My chest is always stuffy. I feel nervous and depressed.

Chest tightness is a subjective feeling, that is, breathing hard or insufficient gas. Light as if nothing had happened, the heavy one felt uncomfortable, as if being crushed by a stone on his chest and even having difficulty breathing. It may be a functional manifestation of body organs, or it may be one of the earliest symptoms of human diseases. People with chest tightness at different ages have different causes, different treatments and different consequences. 1. Functional chest tightness (that is, chest tightness without organic lesions): If you stay in a room with closed doors and windows and no ventilation for a long time, or encounter some unpleasant things, or even have an argument with others, or in a climate with low air pressure, you will often feel chest tightness and fatigue. After a short rest, opening the window for ventilation or breathing fresh air outdoors, relaxing your mind and adjusting your mood, you will soon return to normal. Chest tightness like this can be said to be functional chest tightness, so there is no need to be nervous or treated. Second, pathological chest tightness (that is, chest tightness with organic lesions): Chest tightness can be not only physiological, but also caused by diseases in some organs in the body, that is, pathological chest tightness. Such as: 1. Respiratory tract obstruction: long tumor in trachea and bronchus, tracheal stenosis, and external pressure on trachea (goiter, long tumor in mediastinum); 2. Lung diseases: emphysema, bronchitis, asthma, atelectasis, pulmonary infarction and pneumothorax; 3. Heart diseases: some congenital heart diseases, rheumatic valvular heart disease, coronary heart disease and heart tumors; 4. Diaphragmatic diseases: diaphragmatic swelling, diaphragmatic paralysis; 5. Body fluid metabolism and acid-base imbalance. Pathological chest tightness can occur suddenly or slowly. Most of the sudden occurrences are due to acute traumatic or spontaneous pneumothorax, acute asthma, acute heart attack caused by foreign body in trachea, acute lung infarction, etc. Slow chest tightness is that with the extension of the course of the disease, the symptoms gradually worsen. Chest tightness in children mostly indicates congenital heart disease or mediastinal tumor; Chest tightness in young people mostly indicates spontaneous pneumothorax, mediastinal tumor and rheumatic valvular heart disease. Most of the chest tightness in the elderly suggests emphysema and coronary heart disease. In short, attention must be paid to chest tightness so as not to delay the necessary treatment. You should go to the hospital for chest X-ray, electrocardiogram, echocardiography, blood biochemical examination and pulmonary function determination, so that clinicians can make a further diagnosis.

Reference: /n/ca15983.htm Chest tightness is not to be underestimated. At present, the most popular word is "depressed". When people think that "depressed" is not enough, the word "chest tightness" has become a popular keyword that keeps up with the fashion trend. Failure, embarrassment, frustration and helplessness are all described as "chest tightness". In fact, patients who really have chest tightness will never be so relaxed when talking about this word. The feeling of being breathless and severely deprived of oxygen will make people feel dying. The appearance of chest tightness indicates the existence of some organic or functional diseases, which should not be underestimated. Key words: winter, myocardial ischemia, myocardial infarction. Predisposing crowd: middle-aged and elderly people, there is a trend of rejuvenation recently. Xu Hang (pseudonym) is 5 years old and works in the staff hospital of an enterprise in Xi 'an. He usually thinks he is as healthy as an ox. However, a few days ago, one day near the evening, he felt a little chest tightness and shortness of breath. Because he didn't have a heart attack at ordinary times, his family and himself didn't care. They drank some water and went to bed. Unexpectedly, the severe chest pain in the middle of the night made him miserable, and the ambulance to the hospital failed to save his life. The final conclusion was acute myocardial infarction. Professor Zhang Suqing told reporters that chest tightness is a symptom, and many diseases may occur, but medical diseases are the main ones, and cardiovascular diseases are the most common. In the cold winter, the incidence of sudden cardiac death is high, especially from December to February of the following year, especially in the continuous low temperature, rainy and windy