The patient’s eardrum vibrates like a heartbeat and is considered to have pulsatile tinnitus. Pulsatile tinnitus is a particularly rhythmic tinnitus that is consistent with the pulsation of blood vessels in the patient’s head and neck, and can occur in patients with high jugular venous bulb and sigmoid diverticulum. In terms of treatment, patients should usually avoid strenuous activities, avoiding vascular pulsations that are particularly pronounced can effectively reduce the symptoms of fluctuating tinnitus, while patients should actively change their mindset and not be overly concerned. If the patient’s normal work and life are affected by tinnitus, surgery can be considered to solve the problem, but surgery has risks and patients need to consider it carefully. It is recommended that patients can wear headphones to listen to soft music and birds chirping, which can effectively relieve patients’ mood and reduce the symptoms of tinnitus discomfort, and try to adapt to the existence of such symptoms.