Elderly people who have panic attacks in the evening for non-pathological reasons can take rest and do not need special treatment; if it is a pathological cause, it needs to be handled under the guidance of a physician according to the specific cause of the disease, such as taking metoprolol, clopidogrel and other medications as prescribed by a doctor. 1. Non-pathological factors: generally no underlying diseases of the elderly after exertion, drinking strong tea, can cause panic in the evening, generally need to rest, appropriate water can be self-recovery, without special treatment. 2. Pathological factors: the diseases that cause panic attacks in the evening in the elderly include arrhythmia, coronary heart disease, hyperthyroidism and so on. Arrhythmia can take anti-arrhythmic drugs such as amiodarone, metoprolol, etc.; coronary heart disease treatment requires taking anti-platelet drugs such as aspirin, clopidogrel, etc., and lipid-lowering drugs such as resuvastatin and pitavastatin. 3. Pathological factors causing panic in the elderly hyperthyroidism need to take anti-thyroid drugs such as methimazole, propylthiouracil. There are many other causes of panic in the evening in the elderly, if there is panic discomfort, it is recommended to consult a doctor in a timely manner, under the guidance of a physician to clarify the cause of the disease, standardized treatment, do not take medication without authorization, to avoid adverse reactions.