weather, the incidence of acute myocardial infarction is significantly increased, and people in their forties and fifties should pay more attention. In winter, due to the stimulation of cold to the body, the excitability of the sympathetic nervous system of the body is increased, and the secretion of phenolamine in the body is increased. The latter can make the blood vessels of human limbs contract, the heart rate is accelerated, the workload of the heart is increased, and the oxygen consumption is increased. At this time, myocardial ischemia and hypoxia will cause angina pectoris. Sympathetic nerve excitation and aminophenol itself can also lead to coronary artery spasm and blood concentration, which makes platelets easy to coagulate and form thrombus, which is also an important cause of myocardial infarction. In addition, due to the contraction of blood vessels at low temperature, blood pressure is easy to rise, which increases the burden on the heart, which may lead to sudden death of myocardial infarction. As we all know, acute myocardial infarction is often accompanied by severe chest pain. But, for the elderly? Acupoints generally refer to people over 65 years old? Snow is not entirely true. According to data analysis, nearly one-third of elderly patients with acute myocardial infarction will not have severe chest pain, and chest tightness is the most common symptom. It can be seen that for the elderly, the presence or absence of chest pain is not the main basis for distinguishing acute myocardial infarction. Most patients with acute myocardial infarction will have premonitions before the onset. When you feel chest tightness, retrosternal pain, and sometimes radiation to your left shoulder and back, you must consider whether you have angina pectoris and go to the hospital in time. How to safely pass the high incidence of cardiovascular and cerebrovascular diseases in winter? First, when the weather is changeable, add and subtract clothes in time. The second is to take medicine on time. You should carry a few pieces of nitroglycerin with you within the validity period. In case of sudden onset, this medicine can effectively relax the coronary artery and relieve symptoms. The third is to strengthen self-care. It is necessary to maintain an appropriate amount of activity, and don't be lazy to go out because of the cold weather, which will reduce the cold resistance. In addition, patients with coronary heart disease should be treated comprehensively, and both Chinese medicine and western medicine should not be excluded, and it is the best choice to be beneficial to the condition. Myocardial involvement and chest tightness are accompanied by key words: myocardial damage caused by virus infection. Vulnerable population: children and young adults. The 12-year-old Xiaojun's parents are both soldiers and are usually looked after by grandparents. Half a month ago, Xiaojun suddenly had a fever and a sore throat. He rested for a few days and took some cold medicine. Who knows, in recent days, Xiaojun always feels chest tightness and breathlessness, and gasps once every few minutes. The old man thinks that the child doesn't want to go to school and deliberately makes trouble, so he doesn't care. I don't want to, Xiaojun's symptoms are getting worse and worse, and he can't stick to school because of chest tightness, palpitation and dizziness, which attracts the attention of the elderly. After hospital examination, Xiaojun suffered from viral myocarditis, and his chest tightness was caused by myocarditis. Director Hao Wei said that myocarditis is mostly caused by cold virus, and it usually occurs in children and young adults. At the beginning of the onset, cold symptoms are often taken as the forerunner, such as aversion to cold, fever, sore body, sore throat, cough or vomiting. Patients should pay special attention to chest tightness, palpitation, shortness of breath and precordial discomfort in about 2 weeks. Because the onset of viral myocarditis is hidden, it is easy for people to misunderstand that the cold has not been completely cured and mistreated. When myocardial involvement is obvious, children often complain of precordial discomfort, chest tightness, palpitation, dizziness and fatigue. Severe patients may suddenly have cardiogenic shock, which is characterized by irritability, pale face, cold and wet limbs and cyanosis at the end, and accidents may occur in a short time. Treatment? 