Hidden pain in the back of the heart may be caused by coronary heart disease, intercostal neuralgia and other diseases, according to different causes can take different treatment programs. 1. Coronary heart disease: patients with coronary heart disease will have chest pain, chest tightness, palpitations, back of the heart pain and other symptoms, after a clear diagnosis, you can take aspirin, simvastatin, atenolol and other drugs under the guidance of the doctor for treatment. Severe coronary heart disease patients can be treated by stent implantation surgery or coronary artery bypass grafting. 2. Intercostal neuralgia: Hidden pain in the back of the heart may also be caused by intercostal neuralgia, you can take carbamazepine, amitriptyline, ibuprofen and other drugs under the guidance of the doctor to relieve pain. If necessary, it can be treated by ultraviolet light, ultrasound, ultrashort wave and other physical ways. There are many causes that can cause vague pain in the back of the mouth of the heart, it is recommended that patients go to the hospital in time, need to clarify the cause of the disease first, under the guidance of the doctor to take the correct treatment program.