The heart thumping at night may be caused by psychological factors, arrhythmia and other factors. 1. Psychological factors: excessive life stress, mental overstress, anxiety, depression, repressed emotions, there will be a night to sleep and hear the heart thumping, if there is no other uncomfortable symptoms, usually do not need special treatment. It is recommended that patients relax and regulate their emotions. 2. Arrhythmia: Tachyarrhythmia can cause the symptoms of heart thumping. Arrhythmia may be related to hyperthyroidism, electrolyte disorders, coronary artery disease, hypertensive heart disease, cardiomyopathy, and congenital heart disease, etc. Sometimes it is accompanied by symptoms of chest tightness, chest pain, and so on, so it is recommended to go to the hospital to improve the electrocardiogram, and the best way is to do a 24-hour ambulatory electrocardiogram examination. It is recommended that patients go to the Department of Cardiology in regular hospitals to improve the 24-hour dynamic electrocardiogram, cardiac ultrasound and other tests to make a clear diagnosis, and actively treat the disease, so as to avoid delaying the condition.