Pain in the back of the heart may be related to heart disease, exercise system disease, skin disease and other reasons. 1. Heart disease: such as coronary heart disease, coronary artery atherosclerosis or vasospasm and other conditions, can lead to narrowing or even blockage of the lumen, which can lead to myocardial ischemia, can appear back of the heart position pain, such as pain persists unrelieved, need to be timely to the emergency room, early treatment. 2. Diseases of the locomotor system: If muscle strain occurs in the back of the heart, it can lead to swelling, pain and other symptoms. 3. Skin diseases: For example, shingles, nerve pain caused by varicella-zoster virus infection, can present with symptoms such as itching and pain at the location of the heart in the back. Pain in the back of the heart may also be associated with rib fractures, neuralgia and other causes, it is recommended that people with pain in the back of the heart go to the hospital in a timely manner, to clarify the cause of the disease, and standardized treatment under the guidance of the doctor, to avoid delays in the condition.