The heart beat vibrates very hard may be physiological factors, or arrhythmia, hyperthyroidism, coronary artery disease and other diseases caused by the cause of the general treatment, drug therapy, such as can follow the doctor’s instructions to take amiodarone, propafenone, aspirin, etc., if necessary, surgical treatment. 1. Physiological factors Under the effect of strenuous exercise, emotional excitement and other physiological factors, there will be a very strong heartbeat vibration. In this case, no special treatment is needed, and the symptoms can be relieved by resting or adjusting emotions. 2. Pathological factors (1) Tachyarrhythmia: for example, paroxysmal supraventricular tachycardia, sinus tachycardia and other cases, there will be a strong heartbeat, need to take rest, oxygen, correct electrolytes, etc., under the guidance of the doctor for anti-arrhythmic drug therapy, such as amiodarone, propafenone, etc., or even need radiofrequency ablation, etc.. (2) Hyperthyroidism: this disease belongs to the high metabolic disease, also will have a rapid heartbeat, feel the heart beating vibration is very strong, the general treatment includes rest, increase nutrition, under the guidance of the doctor for anti-thyroxine drugs or surgery. (3) coronary heart disease: due to coronary artery atherosclerosis, stenosis, resulting in ischemia and hypoxia of cardiomyocytes, which can induce arrhythmia, heartbeat vibration can also cause the above symptoms, generally need to rest, oxygen and other treatments, the need for aspirin antiplatelet aggregation, simvastatin lipid stabilization of plaques, nitroglycerin expansion of the coronary, or even the need for vascular intervention and so on. It is recommended that patients seek timely medical treatment, standardized treatment under the guidance of a professional doctor.