Anterior chest and back pain can be seen in acute heart attack, gallbladder disease, aortic coarctation, pulmonary embolism, etc. Depending on the disease, the examination methods are different. 1. Acute heart attack: it can be caused by coronary artery blockage and myocardial ischemia, manifesting as squeezing pain in the anterior chest area, radiating to the back, we should consult a doctor in time, improve electrocardiogram, myocardial markers, coronary angiography, and provide cardiac monitoring, and carry out coronary angiography as early as possible after a clear diagnosis, to see whether stents are needed. 2. Gallbladder disease: cholecystitis, gallbladder stones can cause pain in the liver area, accompanied by nausea, vomiting, jaundice, etc., radiating to the back pain, the examination is mainly to improve the blood routine, liver function, abdominal ultrasound, and abdominal CT examination can be performed. 3. Aortic coarctation: it is mostly severe cutting pain radiating to the back, which can not be tolerated, and it should be timely medical treatment, cardiac monitoring, complete blood routine, cardiac enzymes, liver and kidney function and other laboratory tests, and at the same time, it should be examined by cardiac ultrasound, aortic angiography and other tests. 4. Pulmonary embolism: can cause hypoxemia, dyspnea, chest and back pain, should improve the electrocardiogram, myocardial enzyme spectrum, coagulation series and CT pulmonary arteriography, for long-term bedridden patients, also need to improve the lower extremities arterial ultrasound. The causes of chest and back pain are diverse, and should be examined specifically, and standardized under the guidance of the doctor.