Right upper sternum tearing pain may be related to rib fracture, aortic dissection, myocardial infarction and so on. 1. Traumatic fracture: such as in the fall or suffer external violence impact may cause rib fractures, clavicle fracture, which causes right upper sternum tearing pain symptoms. 2. Aortic coarctation: if the thoracic and abdominal aortic coarctation, this tearing pain can occur, and may be accompanied by hypertension, dizziness, sweating and other related symptoms, need to improve the thoracic and abdominal aorta CTA examination can be clear. 3. Myocardial infarction: generally by acute coronary artery occlusion makes myocardial ischemia, local necrosis occurs, pain symptoms are obvious, accompanied by dyspnea, cyanosis, sweating, and even a sense of near death. The right upper sternum tearing pain, the condition is generally critical, it is recommended to immediately go to the hospital, improve the relevant examination, identify the cause and then targeted treatment, follow the doctor’s instructions.