A tight throat that feels like a chokehold can be found in multi-systemic diseases. For example, if the patient has laryngitis, or if there is a narrowing of the esophagus, these conditions may result in a feeling of tightness in the throat. This group of people can be detected with a barium esophageal meal, as well as an ultrasound of the esophagus at the hospital. However, there are some patients who do not have digestive problems in the throat, but rather present with coronary artery disease, and such people can also experience constriction in the throat. It is due to the narrowing of the three coronary arteries on the surface of the heart, and when the narrowing reaches a certain level, for example, more than 75%, severe myocardial ischemia occurs. This group of people will have chest tightness and chest pain after activity, but some patients also have atypical pain, such as back pain and tightness in the throat. This tightness in the throat suggests that myocardial ischemia is occurring, and the patient should go to the Department of Cardiology of the local hospital, and undergo electrocardiography to determine whether there are changes in the ST-T caused by myocardial ischemia, as well as ultrasound examination of the heart, to determine whether there are any structural changes in the heart. whether there are structural changes in the heart. Finally, cardiac examinations, including coronary artery CT or coronary angiography, should be performed to clarify the condition of cardiac stenosis, and if necessary, stents should be implanted and oral medication should be administered.