The pain of the heart actually does not have pulling pain, generally the pain of the heart has a sense of pressure, dullness, and accompanied by very serious accompanying symptoms, such as radiating pain in the back of the left shoulder, toothache, pharyngeal constriction, pain under the saber, at the same time there will be shortness of breath, panic, and some people will even sweat profusely, this situation is to consider whether there is a combined coronary heart disease myocardial infarction. In fact, in cardiology, it is often necessary to differentiate tugging pain, as follows: 1) to identify whether there is a combination of pulmonary problems, because pulmonary infection pleurisy will have some tugging pain, sometimes there will be tugging pain when changing position or when breathing; 2) in costochondritis, there is also some tugging pain. Therefore, in cardiology, this kind of pulling pain is less common. If this kind of heart pulling pain occurs, the first thing to do is to go to cardiology to rule out heart problems, such as doing electrocardiogram, cardiac enzyme tests, or even cardiac ultrasound, and if heart problems are ruled out, you can go to respiratory medicine or even orthopedic intercostal nerve clinic.