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Missed heart beats can be due to different things. Some of the most common missed heart beats causes include the following: 1  Premature atrial contractions (PAC). 2  Premature ventricular contractions (PVC). 3  Alcohol intake. 4  Change in sleep pattern. 5  Exercise. 6  Taking large meals.
If the tests find that you do have mild bradycardia and you donât have symptoms, your doctor will keep an eye on your condition, but you may not need treatment. What Causes Bradycardia. Your heart has a built-in pacemaker called the sinoatrial (SA) node that tells your heart how quickly to beat. As you age, the sinoatrial node can slow down, and that slows down your heart beat rate. Another cause of bradycardia is when the atrioventricular (AV) node stops working well and leads to a slower heart rate, Moss says.