An angry heartache may be a normal physiological phenomenon, may also be angina pectoris, cardiac neurosis and other diseases. 1. Normal physiological phenomenon: when angry, the emotions are more excited, which can lead to vegetative nerve dysfunction, thus leading to heartburn, but also can cause blood pressure reduction, dizziness, chest tightness, near-death feeling, vomiting and other symptoms. 2. Angina pectoris: on the basis of coronary artery stenosis, due to increased myocardial load caused by myocardial acute, temporary ischemia and hypoxia clinical syndrome, can be induced by labor, anger, emotional and so on. It can be triggered by labor, anger, emotional excitement, etc. It mainly manifests as paroxysmal chest pressure pain or chest tightness, and can also cause a heart pain in anger. 3. Cardiac neurosis: it is a kind of clinical syndrome mainly manifested by symptoms of cardiovascular diseases due to mental and psychological problems or nerve dysfunction, often triggered by anxiety, nervousness, emotional excitement and so on. The main manifestations are palpitations, dyspnea, precordial pain, sigh-like breathing and other symptoms, which can also cause a heartache. There are many other causes of heartburn in anger, which should be emphasized, timely consultation, identification of the cause of the disease, and further treatment or treatment in accordance with medical advice.