Patient: I had an arrhythmia, fast heartbeat and panic after I had a cold, and my fever was low at that time. The heart chambers were normal in size, the valves were not thickened and could be opened and closed, and no abnormal blood flow was observed. The left ventricular systolic function was normal. The intracardiac blood flow and structure were not abnormal. The ECG was 76 beats per minute after closing, but it was always about 90 beats when I measured it myself. I am very worried when I have a premature beat and I think I am not well yet. I don’t know how I should receive treatment. Dr. Xu: 1, male, 22 years old, is a good age for viral myocarditis, after the flu appeared premature beats, blood tests suggest a viral infection, cardiac ultrasound suggests all normal, after excluding other organic heart disease, the diagnosis of viral myocarditis should be a reasonable presumption. 2, in fact, viral myocarditis is very common in the natural population, both many people live and do not feel anything, the natural diagnosis is less. Patients have certain mild symptoms and may be diagnosed with suspected myocarditis after careful examination. The problem is that a diagnosis of myocarditis does not explain insomnia and excessive worry, and whether there is a little anxiety should be worth taking into account in combination. 3, if you have myocarditis, in many cases there will be premature beats, and even leave premature sequelae, but generally will not affect the heart function, will not have an impact on your life and work, and affect you is your anxiety (worry, tension, excessive concern about their own situation), as long as the anxiety is relieved, your body all kinds of discomfort may also gradually get better! Patient: Thank you doctor, recently the heartbeat is normal, 80 beats per minute, but the heart is still occasionally uncomfortable, always feel the heart beating, sometimes it hurts, lying in bed will be more obvious, feeling particularly uncomfortable, the last check ultrasound, the heart is also normal, the day is cold, I do not know whether to go out more running exercise. Dr. Xu: 1, you can go to exercise, step by step 2, do not pay too much attention to physical changes, otherwise the more anxious the more restless, the more sensitive, the more concerned about physical changes, the more likely to be nervous, the faster the heartbeat, the more nervous, into a vicious circle. Patient: Thank you doctor, it is because it is a student’s family is not rich, I do not know whether to do a HOLTER test, I do not know what disease this test is to confirm the diagnosis? Recently, when I twist my body or stretch, my heart hurts a little, so I don’t know what kind of test should be done for this? Dr. Xu: 24-hour record of your heartbeat is normal, for the diagnosis of arrhythmia is very necessary, but a Holter test is 160 yuan, so a little expensive, whether to do it can first ask the doctor to assess, if the diagnosis has been clear, you can temporarily do not twist the body when the chest pain, most likely belongs to the neuralgia, generally does not matter, you can temporarily observe, not busy to go to If it persists, you can first fear chest X-ray to exclude lung conditions, anyway, it is not like heart disease caused by the patient: our hospital here to 240, said what 12 guide I do not understand, and then I said because it is a student no money, he said that first do not have to do, I now eat Chinese medicine, but some doctors say that Chinese medicine is too slow, let me infusion, I just want to ask if not do dynamic examination on the basis of Chinese medicine treatment I just want to ask if it’s not scientific to treat palpitations with herbal remedies without dynamic tests. And my classmate said that I should not change hospitals too often? If I really want to do dynamic, will it be inaccurate to find a cheaper hospital? Dr. Xu: 1. 12-conductor Holter may be helpful to determine the location of premature beats, but if you want to determine the number, nature, and characteristics of premature beats, so as to determine the severity and harmlessness of the beats and provide a basis for the next step of treatment, it is not necessary to do 12-conductor Holter, but generally 6-conductor Holter (we charge 160 RMB here) is enough. Many small hospitals can also check, as long as the doctor can diagnose the level, there is generally no inaccuracy! 2, in my opinion, also do not infusion, or Chinese medicine treatment, so that the money is also quite a lot! I think you may be a little anxious, with anxiety people are always worried, afraid, left and right, because anxious people are always perfectionists, everything must be perfect, for their own physical things are not afraid to take things lightly, but also to be perfect, so it will come to such a point today, feeling allergic, as much as tossing, and finally is tossing money In the end, it is a toss of money. 3, my opinion only to your reference, may not be correct, just said my intuition, because no face to face to see the doctor, is also to make some suggestions for your reference, or put forward some perspective, any disease development have biological – psychosocial factors involved! Patient: Thank you doctor, I am a little anxious, because I usually think about things is not easy to sleep, now more powerful, more difficult to sleep at night, plus now the disease is not cured, the burden of thought is very big, because the mother is not good health more afraid to tell the money to see a doctor is also nervous, I do not know what medicine to use to improve the problem of nerves? Dr. Xu: the fastest, cheapest and easiest way to solve the problem is to take oral betalactam (against sympathetic hyperexcitation) + alprazolam tablets (also known as Jiajing Valium, fast anti-anxiety drugs), you can ask your doctor to diagnose and prescribe, but long-term symptoms do not improve, alprazolam should not be used for a long time (preferably not more than 2-4 weeks), or rely on SSRI-type anti-anxiety drugs such as sertraline, paroxetine, etc. paroxetine, etc.