In the middle of the night, the heart pins and needles like pain may be due to organic heart disease, but also may be non-organic heart disease related. 1. Heart disease: angina pectoris, myocardial infarction, myocardial ischemia, coronary heart disease, arrhythmia, may be due to insufficient blood supply to the coronary arteries, metabolites may stimulate the nerve endings, so the heart in the middle of the night may be a sudden tingling sensation and the pain like pins and needles. 2. Non-organic heart disease: cardiac autonomic dysfunction or over-exertion may occur joint muscle strain or strain, or intercostal nerve inflammation can also lead to the heart in the middle of the night pins and needles pain. It is recommended to go to the relevant professional department for examination, such as electrocardiography and cardiac ultrasound examination, so as to clarify the cause of the disease, and then targeted treatment, and at the same time at night when eating a reasonable diet, avoid overeating. To appropriate more exercise, improve immunity.