If the patient has obvious palpitations accompanied by sleeplessness, the following factors should be taken into account: 1. The most common are cardiogenic factors, in the case of coronary atherosclerotic heart disease, unstable angina, myocarditis, or pericarditis, hypertrophic obstructive cardiomyopathy, the patient will have palpitations. Palpitations may also occur when arrhythmias are frequent and ventricular premature, accompanied by sleeplessness.2. Palpitations may occur when patients have endocrine disorders, such as hyperthyroidism, accompanied by sleeplessness.3. Palpitations may occur when patients have fever, such as inflammatory infections, with increased body temperature.4. 4. If the patient has a blood system disorder, it may also lead to palpitations and other conditions.