Panic, fast heartbeat and back pain may be caused by cardiac neurosis, coronary heart disease, supraventricular tachycardia and other diseases. 1. Cardiac neurosis: This is a disease of abnormal cardiovascular function caused by central nervous system dysfunction and autonomic nervous system dysfunction, which is generally associated with excessive stress in life and work and mental tension. Panic, pain in the precordial area or chest and back and dyspnea can occur, non-organic heart disease. 2. Coronary heart disease: coronary atherosclerosis causes myocardial ischemia, hypoxia and heart disease. It can be induced by vascular injury, hypertension, hyperlipidemia and so on. It can cause angina pectoris and even shoulder and back pain, accompanied by panic, arrhythmia and other symptoms. 3. Supraventricular tachycardia: It refers to the rapid arrhythmia that occurs in the bundle branches below the bifurcation of the Hirschsprung’s bundle, myocardial conduction fibers, and ventricular muscle, and it can be called supraventricular tachycardia if there are three or more ventricular beats in bunches, and the ventricular rate is more than 100 beats per minute. Symptoms such as palpitations, fast heartbeat, angina pectoris involving the back of the shoulders, and fatigue and dizziness may also occur. Panic, fast heartbeat, and back pain can also be caused by other diseases. Patients who experience these symptoms should go to the hospital and follow the doctor’s instructions for further treatment.