The causes of very violent heart beat during sleep include arrhythmia, sleep apnea syndrome, cardiac neurosis, etc. The treatment includes medication, surgery and psychological treatment. 1. Arrhythmia: If the tachycardia is caused by various factors, at this time, you can give metoprolol, bisoprolol and other drugs to lower the heart rate treatment. 2. Sleep apnea syndrome: For the heart beating violently caused by sleep apnea syndrome, surgical treatment such as uvulopalatopharyngoplasty can be given at this time. 3. Cardiac neurosis: because of the mental factors that cause the patient’s heart to beat violently, at this time you can give music therapy and other methods of treatment. Finally, the phenomenon of the heart beating violently while sleeping, please go to the hospital in time for examination, drugs need to be used under the guidance of a physician.