The right chest tightness should be considered in several cases: firstly, physiological factors, such as frequent poor rest, insomnia, heavy psychological burden, exertion, chest tightness, accompanied by shortness of breath, panic, dizziness, sweating a series of autonomic disorders, then we should avoid exertion, pay attention to rest, eat more fresh vegetables and fruits, remove these triggers, most of the symptoms can be relieved. The next consideration is pathological factors, such as coronary heart disease, angina pectoris, hypertension, diabetes, cerebrovascular disease, will appear after the exertion of chest tightness, accompanied by pain in the precordial area. It is usually episodic, with symptoms such as shortness of breath and weakness. At this time, patients are advised to check electrocardiogram, cardiac ultrasound and, if necessary, coronary angiography at any time to clarify the cause, while medication should be given, and patients should also be advised to pay attention to rest, low-salt, low-fat and low-sugar diet and change their lifestyle. Then patients with cardiovascular neuropathy will often have chest tightness and even pain in the precordial region, the pain is long and the location of the pain is uncertain, most of them are functional and do not need special treatment.