If the patient recently often panic, the following points should be considered: first, to see whether the patient has a cardiac disease, such as coronary heart disease unstable angina, or acute myocarditis, pericarditis, at this time, will cause various factors lead to arrhythmia, or even serious heart failure, will often appear panic, palpitations, precordial discomfort clinical symptoms. Second, if the patient has endocrine metabolic diseases, in the hyperthyroidism, hyperparathyroidism, hyperadrenocorticism, there will also be panic, palpitations. Third, if the patient has a clear history of diabetes mellitus, poor glycemic control or hypoglycemic reaction in the recent past, he or she may also have panic attacks, palpitations, chest tightness and shortness of breath. Fourthly, if the patient has frequent panic attacks in the recent past, the fluctuation of blood pressure and blood pressure instability should also be taken into consideration, for example, if the patient has obvious hypertension, which can also lead to the appearance of panic attacks.