There are bouts of pain over the heart, which may be due to the following: a. Coronary heart disease. If the patient is older, has a history of hypertension, diabetes, and long-term smoking, you should first think about whether the patient has coronary heart disease, and need to go to the cardiology department to perform relevant examinations to clarify the presence of coronary heart disease. Second, the paroxysm of pain above the heart, but also may be the case of aortic, pulmonary artery expansion, feasible aortic CT for related examinations to understand whether there is aortic, pulmonary artery expansion, and compression of local tissues and other conditions. Third, pain in the area above the heart can also be considered whether there is a tumor or inflammation in the upper mediastinum, and CT of the chest is feasible for a clear diagnosis. 4. Pain in the area above the heart may also be caused by upper esophageal lesions, and if necessary, esophagoscopy is feasible for related examination.