The pain like pins and needles in the heart for a few seconds is mainly related to the patient’s specific etiology and individual factors, which should be analyzed specifically and not be generalized. It is recommended that the patient visit the cardiology department in a timely manner and undergo electrocardiogram and cardiac ultrasound to exclude coronary artery disease and, if necessary, coronary arteriography to clarify the presence of coronary artery stenosis. If the coronary arteries are fine, further exclusion of gastritis and gastric ulcer is required. Patients are advised to undergo gastroscopy on an empty stomach. In addition, if it is caused by local inflammation, it may be accompanied by significant pressure pain, redness and swelling. In case of cardiac neurosis, the patient may subjectively feel air deficiency and feel comfortable after a long breath, sometimes accompanied by palpitations, tingling in the precordial region and neurological symptoms such as anxiety, excessive sweating and insomnia. Therefore, patients with heart pins and needles like pain for a few seconds are recommended to go to a regular hospital in time to get symptomatic treatment by a professional doctor after clarifying the cause.