Back pain, chest tightness, shortness of breath, dyspnea may be due to pleurisy, costochondritis or coronary heart disease, etc., need to consult a doctor in time for symptomatic treatment. 1. pleurisy: when suffering from pleurisy, will produce inflammatory exudate deposited in the chest cavity, the lungs produce compression caused by dyspnea, accompanied by chest and back pain, you can take some anti-inflammatory analgesic drugs under the guidance of the doctor, such as aspirin, ibuprofen, etc., the accumulation of fluid is more need to carry out puncture fluid extraction. 2. Costal chondritis: when suffering from costal chondritis, the stimulation of inflammation will lead to back pain, accompanied by chest tightness and shortness of breath and other symptoms, then you can take anti-inflammatory and analgesic drugs under the guidance of the doctor, such as diclofenac sodium extended-release tablets, ibuprofen, etc., and also need to cooperate with the hot compresses. 3. Coronary heart disease: coronary heart disease can cause myocardial ischemia, which will cause chest pain will also radiate to the back, accompanied by chest tightness, dyspnea and other symptoms, then you can take some anti-platelet aggregation of drugs under the guidance of a doctor, such as clopidogrel, aspirin, etc., and in severe cases, you need to carry out surgical treatment. Once the back pain chest tightness shortness of breath symptoms, must pay attention to timely medical treatment, under the guidance of a physician, clear reasons to give targeted treatment, do not blindly use their own medicine, so as not to delay the condition.