For young patients, if they have panic, chest tightness and rapid heartbeat: 1, first of all, endocrine metabolic diseases should be considered, for example, adolescent women are prone to hyperthyroidism, hyperparathyroidism and hyperadrenocorticism, they will have chest tightness, panic and tachycardia; 2, for patients with previous history of diabetes, once they have hypoglycemic reaction, they will also have panic, chest tightness, palpitations, Young people with acute myocarditis, acute pericarditis, infective endocarditis, or even congenital heart disease or heart valve disease will also have a series of symptoms such as panic, chest tightness, shortness of breath, and tachycardia; 4.