The common clinical causes of heart pain when coughing include physiological factors as well as angina pectoris, pleurisy and other disease factors. 1. Physiological factors: some people in the eating, drinking or throat by external stimuli, it may cause the body to appear violent coughing, coughing too hard will lead to excessive pressure in the thoracic cavity, thus causing pain in the chest. In this case, you need to take a rest, so as to relieve the discomfort caused by violent coughing. 2. Disease factors: for people suffering from atherosclerosis, when coughing, the coronary arteries may be induced to the myocardial blood supply, oxygen supply abnormalities, resulting in myocardial ischemia, accompanied by chest and back pain, anterior cardiac pain and other symptoms; for the people suffering from pleurisy, the pleura inflammatory damage, clinical manifestations of chest pain, generalized fatigue and other symptoms, coughing chest pain will be exacerbated. In view of the disease factors, it is recommended that people with the disease should go to the hospital as soon as possible for consultation and targeted treatment.