Hashimoto’s hypothyroidism anterior chest pain, myocardial blood supply insufficiency should first clarify the cause of the disease, and then target the cause of treatment. Anterior chest pain, myocardial blood supply insufficiency may be due to atherosclerosis and other related, on the one hand, we should actively treat hypothyroidism, on the other hand, we should carry out symptomatic treatment, and the specific situation varies from person to person. Hashimoto’s hypothyroidism patients due to abnormal thyroid hormone levels, tissue oxygen consumption and cardiac output reduction parallel, so myocardial oxygen consumption is reduced, angina pectoris and heart failure rarely occurs. Long-term patients are prone to complications of atherosclerosis and coronary heart disease, angina pectoris and arrhythmia. At this time, on the one hand, we need to actively target the cause of the disease for treatment, through drugs, improve the life of the diet and other methods to actively adjust the body’s thyroid level, the treatment of the primary disease; On the other hand, if the symptoms are more obvious, affecting normal life or body activities, it is necessary to carry out symptomatic treatment for insufficient blood supply to the heart muscle. It is recommended to further check the blood supply to the heart vessels, and use certain drugs or choose to carry out vascular stenting surgery under the guidance of a professional doctor to alleviate the relevant symptoms. It is recommended that patients with Hashimoto’s hypothyroidism seek medical attention when symptoms occur.