Back pain can be caused by a bad heart. Common causes of back pain and bad heart include myocardial ischemia as well as hypertensive crisis and aortic coarctation. In addition, most causes of back pain are due to diseases such as thoracic spondylosis, lumbar spondylosis, and lumbar strain. Previous history of hypertension, hyperlipidemia, hyperglycemia and other related diseases, when myocardial ischemia occurs, such as angina pectoris, myocardial infarction, the symptoms of back pain can occur. Patients often show stuffiness and pain and discomfort behind the sternum in the precordial region, which can be accompanied by pain and discomfort in the back of the back corresponding to the precordial region, which can be diagnosed clearly by cardiac enzymes, electrocardiogram, cardiac ultrasound, and coronary imaging. For patients with hypertensive crisis, hypertensive emergencies, or aortic coarctation, tear-like pain and discomfort in the back of the chest may occur, and aortic imaging is required to clarify the diagnosis.