High pulse rate is also known as fast heart rate, physiological causes should pay attention to the control of triggers, pathologic diseases to clarify the cause of the disease, given to slow down the heart rate of drug therapy, such as metoprolol, propafenone and other drugs. Fast heart rate should first clarify the severity and cause of the disease, physiological causes of fast heart rate is mostly sinus tachycardia, such as excessive tension and anxiety, pay attention to alleviate the mood, get rid of the cause of the disease, do not need special treatment. If the symptoms are obvious, an electrocardiogram should be performed to clarify the specific type. If the symptoms are acute atrial fibrillation, propafenone can be given intravenously to change the rhythm, and patients with persistent atrial fibrillation can take metoprolol orally to control the ventricular rate. Patients with paroxysmal supraventricular tachycardia can be treated with propafenone, amiodarone, and other drugs for intravenous cardioversion. Clinical patients with fast heart rate, in the symptomatic treatment at the same time, but also to find the cause of the disease, such as hyperthyroidism anemia can also lead to fast heart rate, to give the anti-thyroid, correct anemia and other treatments, the specific treatment plan to follow the doctor’s instructions.