Lying down and can not sleep heartbeat is very obvious thumping if the physiological factors caused by no special treatment, to rest mainly; if the pathological factors caused by the need for physicians under the guidance of the cause of the treatment. 1. Physiological factors: generally normal people after a lot of exercise, drinking strong tea and coffee, etc., can affect the sleep, resulting in panic discomfort, this time you need to rest, appropriate water to accelerate the metabolism of strong tea and coffee, can be relieved. 2. Pathological factors: Pathological factors that cause panic attacks during sleep include arrhythmia, hyperthyroidism, and acute myocardial infarction. If it is caused by pathological factors, it is necessary to identify the cause and treat the primary cause with medication under the guidance of a doctor. If you have persistent panic attacks, it is recommended that you consult a doctor in a timely manner to complete the relevant examinations, identify the cause of the problem, and seek early treatment to avoid delays in your condition.