experience in the field of cardiology. Graduated as a Surgeon from the National Autonomous University of Mexico (UNAM). Later, Dr. Pacheco Bouthillier completed a specialization in Electrophysiology Cardiology, training that he completed in the renowned Hospital de Cardiología del Centro Médico Nacional Siglo XXI, endorsed by the UNAM.

Quick answer

An arrhythmia is an irregular heartbeat — too fast, too slow, or simply out of rhythm. Some are harmless and need no treatment, while others raise the risk of stroke or other complications. An EKG is usually the first step toward understanding which type you have and whether treatment is needed.

What Is an Arrhythmia?

Your heartbeat is controlled by electrical signals that coordinate each chamber's contraction. When those signals fire too quickly, too slowly, or from the wrong place, the heart beats out of its normal rhythm. Arrhythmias range from occasional, harmless skipped beats to conditions that meaningfully increase health risks if left untreated.

What Are the Common Types?

Atrial fibrillation (AFib): a rapid, irregular rhythm in the upper chambers of the heart, and one of the most common arrhythmias, especially with age.

Bradycardia: a heart rate that's slower than normal, which can cause fatigue or fainting if severe.

Tachycardia: a heart rate that's faster than normal even at rest.

Premature contractions: extra, early heartbeats that often feel like a skip or flutter and are frequently harmless.

What Are the Symptoms?

  • A fluttering or pounding sensation in the chest
  • A racing or unusually slow heartbeat
  • Dizziness or lightheadedness
  • Shortness of breath
  • Chest discomfort or fainting, in more serious cases

Some arrhythmias cause no symptoms at all and are found only during a routine exam or EKG.

How Are Arrhythmias Diagnosed?

An electrocardiogram (EKG) captures the heart's electrical activity and is the starting point for most evaluations. If the arrhythmia comes and goes, a portable heart monitor worn for a day or longer can catch episodes an in-office EKG might miss.

How Are Arrhythmias Treated?

  • Lifestyle adjustments — reducing caffeine, alcohol, or stress triggers
  • Medications to control heart rate or rhythm
  • Blood thinners, when the type of arrhythmia raises stroke risk
  • Cardiac ablation, a procedure that targets the specific tissue causing the abnormal rhythm
  • A pacemaker, for arrhythmias involving a heart rate that's too slow

Everything in One Place

From the first EKG to ongoing monitoring, medication management, or a procedure like ablation, Hospital CMQ's cardiology team follows arrhythmia care from diagnosis through treatment under one roof.

When Should I Seek Emergency Care?

Go to the emergency room if a racing or irregular heartbeat comes with chest pain, severe shortness of breath, fainting, or a sense that something is seriously wrong.

A racing, fluttering, or skipping heartbeat deserves an EKG. Ask our cardiology team for an evaluation.

References

  • American Heart Association — Arrhythmia
  • Mayo Clinic — Heart arrhythmias overview
  • National Heart, Lung, and Blood Institute (NIH) — Arrhythmia
Alex Pacheco Bouthillier

Alex Pacheco Bouthillier

Cardiologist, Electrophysiologist and Arrhythmologist

Dr. Alex Pacheco Bouthillier is an outstanding national reference in the area of Cardiology, Electrophysiology, and Arrhythmias with more than 15 years of experience in the field of cardiology. Graduated as a Surgeon from the National Autonomous University of Mexico (UNAM). Later, Dr. Pacheco Bouthillier completed a specialization in Electrophysiology Cardiology, training that he completed in the renowned Hospital de Cardiología del Centro Médico Nacional Siglo XXI, endorsed by the UNAM.

Throughout his career, Dr. Pacheco Bouthillier has developed a strong expertise in the diagnosis and treatment of arrhythmias, as well as in the implantation of pacemakers, electrophysiological studies, and catheterization and ablation procedures. Moreover, his commitment to research and medical progress is reflected in his scientific publications at the National Institutes of Health, consolidating his reputation as a reference in the field of Electrophysiology.

Dr. Alex Pacheco Bouthillier specializes in the management of a wide range of cardiac rhythm disorders, including complex arrhythmias, atrial fibrillation, and ventricular tachycardias. Additionally, he is an expert in the placement and management of pacemakers, the performance of advanced electrophysiological studies, and ablation procedures to correct cardiac arrhythmias.

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Frequently asked questions

Are all arrhythmias dangerous?

No. Many, like occasional premature beats, are harmless. Others, like atrial fibrillation, carry real risks and need monitoring or treatment — an EKG helps tell the difference.

Can stress cause arrhythmias?

Stress, caffeine, and lack of sleep can trigger or worsen certain arrhythmias in people who are prone to them, even without an underlying heart condition.

Do I need surgery to treat an arrhythmia?

Not usually. Many arrhythmias are managed successfully with medication or lifestyle changes; procedures like ablation are reserved for specific cases that don't respond to simpler treatment.

Can an arrhythmia go away on its own?

Some do, especially those triggered by a temporary cause like illness or dehydration, but persistent or recurrent symptoms should always be evaluated.

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