The heart often hidden tingling chest tightness may be overwork, sleep deprivation and other physiological phenomena, may also be the symptoms of certain diseases, such as angina pectoris, myocarditis, pleurisy, digestive system diseases, and so on. 1. Physiological factors: the heart hidden tingling chest tightness caused by emotional stress, overexertion, lack of sleep and other physiological factors, it is recommended that the patient to maintain a relaxed mood, to ensure adequate sleep, generally can be relieved on their own. 2. Angina: Hidden stabbing pain in the heart and chest tightness may be caused by angina pectoris, mostly caused by myocardial ischemia and hypoxia stimulating the nerves in the heart leading to angina pectoris. 3. Myocarditis: heart tingling chest tightness may be caused by myocarditis, when bacteria, viruses and other infections caused by immune response to myocardial damage and microvascular damage, resulting in heart tingling chest tightness and other symptoms, and often accompanied by fever. 4. Pleurisy: pleurisy is often caused by bacterial and viral infections, and patients often experience symptoms of tingling and chest tightness. 5. Digestive system diseases: such as severe gastric ulcer, reflux esophagitis and so on can lead to the patient to appear heart tingling and chest tightness. If the patient recurrence of symptoms of vague tingling in the heart and chest tightness, should go to the regular hospital in time, under the guidance of a professional doctor for symptomatic treatment, so as to avoid delays in the condition, resulting in adverse consequences.