Of course not necessarily, although the common symptom of coronary heart disease is chest pain, but since chest pain is a symptom, it also represents a variety of diseases can be caused, so once chest pain should not be diagnosed with coronary heart disease. Often encountered in life, the elderly family said their chest pain, whenever encountered such a situation, subconsciously will think of some scary disease. I believe that one of the symptoms that doctors often come into contact with is chest pain, and they all know that chest pain can not be ignored, and they even mention chest pain and take it seriously, thinking that chest pain is like a tiger that wants to die! In fact, there are many ways to lure a tiger out of the mountain, not all tigers are deadly, there are also paper tigers exist, so the key thing is the first time need to recognize those deadly tigers. Other possible causes of chest pain: 1, skin problems, such as chickenpox-herpes zoster virus invades the skin or nerves, we will chest pain. 2, Problems with accessory organs, such as the mammary glands, can cause chest pain. 3.Muscle strain or viral infection, will chest pain; 4.Fractured ribs, other causes of erosion, a small contusion, strains, etc., can cause chest pain. 5, reflux esophagitis, if there is always a burning sensation in the chest, especially when you lie down after eating, you will have a burning pain, this is due to the reflux of gastric acid into the esophagus, the esophagus does not tolerate the corrosion of gastric acid will produce a burning pain. 6, lung disease, because the whole lung is wrapped by a layer of membrane, this layer of membrane called pleura, above the pain nerve. Lung disease once the lesion touches the pleura, even a very small inflammation will cause chest pain. 7, coronary heart disease, chest pain is often oppressive, stuffy feeling, there can also be a burning sensation, severe accompanied by a sense of dying. Some patients with pain is not obvious, manifested as chest tightness or discomfort. 8, spinal disease, cervicothoracic spine lesions often occur in the neck and shoulder soft tissue strain, neck curvature after straightening spinal joint pressure increases, easy to make the thoracic spine is compressed, causing thoracic nerve disorders, so that vasospasm and contraction of cardiac ischemia caused by hypoxia and ischemia resulting in chest pain, shortness of breath, breathlessness and other symptoms. Because of the many causes of chest pain, especially when it is sudden, unable to relieve the pain by anti-inflammatory drugs and nursing steps, you should go to the hospital for examination in time when chest pain occurs to avoid adverse consequences.