A strong heartbeat with vibration may be caused by physiological factors, congenital heart disease, severe heart valve disease, hyperthyroidism and so on. 1. Physiological factors: after exercise, normal people will experience a significant increase in heart rate, at this time there will be a strong heartbeat with a sense of vibration, the symptoms can be improved after rest. 2. Congenital heart disease: for example, congenital ventricular septal defect, arterial ductus arteriosus, etc., there can be a heart murmur, murmur can be accompanied by vibration, the need for surgical repair of the defective parts. 3. Heart valve disease: a strong heartbeat with a sense of vibration can also be seen in severe heart valve disease, such as aortic stenosis, mitral stenosis, etc., there can also be heartbeat enhancement with a sense of vibration. 4. Hyperthyroidism: patients with hyperthyroidism will have an increase in thyroid hormones, at this time the patient will also have symptoms of tachycardia, resulting in a strong heartbeat with a sense of vibration. The heartbeat enhancement with vibration sensation, there may be organic diseases, we should go to the hospital in time, under the guidance of the doctor can be treated.