Heart pain like pins and needles for a few seconds, may be angina pectoris, cardiac neurosis, intercostal neuralgia and other diseases caused by the need to clarify the cause of the disease, and then targeted treatment. 1. angina: is due to coronary artery spasm or stenosis caused by pain in the anterior region of the heart, can last a few seconds, or even longer, generally after resting or taking medication can be relieved, you can check the electrocardiogram to confirm the diagnosis, commonly used drugs are isosorbide nitrate tablets, aspirin enteric-coated tablets and so on. 2. Cardiac neurosis: generally related to the patient’s psychological factors and personality basis, there may be paroxysmal pain in the heart area, such as pins and needles. We can take the drugs to regulate the nerves, such as vitamin B1 tablets, glutamine tablets, etc.; according to the patient’s condition, we can add anti-anxiety drug therapy, such as clonazepam tablets, eszopiclone tablets and so on. 3. Intercostal neuralgia: pain can be distributed along the intercostal nerves, easy to be mistaken for heart pain, oral regulation of nerve medication, such as vitamin B1 tablets, vitamin B12 tablets, etc., with oral analgesic medication, such as ibuprofen capsules and so on. If you have pain like pins and needles in the heart, you can go to the hospital for further examination to confirm the diagnosis, first find out the cause, and then under the guidance of the doctor for treatment.