Many of the body functions of the elderly continue to deteriorate and fail with age, and the heart function is not very sound, so the occasional occurrence of chest tightness, chest pain and other uncomfortable symptoms are often taken for granted, no big deal. This is actually a misconception. Angina pectoris is often only transient, may be the precursor of myocardial infarction, and even lead to serious arrhythmia, sudden death! Coronary heart disease is one of the most common causes of chest tightness and chest pain in middle-aged and elderly people. According to statistics, the resulting coronary heart disease is not uncommon. Therefore, the public should not be careless when there is a transient chest tightness, chest pain. Especially middle-aged and elderly people. Why is this? Coronary heart disease at a certain level is a chronic disease of the elderly, in the middle-aged and elderly people are very common, the reasons are varied, such as middle-aged and elderly, smoking, diabetes, obesity, hypertension, high blood pressure, high blood fat, psychological stress and so on. The more such risk factors there are, the more likely it is that chest discomfort will be caused by coronary heart disease. Naturally young people with chest pain are less likely to have coronary heart disease, especially women. How do you know if the cause of chest tightness and chest pain is likely to be coronary heart disease or not? Coronary heart disease chest tightness, chest pain is the cause of myocardial ischemia, coronary heart disease myocardial ischemia episodes of chest pain is a few of the following more typical characteristics, in line with the more, the more likely it is coronary heart disease caused by ischemic chest pain. The nature of ischemic chest pain is usually a dull ache, or a squeezing sensation, or a tightening sensation, or a burning sensation, in short, it is unbearable, uncomfortable feeling, no local pressure. The location of chest tightness or chest pain The location of chest pain or chest tightness is located in the precordial area, that is, the projection area of the heart or behind the middle and lower part of the sternum, about the size of the palm of the hand, in a fixed position, accompanied by radiating pain in the medial side of the left upper limb (the side near the trunk). This pain does not run around, it does not hurt here and then move to another place. If there is significant referred pain, angina is unlikely. When does it occur? Chest tightness or chest pain usually occurs at the time of exertion, for example, when you are walking fast, climbing a ladder, or when you are excited, and lasts for a few minutes and is relieved by rest. It lasts for a few minutes and is relieved by rest. However, when walking again at a fast pace, similar symptoms appear again and are relieved by rest. This is typical of exertional angina and suggests that the coronary arteries are more than 75% narrowed. How long does the attack last Chest tightness or chest congestion is paroxysmal, lasting 3-5 minutes at a time, usually no more than 10-15 minutes and rarely more than 30 minutes. Of course chest discomfort in myocardial infarction may last longer than 30 minutes, but it is also usually aggravated by paroxysms. If it lasts for more than a few hours, or even all day, it always feels uncomfortable and unsupportive here in the chest. It is important to note that although coronary heart disease is a geriatric disease, middle-aged and elderly people do need to be extra careful and vigilant. But in recent years, the incidence of myocardial infarction and other increasingly high can not be limited to the middle-aged and elderly groups, young people suffering from coronary heart disease and heart attack is more and more common, young people with symptoms should not be careless!