Shortness of breath and chest tightness in the morning are usually related to physiological factors such as lack of sleep and emotional abnormalities, as well as pathological factors such as chronic obstructive pulmonary emphysema and coronary atherosclerosis. 1. Physiological factors: For example, if you stay up late for a long time, don’t get enough sleep, or have emotional anxiety, irritability, tension, etc., you may experience shortness of breath and tightness in the chest when you get up in the morning. These symptoms are physiological and do not require special treatment. 2. Chronic obstructive pulmonary emphysema: early symptoms are not obvious, when the disease gradually aggravates, the lung tissue channel narrowing, may cause exertion shortness of breath, and accompanied by cough, chest tightness, shortness of breath and other symptoms, the morning get up symptoms will be more serious. 3. Coronary artery atherosclerosis: when the coronary artery is narrowed or occluded, myocardial ischemia as well as hypoxia, it is easy to cause shortness of breath, chest tightness. Regarding the symptoms of shortness of breath and chest tightness in the morning, in addition to the above factors, we should also consider that it is caused by hypertension, heart failure and other factors. At present, you should consult a doctor in time, and then make a diagnosis and analysis through ECG, heart ultrasound, blood pressure test, and so on.