Elderly people have more underlying diseases and are more individualized and should take medications on a case-by-case basis. Older adults with ventricular or atrial premature heartbeats do not need medication. Patients with organic heart disease, frequent ventricular premature contractions or malignant ventricular premature contractions all require prompt management with beta-blockers or antiarrhythmic drugs. Since the overall function of elderly patients decreases, resulting in poorer sinus node function, reduced heart rate response and susceptibility to cardiovascular events, elderly patients should choose effective and safe drugs to control their symptoms. β-blockers are commonly used in Western medicine, and heart stabilizing granules are commonly used in Chinese medicine.