Chest tightness at night, breathlessness during the day is normal whether to need treatment, need to be combined with the cause of judgment, common causes are somatization disorder, cardiac insufficiency.
1. somatization disorder: mostly seen in the life and work pressure of the crowd, the patient early in the morning when there are no obvious symptoms, to the night gradually aggravated, after going to sleep the symptoms disappeared, and usually healthy, mostly no underlying diseases.
In this case, first of all, we should pay attention to adjusting the mood, release pressure, if there is no obvious effect, you can go to the mental health department, under the guidance of the doctor to take sertraline, duloxetine and other anti-anxiety drugs.
2. Cardiac insufficiency: Mostly seen in middle-aged and old people, symptoms such as chest tightness and shortness of breath mostly appear after lying down, and may not be obvious when standing or sitting.
It is recommended to consult a doctor in time and take standardized medication under the doctor’s guidance, including aldosterone receptor antagonists such as spironolactone, renin-angiotensin system inhibitors such as enalapril, β-blockers such as metoprolol and sodium-glucose cotransporter receptor 2 inhibitors such as dagliflozin.
3. Physiological factors: The above symptoms can also occur in healthy people when they lie down due to the significant increase in the volume of returned blood, but they are mostly mild and do not affect sleep, and do not require special treatment.
When the above symptoms occur, it is recommended to consult a doctor in time, improve the cardiac ultrasound and other related examinations to clarify the diagnosis, and if necessary, carry out standardized treatment under the guidance of the doctor.