The causes of chest tightness in hypertensive patients are as follows: 1, hypertension is poorly controlled for a long time, will lead to the patient’s heart diastolic function is reduced, the patient will often feel chest tightness, this time to strictly control the patient’s blood pressure to improve the symptoms of chest tightness; 2, hypertension is a risk factor for coronary heart disease, hypertensive patients are prone to combined coronary heart disease, angina pectoris, once the patient occurs chest tightness, lasting 3-5 minutes can not be relieved, or even last More than 20 minutes, be alert to the possibility of myocardial infarction, need to go to the hospital for further consultation; 3, hypertension chest tightness also be alert to hypertensive heart disease, is the clinical manifestations of cardiac insufficiency. Hypertension has serious heart, brain, kidney and other target organ damage, for the heart will appear hypertensive heart disease. If it involves the degree of hypertensive heart disease, the patient’s heart function may be much lower than normal, and shortness of breath after activity will occur and other manifestations. So hypertension chest tightness is probably divided into these types, whether it is a manifestation of hypertension itself, or heart failure, angina pectoris, need to be further identified.