The heart feels a little tight: first of all, consider coronary heart disease, mostly in elderly patients with a previous history of coronary heart disease, as well as hypertension, diabetes, cerebral infarction, high blood lipids and other cardiovascular risk factors, in the heart load will be aggravated by the anterior heart pain, chest tightness and shortness of breath, some patients, especially elderly patients do not describe, will feel a little tight heart is a sense of constriction or choking feeling. The patient should be instructed to rest, measure blood pressure, and give oral medication. Second, consider patients with cardiovascular neurosis, mostly seen in young people, no risk factors for coronary heart disease, subjective symptoms are more obvious, there will be tightness of the heart, which will last for a long time, there will also be anterior heart pain, shortness of breath and other clinical manifestations, mainly when the psychological pressure is high or poor rest, it is recommended that psychotherapy is the main focus.