There is a common sense, we all know: overeating, irregular life, staying up late, morning fasting prone to cholecystitis, gallstones. But do you know? Once the formation of cholecystitis gallstones, if not dealt with in a timely manner, in the external factors (overeating) will induce chest tightness, angina, frequent sense of death so that people in the line of life and death to go back. Not long ago, a friend called late at night after a dinner party to complain: chest tightness with pain in the precordial region for half an hour could not be relieved, and now there is a sense of frequent death. Immediately call 120 emergency. The patient “haphazardly” things, and after the meal and emotional high-spirited singing a few songs, usually have back radiating pain, not obvious, so did not care, did not deal with. The electrocardiogram suggested acute ischemia, and the hepatobiliary ultrasound examination showed that the patient’s gallbladder was extremely dilated, with high bile pressure and faintly visible sediment-like stones, and that the young woman was suffering from “biliary heart syndrome. The biliary heart syndrome is a clinical syndrome in which biliary system diseases (cholecystitis, gallstones) cause coronary artery constriction through neurological reflexes, resulting in insufficient coronary artery blood supply (oxygen supply and demand imbalance), leading to angina, arrhythmia, and even myocardial infarction and other symptoms. Symptoms: 1. Biliary disease followed by cardiac symptoms; 2. Boredom or angina of varying degrees in the precordial region, with each attack lasting longer, some lasting several hours, often with palpitations, irregular heartbeat and myocardial ischemic changes in the electrocardiogram; 3. Cardiac symptoms are mostly triggered by eating fatty foods or emotional excitement, and are not easily relieved by nitroglycerin or heart pills, but can be relieved by atropine and dulcolax. Occurrence mechanism etiology 1, the heart is innervated by T2 to 8 spinal nerves, while the gallbladder and common bile duct are innervated by T4 to 9 spinal nerves, and the two cross at T4 to 5 spinal nerves. Therefore, when there is inflammation in the bile duct and the pressure in the bile duct increases, the T4-5 nerve reflex causes the coronary artery to constrict and blood flow to decrease, which induces dysregulation of heart activity. 2. Bilirubin and bile acid are both excitatory substances of the vagus nerve, and the increased concentration of both in the blood can easily cause vagal reflex, which can also directly inhibit the energy metabolism of cardiac muscle cells and reduce the function of heart activity. Clinical treatment case selection criteria: Patients with coronary artery disease and hypertension are excluded, all have history, symptoms and signs of cholelithiasis, accompanied by varying degrees of panic or precordial discomfort, chest tightness, etc. The size and location of the stones have been determined by ultrasound examination, and the electrocardiogram shows: sinus tachycardia or T-wave abnormalities, myocardial ischemia in some leads and other varying degrees of myocardial damage. Treatment: In case of severe infection, 100ml ofloxacin was administered intravenously twice/day, and the drug was stopped 3 days after the pain disappeared. Shuchitong was given orally 40mg/time, 3 times a day, and 40ml of senna injection was added to glucose solution and given in a sedative drip once/day for 15 days as a course of treatment, after which ECG review was done. Criteria for determining the efficacy: apparent effect refers to the complete disappearance of symptoms and signs, and normal electrocardiogram on recheck. Effective means the symptoms and signs basically disappeared, and the ECG showed no myocardial ischemia, only some T wave abnormalities. Ineffective means that the symptoms and signs are relieved and there is no change in ECG. The prognosis is generally very good after active treatment plus healthy lifestyle (balanced diet, proper exercise, adequate sleep and psychological balance). The Chinese New Year is the most important holiday for Chinese people, with major migrations and gatherings occurring nationwide. When family members get together, all kinds of delicacies are piled up on the table, and it is only natural to persuade them to eat and drink. Excessive high-fat, high-calorie, high-protein diet will increase the burden on the digestive system, especially the liver and gallbladder, coupled with late nights and excitement, is likely to lead to “bile heart syndrome” occurrence, late night “alarm” events.