Most of the heart shivering is due to arrhythmia, and arrhythmia can be seen in the physiological state, pathological state, infectious diseases, other systemic diseases, etc., specific as follows: 1, physiological state: commonly seen in strenuous exercise, late at night, emotional excitement, drinking strong tea, coffee, alcohol and other beverages, after avoiding the relevant triggers, the patient’s symptoms can be improved, and if necessary, you can use a short-acting β-blocker, such as metoprolol tablets, symptomatic management. If necessary, short-acting β-blockers, such as metoprolol tablets, can be used for symptomatic treatment; 2. Pathological arrhythmia: it can be seen in various types of organic heart disease, which can present tachyarrhythmia as well as bradyarrhythmia; 3. Infectious diseases: tachycardia can also produce shivering of the heart; 4. Other systemic diseases: for diseases of systems other than circulatory system, including chronic obstructive pulmonary disease, biliary tract infections, pancreatitis, acute cerebrovascular disease, gestational hypertension syndrome, etc., the patient may have to avoid the relevant triggers. Other systemic diseases: for other systemic diseases than circulatory system, including chronic obstructive pulmonary disease, biliary tract infection, pancreatitis, acute cerebrovascular disease, hypertensive syndrome of pregnancy, etc., which can also cause heartbeat abnormality and shivering of the heart, electrolyte disorders, acid-base imbalance, physicochemical factors, and intoxication can also cause arrhythmia, and the phenomenon of shivering heart.