If a patient has heartburn and also wants to vomit, there are several causes as follows: 1. Cardiogenic factors, if the patient has unstable coronary heart disease, definite angina, myocarditis, pericarditis, infective endocarditis, hypertrophic obstructive cardiomyopathy, hypertensive heart disease coronary heart disease. These conditions can lead to ischemic spasm of the coronary arteries of the heart, which can cause pain in the heart and also lead to nausea and vomiting in the gastrointestinal tract.2. Digestive system diseases, such as bile reflux gastritis, acute gastroenteritis, cholecystitis, pancreatitis, esophagitis, when there is also nausea, desire to vomit, acid reflux, heartburn, and in severe cases, implication-like pain at the heart.3. Patients with cardiac neurological disorders, such as Patients with cardiac neurological disorders, such as vegetative nerve disorders, may also have the above clinical manifestations.