Chest pain in the elderly may be caused by lung disease, heart disease, skin disease, and even cardiovascular neurosis. 1. Lung diseases: such as pulmonary thromboembolism, pneumothorax caused by rupture of alveoli, lung infections such as lobar pneumonia or pleurisy, etc., the elderly suffering from these diseases will have chest pain. 2. Heart disease: such as coronary atherosclerotic heart disease myocardial ischemic attack, myocardial infarction in severe cases, hypertension occurs in the aortic coarctation, aortic stenosis, hypertrophic obstructive cardiomyopathy, these elderly patients are likely to have chest pain. 3. Skin diseases: patients with herpes zoster, chest skin due to herpes can also appear severe chest pain, some elderly patients because of low immunity, clinically also more common. 4. Cardiovascular neurosis: when the vegetative nerve dysfunction, the patient will have atypical chest pain symptoms, seizure triggers, duration and so on are usually not clear. Elderly people are at high risk of cardiovascular disease, when chest pain occurs, it is recommended to go to the hospital in a timely manner to determine the cause of the disease and regular treatment.