If the patient feels that his heart is thumping, it is likely that he is experiencing premature beats, either atrial or ventricular, and it is necessary to identify whether there is a real premature beat and what type of beat it is. There are also patients who may not have any abnormalities at all, such as neurological disorders, for example, people with neurasthenia, who sometimes have premature beats, panic attacks and palpitations, but there is no real problem. In addition, if a patient’s heart is thumping, it is important to find out the reason behind it, for example, if it is indeed premature beats, it is important to further clarify what causes it, so as to better prevent the reappearance of premature beats. In some cases, if premature beats are particularly frequent, it is important to consider whether there is any abnormality in thyroid function, any narrowing of the coronary vessels, or any special medication.