Pain like pins and needles in the heart may be angina or even myocardial infarction, or intercostal neuralgia and esophageal reflux. The heart is a very important organ in our body, and pain should be differentiated according to the specific location, nature, accompanying symptoms, triggering factors, and mode of relief. Common clinical conditions include intercostal neuralgia and esophageal reflux. Heart pain like pins and needles is not excluded for angina pectoris, angina pectoris often occurs in the activity or emotional excitement of the precordial region of the pressure or pins and needles pain, accompanied by palpitations, chest tightness, cold sweat, etc., each time for a few minutes, rest or sublingual nitroglycerin can be relieved. Myocardial infarction pain and angina pectoris similar, but the pain is more intense, the duration is also longer, the serious have a sense of imminent death, taking nitroglycerin can not be relieved. Life if the heart like a pinprick like pain, must go to the hospital to ask a professional doctor to diagnose and treat, do not mess with their own medicine, so as not to delay the condition and cause serious consequences.