Once a patient with biliary heart syndrome is diagnosed, treatment should focus on biliary tract disease, such as anti-infection, anti-inflammatory and biliary and application of antispasmodic agents. Patients with biliary heart syndrome with frequent chest tightness and chest pain can choose calcium antagonists, such as nifedipine, 5-10 mg each time, taken orally three times a day, to prevent and reduce the signs of heart disease, drug treatment is not effective, recurrent biliary heart syndrome patients should undergo cholecystectomy. Precautions: 1. Since patients with severe infection may have toxic metabolic disorders, inflammation must be controlled first, metabolism must be improved, and the immunity of the body must be enhanced. 2. Preoperative cholinergic M-blockers such as atropine and 654-2 should be used routinely. 3. For patients over 55 years of age with precordial pain and ECG abnormalities, preoperative consultation with an internist should be requested, and strict intraoperative ECG monitoring and general anesthesia should be used as much as possible. 4, Intraoperative routine 1% procaine closure of the gallbladder triangle to reduce the occurrence of bile heart reflex. 5.If cardiac arrest occurs during the operation, subdiaphragmatic cardiac compressions should be performed immediately, and the airway should be kept open to complete cardiopulmonary resuscitation within a short time. Only by doing the above can the risk of surgery be reduced.