If the patient currently has back pain, chest tightness and shortness of breath, the first thing to consider is whether it is a coronary angina attack, cervical spondylosis, heart failure and respiratory diseases, etc., the details are as follows: 1, coronary angina attack: especially with the left side of the back discomfort, more to consider whether angina radiated triggered the left side of the back discomfort; 2, cervical spondylosis: there are some people may exist Cervical heart syndrome, there will be similar abnormal feelings; 3, heart failure: for people with serious coronary heart disease, also consider the existence of heart failure, especially if the patient is accompanied by chest tightness and shortness of breath after activity, lower limb edema, you can further do cardiac ultrasound and blood test NT-proBNP; 4, respiratory diseases: you can check the cervical spine MRI or cervical spine CT, you can also do arterial blood gas analysis, pulmonary function and chest X-ray, because there are some people who may also have certain lung infections, or respiratory failure problems.