Occasional thumping of the heart is considered to be palpitations (rapid heartbeat, often accompanied by panic), which may be seen in physiologic, arrhythmia, heart failure, neurosis, menopause and other diseases. 1. Psychological: The symptoms of occasional thumping of the heart can occur during strenuous exercise or mental overstress, after drinking alcohol, strong tea or coffee, or after using certain medications, such as epinephrine, thyroid tablets. 2. Arrhythmia: Tachycardia, bradycardia, atrial flutter, atrial fibrillation and other arrhythmias can cause palpitations (rapid heartbeat, often accompanied by panic). 4. Neurosis: palpitations (rapid heartbeat, often accompanied by panic) can occur due to anxiety and emotional excitement, but there is no organic lesion of the heart itself. 5. Menopause: before and after menopause, due to endocrine disorders, palpitations (rapid heartbeat, often accompanied by panic) can also occur. Symptoms of palpitations (rapid heartbeat, often accompanied by panic) need to go to the hospital for examination and treatment of the cause.