Wake up in the middle of the night feeling chest tightness and shortness of breath may be caused by emotional anxiety and other physiological factors, can be relieved by adjusting the mood; may also be due to sleep apnea syndrome, acute attack of chronic obstructive pulmonary disease, heart failure and other diseases, should be taken according to the specific cause of the weight loss, respiratory support, drug therapy.
1. Physiological factors: such as excessive tension and anxiety during the day, or drinking strong tea and coffee before going to bed, etc. Generally, the symptoms can be relieved by adjusting the mood and lifestyle.
2. Disease factors:
(1) Sleep apnea syndrome: for obese people should take behavioral treatment such as weight reduction; some postural patients can use side-lying position to reduce airway obstruction; caused by narrow pharyngeal cavity, etc., surgical treatment can be used.
(2) Acute exacerbation of chronic obstructive pulmonary disease: respiratory support such as oxygen therapy should be given, while antibiotics such as cefotaxime should be used to fight infection as prescribed by the doctor, and airway spasm should be improved by salbutamol and glucocorticoid for inhalation. Pay attention to the side effects of diarrhea, tachycardia, oral candida infection and so on.
(3) Heart failure: give oxygen and other respiratory support, and at the same time, follow the doctor’s instructions to use furosemide, deacetyl furfuryl glucoside, sakubutra valsartan, levosimendan and other drugs to diuretic, cardiotonic, to improve cardiac function, the use of medication to pay attention to the side effects of low potassium, heart rate slowing and so on. In addition, should also find the cause of heart failure and treatment.
Wake up in the middle of the night feeling chest tightness and shortness of breath may also be myocardial ischemia, asthma acute attack, spontaneous pneumothorax, reflux esophagitis and other diseases, when the above symptoms continue to be unrelieved, it is recommended to consult a doctor in a timely manner, to clarify the cause of the disease and standardize the treatment, the drug needs to be used under the guidance of a physician.