Hypertension always chest tightness may exist coronary heart disease, cardiac insufficiency, need to be given to improve myocardial blood supply, reduce the cardiac load of drug therapy, the specific treatment program should be formulated under the guidance of the physician after a clear diagnosis. Patients with hypertension may have coronary artery sclerosis, and myocardial ischemia may occur on the basis of coronary artery sclerosis, resulting in symptoms of chest tightness. The diagnosis can be clarified by coronary angiography, and treatment can be given with aspirin, atorvastatin, isosorbide nitrate, and other medications. Long-term hypertension may also lead to cardiac insufficiency, patients can have chronic heart failure, which can be diagnosed by checking the cardiac ultrasound, heart failure markers, and the treatment can be given furosemide, spironolactone and other drugs. Hypertensive patients with chest tightness symptoms, but also consider the possible existence of respiratory diseases, such as chronic obstructive pulmonary disease, bronchial asthma, etc., the symptoms are obvious to the hospital in a timely manner, under the guidance of the physician can be treated.