Heart disease can cause back pain, back pain is also a manifestation of heart disease, usually accompanied by other parts of the pain, such as pain in the left shoulder and the left upper limb heavy weakness. Back pain is not always a sign of heart disease, but should be identified with other diseases, such as gallbladder stones, pulmonary infarction, and cervical spondylosis may also cause pain in the back area. Heart disease mostly involves pain in the chest and anterior thoracic region. Acute myocardial infarction and acute pericarditis are often triggered, and in severe cases, the right arm or the right chest may be involved, so it is important to carefully identify the cause of the pain. Most of the time, an ECG and coronary angiogram can identify the type of heart disease.