Heavy and strong heartbeat and obvious chest vibration should be treated according to the specific cause. If it is caused by physiological factors such as strenuous exercise, it can be relieved by rest; if it is caused by arrhythmia and other diseases, it can be treated with medication such as metoprolol, and catheter ablation can be performed if necessary. 1. Physiological factors: such as strenuous exercise, mental stimulation or anxiety, heavy smoking, alcoholism, drinking strong tea or coffee. Generally, it can be gradually relieved through proper rest, maintaining good mood and improving bad habits. 2. Disease factors: such as arrhythmia, aortic valve insufficiency, hyperthyroidism, autonomic dysfunction and other diseases. Treatment should be based on specific causes, such as: (1) Arrhythmia: antiarrhythmic drugs such as metoprolol should be used as prescribed by the doctor, and catheter ablation should be performed if necessary, in addition, the underlying disease should be actively controlled. The medication should pay attention to side effects such as slow heart rate and dizziness. (2) Hyperthyroidism: drugs such as propylthiouracil and propranolol can be used to control the level of thyroid hormones and relieve the above symptoms. Pay attention to side effects such as drug fever, nausea, vomiting and slow heart rate. (3) Autonomic dysfunction: Psychotherapy is the mainstay, and if necessary, medications such as metoprolol should be used to alleviate the symptoms as prescribed by the doctor. When there is a heavy and powerful heartbeat, chest vibration obvious situation, exclude physiological factors, should promptly consult a doctor, with the help of the doctor to improve the relevant examination, to clarify the specific causes of the disease and targeted treatment.