Sleeping back heart pain in general, the common causes are mainly the following situations. First, patients with gallbladder stones and cholecystitis, due to the vagus nerve excitation at night will cause intermittent contraction of the gallbladder, which will cause the stones to be embedded in the neck of the gallbladder, causing pain symptoms in the patient’s undershirt. Patients may be accompanied by nausea, vomiting, chills, high fever and other manifestations, can go to the hospital as soon as possible to improve the liver and gallbladder ultrasound examination, to clarify the nature of the lesion, give antispasmodic, anti-infectious, rehydration supportive treatment. It is recommended that patients early cholecystectomy to avoid repeated attacks of inflammation. Second, patients with coronary atherosclerotic heart disease, the heart muscle can be intermittent contraction during sleep at night, manifested as myocardial ischemia, hypoxia and cause pain in the undershirt. Patients can take oral nitroglycerin tablets, fast-acting heart pills to expand myocardial blood vessels and reduce pain symptoms. For patients with recurrent episodes, cardiography can be perfected to clarify the degree of cardiac vascular stenosis. If necessary, cardiac stent implantation can be performed to reduce undershirt pain.