The most common causes of pain like choking in the middle of the chest are coronary angina, acute coronary syndrome, or even myocardial infarction, or possibly reflux gastroesophagitis, esophageal swelling, etc. Myocardial ischemia is mostly manifested as a squeezing sensation in the anterior chest area, which mostly occurs after exertion and emotional excitement and is mostly relieved by rest and lasts for several minutes each time. In this case, it is necessary to go to the hospital for detailed examination to see if there is any narrowing or occlusion of the artery. If diagnosed, a stent can be implanted to release the stenosis and improve coronary blood flow, but long-term aspirin and statins must be taken after surgery.