The failure to take stomach pains seriously has cost some patients with myocardial infarction the best time to save them. This is not an alarmist talk. Not long ago, 80-year-old grandmother Zhang, accompanied by her family, came to the First People’s Hospital in Hefei. On the way, the old man had pain in his stomach and vomited more than once. Zhu Yi, the doctor on duty at the hospital’s emergency medicine department, saw the situation and took her blood pressure first. The blood pressure was normal, and Zhu Yi sent the old man for an electrocardiogram. The family did not understand this, the stomach pain to do electrocardiogram why? Dr. Zhu explained that elderly patients with gastrointestinal-like symptoms must not exclude the possibility of myocardial infarction. Soon, the electrocardiogram results came out and everyone was stunned in the face of the report that Grandma Zhang was suffering from acute anterior myocardial infarction. The doctor immediately prescribed quick-acting heart pills for the elderly to take, followed by a series of resuscitation measures, and issued a sickness notice. After emergency resuscitation, Grandma Zhang was finally released from danger. Abdominal pain in the elderly must not exclude the possibility of acute myocardial infarction. The symptoms of acute myocardial infarction vary greatly in presentation. Most patients have a history of angina pectoris, which has recently worsened or occurred frequently. The onset is rapid, with sudden onset of severe pain in the retrosternal or precordial region that lasts for a long time and is characterized by profuse sweating. Sometimes the pain may radiate to the left shoulder and left upper limb, and some may manifest as nausea, vomiting, diarrhea, etc.