Physiological causes of heart beats do not need to be treated, while pathologic causes are treated with oral antiarrhythmic drugs. It is important to determine whether the cause is physiologic or pathologic. Drinking alcohol, coffee, strenuous exercise, emotional stress, poor rest, feel the heart beating obviously belongs to physiological causes, more rest, mood to restore calm heart beating symptoms will be restored, do not need to treat. Pathologic causes are mainly due to various arrhythmias, which can be clarified by 24-small dynamic electrocardiogram (ECG). Atrial premature beats, ventricular premature beats, atrial fibrillation, atrial flutter, supraventricular tachycardia and so on. Antiarrhythmic drugs such as metoprolol succinate, propafenone hydrochloride and amiodarone can be given. After feeling your heart beating significantly and ruling out physiological causes, it is important to seek medical attention and take anti-arrhythmic treatment under the guidance of your doctor.