Chest tightness, shortness of breath, dyspnea, panic attacks and insomnia are first considered as symptoms caused by cardiac diseases, such as heart failure, pulmonary embolism and pleurisy. All of these diseases can cause the above symptoms, so you can first consult the cardiology and respiratory medicine departments to clarify the cause and treat the cause and symptoms after the relevant examination. The main symptoms of heart failure are chest tightness, shortness of breath, dyspnea, paroxysmal dyspnea at night in severe cases, inability to lie down when aggravated, coughing pink foamy sputum, blood BNP, troponin, cardiac ultrasound can be checked for clear diagnosis, pulmonary embolism is mainly caused by pulmonary artery obstruction, mainly manifested as chest tightness, shortness of breath, dyspnea, hemoptysis, pulmonary artery CT and angiography can be clearly diagnosed. Acute pleurisy is divided into acute exudative pleurisy and acute suppurative pleurisy. The main symptoms are cough, chest tightness, dyspnea, and some patients may have fever or even hyperthermia, and thoracentesis under ultrasound localization to extract accumulated pus can make a clear diagnosis. When symptoms such as chest tightness and shortness of breath, dyspnea, panic attacks and insomnia occur, patients should promptly consult the cardiovascular medicine department or respiratory medicine department to clarify the cause and then actively treat the cause.