Back pain is often a manifestation of heart disease, and there are many heart diseases that can manifest as back pain, like aortic coarctation which manifests as sudden back pain, slash-like or tear-like, and severe pain. In addition, vague pain in the back should be excluded from coronary heart disease, with angina attacks and back pain radiating to the left or right shoulder. Hypertrophic cardiomyopathy is mostly exertional dyspnea and chest pain, and some patients will have back pain. Aortic valve stenosis can also cause back pain. Therefore, patients with back pain should be more considered and repeatedly identified, such as patients with a history of coronary artery disease and arrhythmia, once angina pectoris and panic occurs, the first time to check the electrocardiogram to exclude heart attack. There are actually very many types of heart disease, and back pain must be taken seriously to understand the information of the heart.