Consider the following aspects of right-sided chest pain when sleeping: 1. Exclude whether there is heart disease, if the elderly patients, accompanied by hypertension, diabetes, smoking or increased lipids, patients with underlying heart disease, usually after sleep or activity will appear pain in the chest, mainly boring pain or pressure pain, the pain time varies, oral nitroglycerin can be relieved. 2. Whether there is intercostal neuralgia, when intercostal neuralgia, patients will have pain in the right side of the chest, the location of the pain is usually not fixed, it can occur on the left side or on the right side. Most of the pain is tingling, and the pain is short-lived with no particular cause.3. In patients with cardiovascular neuropathy, the autonomic symptoms are more obvious, and some patients have pain in the right side of the chest, which is more obvious, as well as panic, chest tightness, shortness of breath, and other symptoms. In the case of patients with cardiovascular neurosis, psychotherapy should be the main focus, and medication should be given if necessary.