Heart boring lips purple often due to angina pectoris or myocardial infarction, aortic coarctation, pericardial tamponade and other diseases, the treatment needs to be based on the causes of the above, to take the general treatment, drug treatment, surgical or interventional therapy, etc., the specific summary is as follows: 1. Angina pectoris or myocardial infarction Due to coronary atherosclerosis, resulting in coronary artery stenosis, occlusion, myocardial ischemia, or even necrosis, the heart is stuffy and the lips are purple, which can be clarified through electrocardiograms and other tests, and the treatment includes general treatment such as rest and oxygen absorption, and the use of antiplatelet aggregation drugs such as aspirin enteric-collected tablets, lipid-regulating and stabilizing plaque medications such as atorvastatin and other drugs for expanding the coronary artery such as nitroglycerine, as well as vascular interventional therapy or thrombolysis, if necessary. If necessary, vascular intervention or thrombolysis should be used. 2. Aortic coarctation Hypertension is the main cause of the disease. This disease may cause heart tightness and purple lips. Treatment includes: rest, oxygen and other general treatment, use of sodium nitroprusside, metoprolol, morphine and other drugs to lower blood pressure, control heart rate and analgesic drugs under the guidance of doctors, and according to the type of aortic coarctation, surgical treatment, such as thoracic endoluminal repair of the aorta, direct visualization of the stent elephant trunk surgery and so on. 3. Pericardial tamponade Pericardial tamponade is usually caused by the accumulation of a large amount of fluid in the pericardial cavity, which leads to a series of clinical manifestations, including heart tightness and purple lips. The diagnosis can be confirmed by cardiac ultrasound and other examinations. Treatment includes pericardiocentesis to drain blood and decompress, monitoring vital signs, and rational use of vasoactive drugs. In short, when there is a case of heart tightness and purple lips, it must be timely hospital treatment.