If the patient’s heartbeat is normal but panic and chest tightness, it may be caused with coronary heart disease, chronic obstructive pulmonary disease, anemia and other diseases, which can be treated with medication and surgery according to the cause of the disease. 1. Coronary heart disease: Coronary heart disease is a heart disease caused by the narrowing or occlusion of coronary artery lumen, which can lead to the symptoms of normal heartbeat but panic and chest tightness. It is recommended to consult a doctor in time and use medication under the doctor’s guidance, such as aspirin, Tegretol, etc., and undergo surgical treatment such as coronary artery bypass grafting if necessary. 2. Chronic Obstructive Pulmonary Disease (COPD): COPD is a lung disease that causes respiratory distress due to restricted airflow, which usually leads to normal heartbeat, but with symptoms of panic and chest tightness. It is recommended to consult a doctor in time and use drugs such as terbutaline and ipratropium bromide under the doctor’s guidance, and perform surgery if necessary. 3. Anemia: Anemia is mainly caused by the lack of sufficient red blood cells in the peripheral blood of the human body, although the heartbeat is normal, but the patient will experience symptoms of panic and chest tightness. It is recommended to consult a doctor in time, use iron gluconate, iron sorbitol and other drugs under the guidance of the doctor, if necessary, splenectomy and other surgical treatment. Therefore, patients with symptoms of normal heartbeat but panic and chest tightness are advised to seek timely medical attention to identify the cause of the disease and actively treat it. Always consult your doctor before taking medication and choose medication according to your doctor’s advice and instructions.