The causes of chest tightness and shortness of breath for more than half a year include anxiety and other psychosomatic factors, chronic obstructive pulmonary disease, cardiac insufficiency, etc., and treatment programs should be formulated according to the causes.
1. Anxiety and other psychosomatic factors: prolonged exposure to mental stress can cause significant anxiety, depression and other psychosomatic disorders, resulting in chest tightness, shortness of breath, palpitations and other uncomfortable symptoms, which are mild in the morning and gradually worsen, and are obvious at night.
Sertraline, Duloxetine, Tandospirone and other anti-anxiety drugs can be considered for treatment.
2. Chronic Obstructive Pulmonary Disease (COPD): It is a common lung disease, mostly seen in middle-aged and old people. Patients mostly have a history of long-term smoking or dust exposure, and in addition to chest tightness and shortness of breath, they also often have symptoms such as coughing and coughing up sputum.
Treatment can use bronchodilators such as salbutamol aerosol, salmeterol and tiotropium bromide; glucocorticoid preparations such as formoterol plus budesonide; and expectorants such as aminobromine hydrochloride.
3. Cardiac insufficiency: chronic cardiac insufficiency caused by various reasons, often can appear in the pulmonary circulation stagnation, manifested as chest tightness, shortness of breath, dyspnea and other symptoms, in addition to the treatment for the original disease, can use furosemide, spironolactone and other diuretics, reduce pulmonary edema, relieve symptoms.
There are many diseases that can cause chest tightness and shortness of breath, it is recommended to consult a doctor in time to clarify the diagnosis, and standardized treatment under the guidance of the doctor.