1. Rest at least 3-4 weeks after the fever recedes in the acute phase; 2. Hormones; 3, large doses of vitamin C and energy mixture; 4. The comprehensive treatment and overall conditioning of this disease by traditional Chinese medicine can play an unexpected role; 5. Eat more fruits containing vitamin C (such as oranges and tomatoes) and foods rich in amino acids (such as lean meat, eggs, fish and soybeans); 6. Pay attention to climate change to prevent colds, colds or upper respiratory tract infections; 7, medication should be in accordance with the doctor's advice, especially patients with arrhythmia, not to increase or decrease the dosage; 8. Avoid strenuous activities, pay attention to the laws of life and maintain a good mental state. Chest tightness in neck and heart is easy to be misdiagnosed. Key words: cervical spondylosis, chest tightness and chest pain. Vulnerable population: middle-aged and elderly people. Sun Zhuyun, a 5-year-old accountant in a government agency, suffered from chest tightness and precordial pain repeatedly in the past eight years, and was diagnosed with coronary heart disease in many hospitals. Long-term use of quick-acting jiuxin pills and nitroglycerin has no effect, and chest tightness and chest pain frequently occur. When the doctor asked about the medical history, he found that her "angina pectoris" mostly occurred after sitting at the desk for too long, getting up with a high pillow sleep, or suddenly turning her head or shaking her head. Physical examination found that the activity of cervical vertebra was slightly limited, X-ray film and CT showed that the physiological curvature of cervical vertebra disappeared and the cervical vertebra was slightly hyperosteogeny, so it was diagnosed as cervicocardiac syndrome caused by cervical spondylosis. After three courses of comprehensive treatment with traditional Chinese medicine, all the symptoms were eliminated. Professor Zhang analyzed that patients with cervicocardiac syndrome are older and tend to have high blood lipids and arteriosclerosis. Some doctors ignore occupation, medical history collection and detailed comprehensive physical examination, and rely too much on auxiliary examinations such as instruments, especially when imaging examination may not be consistent with clinical symptoms, which is more likely to lead to misdiagnosis or missed diagnosis. Cervical spondylosis reflexively causes coronary artery spasm and contraction, leads to myocardial ischemia and induces arrhythmia, which is collectively called "cervicocardiac syndrome". In addition to precordial pain, there may also be chest tightness, discomfort, palpitation, shortness of breath and other manifestations. There are ischemic ST segment and T wave changes, ventricular premature beats or atrial premature beats on ECG. But there is a difference between angina pectoris of cervicocardiac syndrome and angina pectoris of coronary heart disease. It has nothing to do with the increase of labor load and emotional excitement, and it can not be alleviated by taking nitroglycerin drugs and calcium antagonists. However, the increase of cervical spine load is often the inducing factor of this kind of angina pectoris, such as high pillow position, long-term maintenance of excessive head-up and head-down posture, cold back, sprain and fatigue. The root of "cervicocardiac syndrome" is cervical spondylosis, so it is mainly used to treat cervical spondylosis. In daily life, it is necessary to correct the high pillow position, avoid excessive lifting of the head and lowering the head, and pay attention to keeping the neck warm; Local physical therapy and hot compress; Proper neck gymnastics to move the neck can alleviate or alleviate various symptoms of "neck-heart syndrome". Anxiety, chest tightness and shortness of breath Key words: nervousness, anxiety, chest tightness and palpitation. Prevalent population: young and middle-aged people, more women than men. Zhan Jiang is a 4-year-old political cadre of an enterprise in Xi 'an. I flew to Beijing for a meeting in July last year. Suddenly, I felt nervous, chest tightness, palpitation and trembling hands and feet on the plane. After I arrived in Beijing, my condition eased. I took the train to Beijing again two months ago and had another attack on the way. At that time, I thought it was a "heart attack", asked to get off halfway and was admitted to the hospital. Since then, chest tightness, palpitation, nervousness, anxiety, irritability and trembling have always existed, and they have attacks almost every day. The doctor plans to diagnose "recessive coronary heart disease". Taking Danshen tablets, adenosine triphosphate, oryzanol, and brain Le Jing is ineffective. Later, I went to the mental health center for consultation, and the doctor gave the patient ECG, EEG, EEG