Symptoms of arrhythmia with atrial fibrillation include palpitations, chest pain, dizziness, etc. Some patients may not have any manifestations. 1. Arrhythmia with atrial fibrillation can lead to palpitations, especially when the arrhythmia is accompanied by rapid atrial fibrillation. 2. Arrhythmia with atrial fibrillation can also lead to chest pain, mostly seen in patients with coronary artery disease, atrial fibrillation will lead to an increase in myocardial oxygen consumption and a decrease in the heart’s ejection volume, and myocardial ischemia can be manifested as chest pain. 3. Arrhythmia accompanied by rapid atrial fibrillation may also cause dizziness. Rapid atrial fibrillation may lead to decreased ejection volume, decreased blood pressure, and dizziness due to insufficient cerebral perfusion. 4. A small number of patients may not have any clinical manifestations, but only electrocardiographic abnormalities. Patients with arrhythmia accompanied by atrial fibrillation need timely treatment under the guidance of a doctor, and should not be neglected. Common treatments include oral metoprolol, rivaroxaban, and other medications, and radiofrequency ablation therapy can be performed if necessary.