If patients feel twitching symptoms in the heart, there are usually several factors as follows: First, cardiac phytonadic dysfunction, also called cardiac neurosis, the heart will have twitching symptoms when the sympathetic nerves are overexcited, which is common in mental tension, anxiety and anger. Secondly, if the patient consumes excessive coffee, strong tea, or alcohol, the heart will also twitch. Then, for organic lesions of the heart, there will also be twitching in the precordial region, such as coronary atherosclerotic heart disease, unstable angina, arrhythmia, myocarditis, pericarditis, endocardial disease or hypertrophic obstructive cardiomyopathy, there will be heart twitching. Finally, patients with endocrine metabolic diseases, such as hyperthyroidism, may also have heart tamponade.