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“Arrhythmia” simply means an abnormal heart rhythm, and there are many kinds — some harmless, some that need attention. This guide explains the common ones in plain language so you understand what your heart (or a home EKG) might be telling you.
This is general information, not a diagnosis. Any abnormal recording or worrying symptom should be reviewed by a doctor, and chest pain, fainting, or severe shortness of breath means calling 911.

What is an arrhythmia?

An arrhythmia is any rhythm that’s too fast, too slow, or irregular. A single-lead home EKG records your heart’s rate and rhythm and can flag some of these patterns, but a clinician interprets and diagnoses them. Start with our home EKG overview.

Atrial fibrillation (AFib)

AFib is a chaotic, irregular rhythm from the upper chambers. It often feels like an irregular flutter, fatigue, or breathlessness, and it raises stroke risk — which is why it’s the arrhythmia most worth catching. See atrial fibrillation and AFib and stroke risk.

Atrial flutter

Atrial flutter is a cousin of AFib but usually more organized and regular. Symptoms overlap, and like AFib it can raise stroke risk, so it also needs a doctor’s evaluation.

SVT (supraventricular tachycardia)

SVT is a sudden burst of fast heartbeat — often 150–250 beats per minute — that can start and stop abruptly. It typically feels like a racing or pounding heart and is usually not dangerous, but episodes should be evaluated. Recording one on a personal EKG helps your doctor see it.

PVCs (premature ventricular contractions)

PVCs are extra, early beats that can feel like a skip or thud followed by a stronger beat. Occasional PVCs are extremely common and usually benign, but frequent ones, or PVCs with other symptoms, are worth checking. See heart palpitations.

Bradycardia and tachycardia

Bradycardia is a slow heart rate (often under 60 bpm) and tachycardia is a fast one (over 100 bpm at rest). Either can be normal in context — athletes often run slow, exertion runs fast — or can signal a problem, depending on symptoms. Our normal heart rate and rhythm page explains the ranges.

How a home EKG helps

Because many arrhythmias come and go, the hard part is capturing one. A personal device like the SonoHealth EKGraph lets you record a trace during symptoms and share it with your doctor, turning a fleeting “off” feeling into useful data.
Related: Atrial Fibrillation Explained · Heart Palpitations · Normal Heart Rate and Rhythm · When to See a Doctor About Your Heart