If a patient feels a violent heartbeat, there are usually several factors as follows: 1. A violent heartbeat can occur with some physiological factors, such as excessive emotional stress, anxiety or plant nerve dysfunction. 2. A violent heartbeat can also occur after drinking too much alcohol or large amounts of coffee or strong tea. 3. Pathological factors can also cause a violent heartbeat, such as endocrine metabolic diseases such as If a patient has an infection that causes high fever or high temperature, the heartbeat will also be violent. If a patient has a cardiogenic disease, such as coronary heart disease, myocarditis, heart valve disease or pulmonary heart disease, the heartbeat will also be violent due to arrhythmia.