Patients who have pain like pins and needles in the heart when they get up in the morning: 1. To consider cardiogenic diseases, such as coronary artery disease unstable angina, acute myocarditis, acute pericarditis, infective endocarditis, or the presence of malignant arrhythmia, heart failure, will have symptoms such as pain in the precordial region in the morning. 2. For patients with phytonadic disorders, especially in cardiac neurosis will also 3. For respiratory system diseases, pneumothorax, pleural effusion, massive pleurisy, and lung infection due to various conditions, there will be heart pain at this time. 4. This symptom may occur in female patients with acute mastitis, lobular hyperplasia or tumor occupancy.