While some arrhythmias could be harmless, arrhythmias could turn serious if they affect the pumping action of the heart. To understand arrhythmia better, you need to understand how the heart works.
Electrical signals originate in a group of specialized cells called pacemaker node, located in the upper right chamber of the heart (right atrium). In a resting healthy heart, pacemaker node generates 60-100 electrical impulses in a minute. These impulses are conducted via a special conducting system to the right and left atria (upper chambers) which contract to pump blood into the right and left ventricles, respectively (lower heart chambers).
The electrical signal then reaches across and down the length of the heart and ventricles through specialized conducting pathways to ultimately activate the left and right ventricles. The right and left ventricles contract to push out blood to lungs and rest of the body, respectively. After this contraction, the ventricles relax, and a fresh impulse is generated at the pacemaker node.