Strong heartbeat vibration is clinically known as heart beat enhancement, and the possible causes include physiological reasons, ventricular hypertrophy, systemic diseases, and certain arrhythmias. 1. Physiological factors: Normal people can experience increased heartbeat after strenuous exercise, drinking alcohol or strong tea, and the heartbeat usually recovers on its own after stopping the triggers and does not require special treatment. 2. Ventricular hypertrophy: long-term hypertension, aortic valve insufficiency, ventricular septal defect and other diseases will cause increased heart load, compensatory hypertrophy of the myocardium leads to ventricular hypertrophy, patients can consciously heart beat enhancement. 3. Systemic diseases: some systemic diseases can cause accelerated blood circulation throughout the body, thus increasing the work done by the heart, increasing the contractility of the heart and the feeling of increased beat, such as hyperthyroidism, anemia, fever during infection, adrenal pheochromocytoma and so on. 4. Certain cardiac arrhythmia: various bradycardia can prolong the diastolic period of the heart, the heart back to the heart to increase the amount of blood, which in turn causes myocardial contraction of compensatory enhancement of the feeling of beat enhancement. If long-term heart beat enhancement is not relieved, it is recommended that the patient go to the hospital as soon as possible to find out the cause of the heart beat enhancement in time and be treated accordingly.