Dizziness and chest tightness at night, how to treat it

Once the night is dizzy chest tightness is mostly considered for anxiety and other psycho-psychological factors, including general treatment, drug therapy, psychotherapy, etc., may also be cardiac insufficiency.
1. Psychological factors
(1) General treatment: Pay attention to adjusting emotions, choosing appropriate ways to release psychological pressure, and ensuring sufficient rest and a stable state of mind.
(2) Medication: If the symptoms continue to be unrelieved, it is recommended to consult a doctor and take anti-anxiety drugs under the doctor’s guidance, commonly used are sertraline, duloxetine, tandospirone, etc. If accompanied by sleep disorders, it can be considered. If accompanied by sleep disorders, can consider taking alprazolam, trazodone and other sleep-promoting drugs.
(3) Psychotherapy: psychological counseling can be conducted under the guidance of psychotherapists.
(2) Cardiac insufficiency: mainly left heart insufficiency, when lying down at night, the volume of return blood increases significantly, and pulmonary stasis is aggravated, and then symptoms such as chest tightness and shortness of breath appear. Commonly used drugs include aldosterone receptor antagonists such as spironolactone, renin-angiotensin system inhibitors such as valsartan, beta-blockers such as metoprolol, and sodium-glucose cotransport receptor 2 inhibitors such as dagliflozin.
When the above symptoms occur, it is recommended to actively seek medical attention, clarify the diagnosis, and carry out standardized treatment under the guidance of the doctor to avoid delaying the condition.