Palpitation and waking up just before falling asleep may be caused by physiological factors or pathological factors, such as arrhythmia, depression, anxiety, etc., and should be treated with general treatment, medication or surgery according to different situations. 1. Physiological factors: some patients may be emotionally agitated before sleep or sleep in a noisy environment, or have the habit of drinking strong tea or coffee before sleep, it is recommended to improve the above lifestyle in time, and the symptoms can be significantly relieved under normal circumstances. 2. Pathological factors: (1). Arrhythmia: Some patients may have tachyarrhythmia, such as paroxysmal supraventricular tachycardia, paroxysmal atrial fibrillation, etc., due to the increased excitability of part of the heart muscle or the electrocardiographic refractory factors during sleep, and may need to be treated with medicines as prescribed by the doctor, such as propafenone, amiodarone, metoprolol, bisoprolol, etc., and some patients with recurrent episodes of the disease may need to be treated with catheter ablation surgery. treatment. (2). Anxiety disorders: some patients may suffer from anxiety disorders, with excessive worry and fear, mental tension and restlessness, leading to awakening after sleep, accelerated heart rate and other symptoms, this situation should be based on psychological guidance, and when the therapeutic effect is not obvious, the treatment can be followed by the doctor’s prescription of oral medication, such as amitriptyline, flupirtidone melitrexate, and so on. When repeated palpitations and awakenings occur, physiological factors should be ruled out first, and after physiological factors are ruled out, it is recommended to go to the hospital in time, to clarify the cause of the disease as soon as possible under the guidance of the doctor, and to carry out targeted treatment according to the doctor’s instructions.