Consider respiratory diseases, coronary heart disease, cardiac insufficiency, cardiovascular neurosis and so on.
The first thing to do is to exclude respiratory diseases, improve chest CT, lung function, exclude bronchial asthma, chronic obstructive pulmonary disease, interstitial pneumonia.
Coronary heart disease can cause chest tightness and shortness of breath, exercise, emotional excitement induced myocardial ischemia, there will be chest tightness and shortness of breath. Rule out coronary heart disease need to do coronary CTA or coronary angiography.
Cardiac insufficiency will appear chest tightness and shortness of breath. Cardiac insufficiency is often combined with underlying heart disease, hypertensive heart disease, coronary artery disease, heart valve disease, tachyarrhythmia and so on. Cardiac ultrasound, dynamic electrocardiogram, and heart failure marker brain natriuretic peptide precursor test can be improved to clarify the status of cardiac function.
Cardiovascular neurosis can also present with chest tightness and shortness of breath. Mostly seen in anxious young women. Symptoms are relieved after taking a hard deep breath or sighing, and cardiac ultrasound and coronary CT need to be perfected to rule out organic heart disease and then the diagnosis can be made.
Chest tightness and shortness of breath all the time, must immediately go to the hospital for medical treatment, according to the doctor’s instructions to improve the relevant examination, clear diagnosis, according to the doctor’s instructions for treatment.