The main causes of chest tightness, shortness of breath and panic are related to cardiovascular diseases, respiratory diseases, endocrine diseases, and vegetative nerve function disorders. 1. Cardiovascular diseases: If there are cardiovascular diseases, such as coronary heart disease or arrhythmia, it is easy to affect the function of the heart, thus producing symptoms of chest tightness, shortness of breath and panic. 2. Respiratory diseases: If there are respiratory diseases, such as emphysema, chronic obstructive pulmonary disease, it is easy to affect the respiratory symptoms of chest tightness, shortness of breath and panic. 3. Endocrine diseases: If there are endocrine system diseases, such as thyroid dysfunction, it will directly affect the level of hormones in the body, thus affecting the body’s metabolism, resulting in symptoms of chest tightness, shortness of breath and panic. 4. Phytoneurological disorders: If there is a problem of phytoneurological disorders, such as sympathetic nerve excitation, it is easy to trigger somatization symptoms, such as chest tightness, shortness of breath and panic symptoms. If the symptoms last for a long time, it is necessary to check the cause before choosing the treatment plan.