Sleeping with a fast heartbeat, can not sleep, this is how it is? First of all, we need to consider the following two situations: the first situation, if accompanied by distraction, anxiety, or stay up late, irregular work and rest, then this time there is a fast heartbeat, can not sleep, first of all need to consider neurosis or psychasthenia is more likely, you can orally regulate the nerves of the drug treatment, such as vitamin B1, these drugs are generally more effective. The second situation, some patients have rapid arrhythmia, or frequent premature beats, there may also be a rapid heartbeat, affecting sleep. Then this time you need to go to the regular hospital cardiovascular department for examination, it is best to do dynamic electrocardiogram, to see if there is no arrhythmia caused by rapid heartbeat, affecting the rest of the situation, according to the results of the targeted treatment.