Strong heartbeat and vibration sensation may be physiological, but also can be seen in heart disease, systemic diseases, should first clarify the cause and then choose the appropriate treatment, such as medication, surgery and so on. 1. Physiological factors such as strenuous exercise, mental stress, drinking coffee and strong tea, etc., can cause a strong heartbeat, no special treatment, rest, after calming the mood can generally be relieved, can drink less stimulating beverages. 2. Strong heartbeat and vibration can also be caused by heart diseases such as tachyarrhythmia and congenital heart disease, which need to be examined by the cardiology department. Tachyarrhythmias can be treated with drugs such as amiodarone and metoprolol, or with electrophysiologic methods such as radiofrequency ablation. Congenital heart disease can be treated with conservative treatment or intervention or surgery according to the condition. 3. Systemic diseases such as hyperthyroidism and anemia can also cause increased heart rate. Hyperthyroidism can be treated with drugs such as methimazole, or iodine 131 treatment or surgery; anemia needs to be clarified first to determine the cause of the disease, such as iron deficiency can be treated with iron supplements such as ferrous succinate. In summary, the heartbeat strong vibration feeling can first try to rest to relieve, if the patient is old or recurring symptoms recommend that the hospital as soon as possible to consult a clear cause, and then choose the appropriate treatment.