Pins and needles pain in the location of the heart, which hurts when you cough and take a deep breath, may be intercostal nerve pain, or it may be due to a lung condition, such as pleurisy, or a heart condition, such as pericarditis. If intercostal nerve pain, or neuropathic pain, occurs at a site just above the heart location, it may manifest as a pins and needles pain. Coughing and deep breathing both cause pain. If pleurisy, inflammation of the pleura occurs, pleural adhesions, at this time, if it is the heart position of the pleura occurs, you may feel the heart position of pins and needles pain, coughing and deep breathing, the pleura with the respiratory activity is pulled, causing pain sensation. Pericarditis, the pericardium will stimulate the heart position caused by pain, may be pins and needles pain, coughing and deep breathing may involve the pericardial activity, induced pain. It is recommended to go to the hospital for examination of chest CT, cardiac ultrasound and other examinations to clarify the cause of the disease and regular treatment.