Generally, myocardial ischemia can be anesthetized locally, but not in the presence of allergy to local anesthetics, severe mental illness, and other conditions. If there is shock, severe anemia, etc., prohibit intrathecal anesthesia. Please follow the doctor’s instructions. There are many methods of local anesthesia, such as surface anesthesia, infiltration anesthesia, intrathecal anesthesia and so on. Whether myocardial ischemia can be treated with local anesthesia depends on the actual situation and cannot be generalized. Generally, simple myocardial ischemia can be anesthetized locally, however, if the patient is allergic to local anesthetics or suffers from severe mental illness, local anesthesia is not allowed. In addition, if the myocardial ischemia patient’s condition is serious, there is shock, severe anemia, then need to avoid intrathecal anesthesia. Clinical doctors will determine whether the patient is suitable for local anesthesia according to the actual situation of the patient, so the patient does not need to worry too much, and actively cooperate with the doctor during the operation. In conclusion, patients with myocardial ischemia need to strengthen daily life management and long-term follow-up. If there is any discomfort after local anesthesia, patients should go to the hospital in time.