Heart rate more than 90 on the panic, non-pathological reasons can be relieved through rest, avoid drinking strong tea, coffee, etc.; pathological reasons need to be based on specific causes under the guidance of a physician to use medication. 1. Non-pathological causes: the normal quiet heart rate of 60~100 beats / min, some healthy people, ordinary basic heart rate is low, such as 60 beats / min, when there is a late night, overwork, mental stress, drinking strong tea or coffee, etc., there will be a heart rate increase, can exceed 90 beats / min, that is, there will be panic discomfort, at this time you need to take a rest, avoid drinking strong tea or coffee, etc., can be relieved by themselves. 2. Pathological causes: when there are coronary heart disease, arrhythmia, hyperthyroidism and other diseases, can make the heart rate more than 90 beats / min caused by panic symptoms, this time the need to treat the underlying disease to improve the symptoms of panic. Under the guidance of a physician, heart rate-lowering drugs such as metoprolol can be used; for coronary artery disease, antiplatelet drugs such as aspirin, clopidogrel, etc., lipid-lowering drugs such as pitavastatin, atorvastatin, etc., or interventional therapy if necessary; such as arrhythmia can be used to fight arrhythmia drugs such as amiodarone, etc.; hyperthyroidism requires the use of antithyroid medication, such as methimazole, propylthiocytosine, etc., or surgical treatment such as subtotal thyroidectomy. Hyperthyroidism requires the use of antithyroid drugs such as methimazole, propylthiouracil or surgical treatment such as subtotal thyroidectomy. When the patient has an elevated heart rate and panic symptoms, it is recommended to consult a doctor in a timely manner, complete the relevant examinations under the guidance of a professional physician to determine the cause of the disease and treat the symptoms to avoid adverse consequences.