Myocardial ischemia and fast heartbeat can be treated with medication or surgery depending on the cause. 1. Drug therapy: If myocardial ischemia and fast heartbeat are caused by coronary atherosclerosis, drugs to improve myocardial blood supply, such as isosorbide mononitrate tablets, diltiazem hydrochloride, and drugs to slow down the heart rate, such as metoprolol tartrate and atenolol, will be given to improve the blood supply to the myocardium. And if the fast heartbeat is caused by other diseases, combined treatment is needed. 2. Surgery: Myocardial ischemia is caused by myocardial infarction, which needs to be treated with coronary stent or coronary artery bypass graft according to the patient’s condition. If the fast heartbeat is caused by arrhythmia such as tachycardia, radiofrequency ablation can be performed. Myocardial ischemia fast heartbeat, must stop the activity to take the semi-recumbent position, especially at the same time accompanied by obvious pain in the anterior region of the heart of the crowd, it is recommended to call 120, timely medical care, do not unauthorized use of medication, to clarify the cause of the cause, according to the patient’s specific situation targeted to give treatment.