The treatment of panic attacks and vomiting needs to be determined by the patient’s primary cause. If the patient has an obvious trigger prior to the panic and vomiting, a gastrointestinal infection is the most likely cause, and routine blood as well as stool tests are recommended. If indications such as positive white blood cells are present, anti-infective treatment is required. If the patient has heartburn and vomiting combined with cardiac symptoms such as chest pain and tightness, cardiomyopathy is most likely and an electrocardiogram is required. If the patient has ischemic changes in the heart, the possibility of atypical angina should be considered and additional cardiac coronary CT is recommended. if there is significant cardiac stenosis, timely stent implantation treatment is needed, and internal anti-atherosclerosis and improvement of myocardial ischemia treatment can be taken into account.