Chest and back scapula pain how to treat panic palpitations need to clarify the cause, the cause may include coronary heart disease, myocardial infarction, cardiac neurosis, ventricular tachycardia, etc., the treatment includes medication and surgical treatment. 1. Coronary heart disease: if the coronary artery stenosis is caused by various factors, chest pain is caused by myocardial ischemia, and panic palpitations are caused by rapid heartbeat, then aspirin, Tegretol and other medications can be given as antiplatelet therapy, and stent implantation therapy can be given if necessary. 2. Myocardial infarction: if myocardial infarction leads to myocardial injury, ordinary heparin, low molecular heparin and other anticoagulant treatment can be given at this time. 3. Cardiac neurosis: For symptoms such as chest pain and panic disorder caused by cardiac neurosis, amitriptyline, doxepin and other antidepressant drugs can be given at this time. 4. Ventricular tachycardia: If the chest pain and palpitations are caused by ventricular tachycardia due to various factors, then antiarrhythmic treatment with drugs such as lidocaine can be given. Finally, the appearance of chest and back shoulder blades hidden pain panic palpitation phenomenon please go to the hospital in time to check, the above drugs must follow the doctor’s instructions.