Having a sense of near death may be caused by left heart failure, myocardial infarction, anxiety and other factors, patients should consult a doctor in time to clarify the cause of the disease after treatment. 1. Left heart failure: heart pumping dysfunction caused by structural and functional abnormalities of the heart and compensatory insufficiency, patients will have cough, cough pink foamy sputum, dyspnea, sitting breathing, near-death sensation and other symptoms, the acute attack should be to improve the patient’s ventilation, prevention of thrombosis, and strict restriction of fluid intake. 2. Myocardial infarction: myocardial muscle necrosis caused by acute embolism of coronary arteries and lack of blood, the patient will have a sense of dying, anterior cardiac pressure, chest tightness and other symptoms, such people should be absolutely bed rest, timely intervention or thrombolytic therapy. 3. Anxiety disorders: intense, excessive and persistent anxiety and fear in daily life, which can reach its peak in a few minutes, and the patients will have symptoms such as nervousness, uneasiness, near-death sensation, accelerated respiration, sweating and trembling, etc. The patients can be treated with buspirone or psychotherapy. All of the above medications and treatments should be administered under the guidance of a doctor, and should not be used blindly on your own.