If the symptoms of panic, chest tightness, anxiety and restlessness appear, if no abnormality is found in the relevant examination, the influence of mental factors should be considered after excluding organic diseases. Such as excessive stress in work and life, lack of sleep, long-term maintenance of mental tension, etc., may lead to stress reactions in the patient’s body, which can usually be improved by diverting attention and other ways, and can gradually disappear after the patient removes the triggers. In addition to physiological factors, it may also be related to pathological factors: i. Cardiogenic diseases: such as arrhythmia, hypertrophic cardiomyopathy, chronic myocardial ischemic syndrome and coronary artery disease, angina pectoris, heart failure, pericardial effusion, etc. The influence of disease factors may cause symptoms of panic, chest tightness and anxiety. 1. Arrhythmia: arrhythmia is an abnormality in the frequency and site of origin of the patient’s heart impulses, etc., resulting in Patients may experience symptoms such as tachycardia or bradycardia. It is usually related to genetic factors, bad habits, large emotional changes, poor sleep and other influencing factors. When patients develop tachycardia, arrhythmia and bradycardia, they may have symptoms of panic, chest tightness and anxiety, which may be accompanied by sweating, breath-holding and dizziness; 2. Hypertrophic cardiomyopathy: hypertrophic cardiomyopathy is mainly related to genetic factors, and patients may clinically manifest as panic, chest tightness, exertional dyspnea and weakness, and may have symptoms of anxiety; 3. Chronic myocardial ischemic syndrome: patients with When chronic myocardial ischemic syndrome occurs, symptoms of panic, chest tightness and anxiety may also appear, and the feeling of chest tightness may be manifested as pressure, stuffiness and tightness, and may also be accompanied by burning sensation. It is often related to factors such as overexertion, emotional excitement, excessive satiety, cold environment and long-term smoking, etc. The symptoms usually disappear after rest or use of medication. Second, lung diseases: such as pneumonia, chronic obstructive pulmonary disease, pulmonary heart disease, bronchial asthma and pleural effusion, can also cause chest discomfort, self-induced chest tightness, accompanied by panic and anxiety. 1, pneumonia: patients with pneumonia may experience chest tightness, cough, weakness, panic, anxiety and other symptoms mainly due to pathogenic invasion of the lungs, and the symptoms may vary from person to person depending on different infection factors. 2, chronic obstructive pulmonary disease: powdered lung, cough, weakness, panic, anxiety and other symptoms may also vary from person to person. The symptoms may vary from person to person depending on the infection factors; 2. chronic obstructive pulmonary disease: dust and chemical inhalation, or respiratory tract infection eventually leads to difficulty in breathing, chest tightness may occur, and in severe cases there may be anxiety, panic and other disturbing manifestations. Third, mental illness: mental illness is mainly neurosis, which includes anxiety disorders, somatoform disorders, hysteria, neurasthenia, etc., which can cause anxiety and anxiety, while functional discomfort of the body, such as panic, chest tightness. 1, anxiety disorders: anxiety patients can be caused by long-term stress, mental tension and other factors, often showing symptoms of anxiety and anxiety, such as anxiety and anxiety persist, may trigger the body Local produce functional discomfort, such as panic, chest tightness, dizziness, weakness and other symptoms, need to actively carry out psychotherapy for improvement; 2, somatic form disorders: such as long-term life irregularity or personality nature influence, often unfounded point to body parts of pain, or chest tightness and other discomfort, can therefore appear anxiety, panic performance. Fourth, other diseases: such as hyperthyroidism, anemia, hypoglycemia, hypotension, etc., the body metabolism abnormalities cause discomfort, feeling panic, chest tightness, anxiety. 1, hyperthyroidism: patients with hyperthyroidism due to excessive secretion of thyroid hormones in the body, resulting in the nerves in an excited state, often manifested as symptoms of panic, chest tightness, accelerated heart rate when stimulated. Anxiety symptoms can be commonly seen in patients with hyperthyroidism, which are related to the emotional state affected by the disease. 2. Anemia: Due to insufficient red blood cells causing the inability to adequately supply oxygen to tissues and organs, there is often weakness and fatigue, and discomfort such as palpitations, panic attacks and chest tightness can occur after activities, triggering anxiety performance due to tension.