Sudden chest pain and choking sensation may be caused by a variety of reasons, the common ones are angina, cardiac neurosis, intercostal neuralgia, gastroesophageal reflux, etc., need to clarify the specific cause of symptomatic treatment. 1, angina: elderly patients due to exertion, emotional excitement, cold, etc. will have left anterior chest discomfort with a feeling of tightness, should do electrocardiogram and coronary angiography to confirm the diagnosis. When the attack should immediately rest and take nitroglycerin vasodilator treatment, diet less high-fat food such as animal offal, to avoid increasing blood viscosity, so as not to trigger angina; 2, cardiac neurosis: mostly seen in young patients, the attack has palpitations, precordial pain, chest tightness, shortness of breath, dyspnea and other symptoms, it is recommended to go to the hospital to do electrocardiogram, cardiac ultrasound examination to confirm the diagnosis. Treatment is often given psychological guidance, relieve tension, anxiety, avoid overwork, noisy environment, drinking strong tea, etc., and actively participate in tai chi, walking, slow walking and other aerobic exercise to improve the symptoms; 3, intercostal neuralgia: manifested as back pain along the intercostal radiating to the front wall of the chest and abdomen, can take chlorzoxazone tablets or go to the hospital to do local closure, usually pay attention to the combination of work and rest; 4, gastroesophageal reflux: gastric reflux Gastroesophageal reflux: Gastric reflux stimulates the esophagus, which can cause severe chest pain behind the sternum, and stimulates the pharynx, which can cause foreign body sensation in the pharynx, so it is recommended to do gastroscopy and pH monitoring of the lower esophagus to confirm the diagnosis. Treatment can be done with acid suppressants and gastrointestinal motility drugs, and if necessary, surgery.