The most common possibilities for bilateral chest pain and tightness are chest wall diseases, respiratory diseases, and cardiovascular diseases.
1. Chest wall diseases. Chest wall disease pain and chest tightness is often limited to the lesion site, such as spontaneous pneumothorax and pleurisy mostly in the lateral chest.
2. Respiratory diseases. Including pleurisy, pneumonia, lung abscess and pleural tumor and other diseases. In addition to the symptoms of chest tightness and chest pain, they may be accompanied by fever, cough and sputum.
3. Cardiovascular diseases. Including coronary heart disease, cardiomyopathy, mitral valve prolapse, aortic valve disease, aortic dissection and pulmonary embolism. Aortic coarctation pain in the chest and back intolerable tear-like pain, pulmonary embolism for sudden sharp stabbing pain or colic.
In short, when the two sides of the chest pain and chest tightness persists unrelieved should go to the hospital in a timely manner to improve the relevant examination, early identification of the cause of the early diagnosis and early treatment, to avoid delaying the condition.