The main reason for accelerated heartbeat and panic when excited is that under the condition of excitement, human sympathetic nerves are activated, sympathetic nerves are overexcited, and the release of catecholamines from nerve endings increases, which clinically manifests as accelerated heartbeat and panic, especially for those with severe symptoms of panic such as original heart disease, hypertension and chronic lung disease, often accompanied by chest tightness, chest pain, shortness of breath, cough and weakness. Patients are advised to go to the hospital for examination and treatment in a timely manner, actively treat the primary disease, and assist in symptomatic treatment. As long as there are no contraindications, severe hypotension and bradycardia, the use of beta-blockers, metoprolol, bisoprolol or atenolol, etc., can effectively relieve the symptoms of rapid heartbeat and panic when excited, and the prognosis is still good.