If you have chest tightness, shortness of breath, and scapular pain in the back, you should consider the possibility of coronary artery disease and angina pectoris, especially for middle-aged and elderly patients with risk factors such as hypertension, hyperlipidemia, diabetes, obesity, and smoking. It is recommended that you can visit the cardiovascular medicine department for further improvement of electrocardiogram, cardiac enzymology, troponin, cardiac ultrasound, coronary angiography and other related tests to clarify the diagnosis.