The clinical manifestations of angina pectoris in the elderly are mostly atypical, with the unstable type being more common. Most elderly patients with angina tend to be less intense than young adults, often lacking precordial pain, or atypical pain, not pressure-like pain, often manifested as precordial discomfort, palpitations, boring pressure, but also complaints of toothache, sore throat, shoulder and back pain, epigastric pain, pain in the heart fossa. Some patients with angina pectoris have episodes that often manifest as dyspnea during activity; in fact, this vague symptom is a manifestation of myocardial ischemia. Some present with gastrointestinal symptoms (abdominal pain, nausea and vomiting) or neuropsychiatric symptoms. It can be seen that angina symptoms are either masked by symptoms of other combined diseases or not easily expressed due to dullness of sensation and memory loss in the elderly, as well as the lack of acute myocardial ischemic ECG changes, which can be easily misdiagnosed and mistreated.