If the patient has panic attacks with back pain, this is highly considered to be angina pectoris. When uncomfortable symptoms occur, an electrocardiogram should be performed in a timely manner to clarify whether there are any electrocardiogram changes during the onset of uncomfortable symptoms. If the panic attack is accompanied by back pain and the symptoms last for a long time, a myocardial enzymology examination should be performed to further clarify whether acute coronary syndrome has occurred. In addition, it cannot be excluded that the patient has cervical-heart syndrome, which is caused by cervical spondylosis in the heart as well as back discomfort, and it is safer and more reassuring to first rule out that it is caused by organic heart disease. It is suggested that the patient can further perform cardiac ultrasound and coronary CT. If indeed no problem is found and the patient has no obvious anxiety, it should be combined with the examination of cervical spine MRI or cervical spine CT.