Symptoms of heartache when you are sad are usually a normal physiological condition that can be relieved when your emotions return to normal. If the heartache persists after the heartbreak and is not relieved, it may be a pathological condition such as broken heart syndrome, which requires further examination for confirmation. Generally when the human body is overly sad, the blood vessels throughout the body will be in a state of tension, which will lead to a decrease in blood supply to the heart, causing heart pain. This is a normal phenomenon, a kind of self-protection state of the organism, and does not require special treatment. When the mood returns to normal, the symptoms of heart pain will usually be relieved. However, if the symptoms of heart pain are not relieved or even aggravated for a long time, we should consider the occurrence of organic or mental diseases, such as broken heart syndrome, coronary heart disease and neurosis, etc. We need to go to the hospital for a systematic examination and follow the doctor’s instructions for treatment.