A strong heartbeat, medically known as palpitations (rapid heartbeat, often accompanied by panic), may be physiological factors, but also may be hyperthyroidism, anemia, arrhythmia and other diseases caused by different causes, different treatment options. 1. Physiological factors: (1) If it is caused by insomnia, regular rest and relaxation and appropriate exercise. (2) If it is caused by emotional tension, you should avoid excessive emotional tension, keep a happy and calm mood, and avoid drinking a lot of tea, coffee and other substances. 2. Pathologic factors: (1) If it is hyperthyroidism, medication can be used, such as metronidazole, surgical treatment and iodine 131. (2) In case of anemia, the cause of anemia should be clarified and the primary disease should be further treated. (3) If it is arrhythmia, 24-hour electrocardiogram, cardiac ultrasound, etc. are needed to clarify the cause and type of arrhythmia, and medication, radiofrequency ablation and other means of treatment can be considered. If palpitations (rapid heartbeat, often accompanied by panic) are obvious, it is necessary to consult a doctor in time and follow the doctor’s instructions.