Sudden heart and stomach discomfort in the elderly, considering acute myocardial infarction, heart failure, gastroesophageal reflux, etc. caused by different diseases, different treatment methods. 1. Acute myocardial infarction: due to acute obstruction of coronary arteries, myocardium necrosis due to ischemia, patients may experience palpitations (rapid heartbeat, often accompanied by panic), shortness of breath, anterior cardiac pain and other symptoms, and some patients may also experience epigastric pain, back pain and other symptoms. Patients with suspected acute myocardial infarction symptoms are advised to call 120 for prompt medical treatment. 2. Acute heart failure: patients may experience shortness of breath, chest tightness and other symptoms, and some patients with right heart failure may also experience epigastric discomfort. Need timely treatment. After the condition is stabilized, you can follow the doctor’s instructions to use β-receptor antagonists such as metoprolol, positive inotropic drugs such as digitalis, nitrate drugs such as sodium nitroprusside to carry on the treatment. 3. Gastroesophageal reflux: patients may have chest pain, epigastric pain, angina-like symptoms, etc., can be prescribed to take histamine H2 receptor antagonists such as ranitidine, famotidine; pro-dynamic drugs, such as domperidone, moxapride, etc. for treatment. When the above symptoms occur, it is recommended to consult a doctor in time, under the guidance of the doctor to clarify the cause of the disease and then treatment.