Premature heart beats and fibrillation in the elderly may be related to coronary heart disease, cardiomyopathy, heart valve disease and other diseases. It is recommended that the patient go to the hospital in time and actively control the primary disease. Amiodarone, metoprolol and other drugs can be used selectively for treatment. If you need to use drugs, you need to use under the guidance of a doctor. Premature heart beats and fibrillation in the elderly may be due to coronary heart disease, cardiomyopathy, heart valve disease, hyperthyroidism and other diseases. It is recommended to treat the primary disease, patients can choose to use amiodarone, lidocaine, phenytoin sodium, propafenone, dofetilide, sotalol and other drugs according to the symptoms. Surgery is also feasible when necessary. All of these diseases may cause patients to experience symptoms such as premature heartbeats and fibrillation. If the symptoms of premature heartbeat and fibrillation are serious, they may induce heart failure, so the primary disease should be actively controlled. If the patient has symptoms such as dyspnea, limitation of physical activity and fluid retention, he/she should go to the hospital in time.