Chest tightness and shortness of breath that prevents sleep at night may be caused by left heart failure, myocardial ischemia, and cardiac neurosis. The condition can be improved through general treatment, medication and surgery.
1. Left heart failure: in the acute stage, patients should limit physical activity, maintain semi-recumbent position or sitting position, legs down to reduce venous return, and reduce sodium intake in diet. Diuretics such as furosemide, angiotensin-converting enzyme inhibitors such as captopril, beta-blockers such as metoprolol, and vasodilator drugs such as nitroglycerin can be used as prescribed by the doctor. Surgery can be considered for patients with severe disease to improve symptoms.
2. Myocardial ischemia: patients should keep their emotions stable and relaxed, and pay attention to bed rest during the acute attack period, and oxygen therapy can be carried out if necessary. Nitrate drugs such as nitroglycerin, β-blockers such as atenolol, calcium channel blockers such as nifedipine, etc. can be used as prescribed by the doctor, and other commonly used drugs such as aspirin, streptokinase, low molecular heparin, etc. can be taken for treatment. In severe cases, medical intervention or surgical treatment can be performed to improve the condition.
3. Cardiac neurosis: patients should adjust their mind, pay attention to rest, and avoid the stimulation of tension, anxiety and other bad emotions. Under the guidance of the doctor to take anti-anxiety drugs such as clonazepam, antidepressant drugs such as sertraline to relieve chest tightness and shortness of breath can not sleep and other symptoms.
It is recommended that patients strictly follow the doctor’s instructions to use medication, actively cooperate with the doctor’s treatment, pay attention to monitoring the condition in life, if the condition worsens should be timely medical treatment.