Chest tearing pain may be one of the important emergencies in cardiothoracic surgery and cardiovascular medicine, which can be considered from the following aspects: a. If the patient is an elderly patient with pre-existing coronary heart disease and other conditions, and this sudden onset of chest tearing pain, the first consideration should be whether it is a combined myocardial infarction. If the chest pain is still heavy after rest, nitroglycerin and other treatments, you should urgently go to the cardiovascular medicine department for consultation. Second, if the patient’s long-term hypertension is not well controlled, this sudden onset of chest tear-like pain, you can consider whether it is a complication of aortic coarctation, you need to promptly perform aortic CT examination, if necessary, to cardiovascular surgery. Third, if the patient’s original esophagus and other diseases, sudden onset of chest and posterior sternum tearing-like sensation, should exclude the occurrence of thoracic surgical emergencies such as esophageal rupture, should promptly perform ultrasound, CT examination, etc., after a clear diagnosis of the next step of treatment, including surgery.