The heart is always thumping, also known as palpitations (rapid heartbeat, often accompanied by panic), may be caused by tension, anxiety and other physiological factors, usually do not need to take medication. It may also be caused by atrial fibrillation, hyperthyroidism, sinus tachycardia, etc., which can be treated with appropriate medications according to the cause. 1. Physiological factors: prolonged mental tension, emotional excitement, anxiety, may make the patient feel palpitations. For palpitations caused by this reason, usually no special treatment is needed, and they will be relieved by themselves when the emotion is relieved and the pressure is improved. If the above methods are ineffective, it may be due to other pathological factors, and it is recommended to consult a doctor in time. 2. Atrial Fibrillation: Patients with atrial fibrillation will have atrial fibrillation, and the patients will have the feeling of palpitation. Drugs such as propranolol and amiodarone can be taken to control the patient’s ventricular rate and restore sinus rhythm to reduce the symptoms of palpitations. 3. Hyperthyroidism: patients with hyperthyroidism have increased secretion of thyroid hormone, enhanced metabolism of various organs, increased contractility of heart muscle and increased heart rate, causing symptoms of palpitations. Antithyroid drugs such as methimazole and propylthiouracil can be taken to reduce the synthesis and secretion of thyroid hormones, thus controlling the symptoms of palpitations caused by excessive thyroid hormones. 4. Sinus tachycardia: Sinus tachycardia can cause palpitations due to rapid heart rate, which can be treated with propranolol or ivabradine to slow down the heart rate and improve the symptoms of palpitations. Patients with palpitations should go to the hospital in time, improve the examination, and give targeted treatment after clarifying the cause of the disease.