Being able to hear your own heartbeat is usually caused mainly by strenuous exercise or emotional excitement, but it can also be due to arrhythmia, hyperthyroidism or neurosis. Normal people in a quiet state usually can not hear their own heartbeat. When they can hear their own heartbeat, usually in some special physiological state, such as strenuous exercise, emotional excitement, nervousness and anxiety, etc., in the case of drinking strong tea, coffee and a large number of alcohol may also occasionally hear the heartbeat, but generally shorter duration. In addition, it is also possible to hear your heartbeat in some pathological states, such as arrhythmia, hyperthyroidism, menopausal syndrome or neurosis.