The pain in the middle of the chest through to the back may be related to angina pectoris, aortic coarctation, esophageal lesions and so on. 1. Angina: angina attack can be manifested as pain behind the sternum, the pain is more intense in nature, and can be radiated to the neck, shoulders, armpits, back, accompanied by chest tightness, shortness of breath and other symptoms, manifested as pain in the middle of the chest through to the back. 2. Aortic coarctation: As the blood in the aorta enters into the mid-aorta through the rupture of the endothelium, it is a serious cardiovascular emergency, with severe pain, pain in the front and back, manifesting as pain in the middle of the chest through to the back, accompanied by profuse sweating, high blood pressure, agitation and so on. 3. Esophageal lesions: such as reflux esophagitis, esophageal cancer, etc., showing symptoms of chest pain, by the transmission of peripheral nerves, the pain sensation can be transmitted to the back, causing back pain. Chest pain in the middle of the chest through to the back pain should pay great attention to timely go to the hospital to improve the relevant examination, identify the cause of the treatment under the guidance of the doctor, to avoid the occurrence of critical illnesses threatening life safety.