Elderly people have difficulty in heart all day long, should go to the hospital for examination, to make clear whether it is mental psychological factors or pathological factors, the former can be given psychological counseling as well as antipsychotic drug treatment, the latter can be given antiarrhythmic, cardiotonic diuretic and other drug treatment. Difficulty in the heart can be caused by psychosomatic factors, such as excessive mental fear, anxiety, resulting in difficulty, psychological counseling, more exercise, distraction, difficult symptoms can be improved. If it can’t be improved, it can be treated with psychotropic drugs such as amitriptyline and alprazolam. Pathological factors include heart disease and thyroid abnormality, which can be diagnosed by ECG, dynamic electrocardiogram, cardiac ultrasound, coronary CT, and thyroid function triple test. Cardiac disease includes tachyarrhythmia, and anti-arrhythmic drug amiodarone is given to treat it. Coronary heart disease is given antiplatelet and lipid regulating drugs such as aspirin and atorvastatin. Heart failure is treated with cardiotonic and diuretic drugs such as digoxin, furosemide and spironolactone. Hyperthyroidism is treated with methimazole, and hypothyroidism is treated with long-term thyroxine tablets. The above drugs should be used under the guidance of a doctor. Elderly people have a hard time in the heart, must go to the hospital to rule out the cause of the disease, follow the doctor’s instructions to use drugs to relieve the symptoms.