Nowadays, the car has become an increasingly common means of transportation for us, and for drivers, traffic jams and long distances are a common occurrence, and over time the body issues more and more warnings. And cervical spondylosis, thoracic spondylosis, lumbar spondylosis, shoulder pain, hemorrhoids, prostatitis is a common problem for all drivers. The reason for this driver friend’s health problems: First, because of the need to drive to make a living, so every day need to sit for a long time, increasing the burden on the spine. Second, when there is a need to brake sharply, the body is tied by the seat belt, the neck and head suddenly tilted forward. Third, the car is a closed environment, unless the weather is too cold,, are long open their side of the window, which will make the cervical vertebrae cool for a long time. According to the patient description for bold analysis! The appearance of chest pain chest tightness panic palpitations can promptly go to the hospital to check is a right thing, the patient found myocardial ischemia, but no stenosis, should be suspected of heart disease, most people will associate with heart disease when they feel chest pain chest tightness, but not that chest pain chest tightness panic palpitations, is only heart disease will cause symptoms, causing chest pain chest tightness panic there are other causes, such as lung disease, gastroesophageal reflux Thoracic spine lesions, cervical spine lesions, etc. Pulmonary disease will only cause pain when it affects the pleura or presses on the nerve roots, so the pain is less obvious. Gastroesophageal reflux is a common cause of chest pain. Patients often feel heartburn after eating, which becomes worse when sitting or lying down, and can even spread to the neck, throat and jaw. Lesions in the thoracic and cervical spine can compress the nerves around the vertebrae and cause sympathetic nerve dysfunction, which can lead to coronary artery spasm, myocardial ischemia, and abnormal heart activity. And combined with the patient’s occupation and the fruitlessness of the routine examination, it was determined that this patient had lesions in the cervical and thoracic spine that caused nerve disorders and vascular spasms! This patient’s symptoms are not the most important, the key to diagnosis is myocardial ischemia and occupation! The patient’s symptoms are indeed common and can be caused by many diseases. Considering the symptoms alone does not determine the type of disease, but this patient has undergone multiple tests and there is no stenosis within the blood vessels, yet there is definite myocardial ischemia, then it proves that the patient’s blood flow is affected or obstructed and the body’s blood flow cannot circulate properly. Myocardial ischemia is a pathological state in which blood perfusion is reduced, leading to a decrease in blood and oxygen supply to the heart, where myocardial energy cannot be metabolized properly and the energy obtained cannot support the normal work of the heart. Both stenosis and coronary artery spasm can make the heart hypoxic and ischemic, and since there is no stenosis at the hospital examination, it is likely that myocardial ischemia is produced by coronary artery spasm. For such patients, the most difficult thing is the right cause. As long as the real cause of chest pain, chest tightness and palpitations is found and professional treatment is provided for this, this patient can fully recover. Although I have combined several conditions for judgment, and as long as the patient’s description is correct, then the possibility is extremely high, but since I am only human, there is still a possibility of error, so I suggest that the patient undergoes appropriate tests to confirm the diagnosis through imaging before he can be treated with peace of mind.