Irregular heart rate includes sinus arrhythmia, premature beats, atrial fibrillation, etc. When there is no obvious discomfort, you only need to observe and adjust your lifestyle, and if you have symptoms, you need to follow the doctor’s instructions to take medication or other treatments. 1. Sinus arrhythmia can be seen in normal people, generally asymptomatic without treatment, and most of them can be relieved by adopting good living habits. 2. Premature beats are categorized into atrial and ventricular premature beats. (1) Atrial premature beats usually do not need treatment, when there are obvious symptoms or trigger supraventricular tachycardia need to be treated with medication, commonly used propafenone, diltiazem, verapamil, bisoprolol and so on. (2) ventricular premature beats without organic heart disease, asymptomatic without treatment, symptomatic with drugs (the same as the above drugs), with organic heart disease treatment of primary disease, such as myocardial infarction with ventricular premature beats preferred reperfusion therapy rather than antiarrhythmic. 3. The treatment of atrial fibrillation includes anticoagulation, control of ventricular rate, and restoration of rhythm. Anticoagulation can be oral warfarin, rivaroxaban and other drugs; control of ventricular rate can choose bisoprolol, metoprolol, digitalis and other drugs; restoration of rhythm, including drug restoration, electrical restoration and radiofrequency ablation, drug restoration is ineffective or hemodynamic changes in the choice of electrical restoration, the eradication of prevention of recurrence can choose radiofrequency ablation. Irregular heart rate need to hospitalization, clear cause, please doctor guidance treatment and medication.