topographic map, blood lipid and other tests again, and no abnormalities were found. However, the total score of his Hamilton anxiety scale was 21, and the doctor made a diagnosis of "anxiety neurosis". Director Jia Rui of Xi 'an Mental Health Center said that the incidence of anxiety disorder in the general population is 5%, which usually has three aspects: 1. Inner experience: restless and restless; 2, autonomic nervous system changes: chest tightness, rapid heartbeat, palpitation, decreased gastrointestinal peristalsis, decreased appetite, etc.; 3. The motor system is characterized by weakness, weak hands and feet, slight tremor, trembling, redundant movements such as blinking, grinding teeth, facial muscle tension, fidgeting and so on. After various symptoms of anxiety disorder appear, patients must not blindly use drugs, and should go to relevant medical institutions for consultation to find out whether they are suffering from anxiety disorder. The focus of psychotherapy is 1. Relieve the causes of mental stress (that is, change the understanding). Give appropriate support, so that they can lift their concerns and give up unreasonable demands. 2. Correct understanding of diseases. With the help of a doctor, you should have a correct and clear understanding of your symptoms and your physical condition. Director Jia Rui said that there is another kind of person who has no organic heart disease, but often feels oppressed in the chest, flustered and short of breath, nervous and afraid, and has a feeling of dying frequently, as if he must be rescued immediately. This is actually a "cardiac neurosis" patient. One of the characteristics of this kind of patients is that they love to think, think more, and have to get to the bottom of everything, that is, the advantages of being good at thinking are overdone. Mental health experts suggest that the relationship between human psychology and physiology is inseparable. For example, when you are stimulated by external stimuli or psychological factors, your physiological response will be very strong, and you may have chest tightness, palpitation and cold sweat, which are normal physiological defense functions of people. But if this phenomenon lasts too long and there is no specific reason, then you may suffer from cardiac neurosis. Even so, don't panic, as long as through systematic treatment, cardiac neurosis can be completely cured. The gallbladder is sad and the chest is stuffy. Key words: biliary tract disease, palpitation and chest tightness. Prevailing crowd: Zhao Yanhua (a pseudonym), an obese middle-aged woman, is 45 years old and works as a teacher in a middle school in Xi 'an. In recent months, I felt chest tightness, palpitation, rapid heartbeat and pain in my right upper abdomen. The doctor diagnosed me as angina pectoris. After a period of treatment, the symptoms did not improve. A few days ago, after a severe pain in the upper abdomen, her symptoms such as precordial discomfort disappeared after her gallbladder was removed due to acute cholecystitis. Director Zhao Kun believes that the root of Miss Zhao's illness is not the heart but the gallbladder, and she suffers from gallbladder-heart syndrome. Gallbladder-heart syndrome is a disease that is easily confused with heart disease. Clinically, medical experts have long noticed that patients with biliary tract diseases can have symptoms, signs and ECG changes similar to coronary heart disease, especially middle-aged and elderly female patients, especially those who are obese. The pathogenesis of gallbladder-heart syndrome may involve the following two points: ① Cholelithiasis and coronary heart disease are both related to lipid metabolism disorder, so there may be some relationship between etiology and pathogenesis. ② The biliary tract system and the heart share the same pathway in innervation, which may be caused by nerve reflex. The main manifestations of patients with gallbladder-heart syndrome are chest tightness, angina pectoris, arrhythmia, cardiac insufficiency and ECG changes. Some patients are accompanied by pain in the right upper abdomen, and the effect is not good after treatment with cardiovascular drugs. The treatment of biliary-cardiac syndrome is mainly to treat biliary tract diseases, control biliary tract inflammation and remove biliary stones. Nouns explain that chest tightness is a subjective feeling, that is, breathing hard or not enough gas. In severe cases, I feel as if I have been crushed by a stone on my chest, and even have difficulty breathing. It may be a functional manifestation of body organs, or it may be one of the earliest symptoms of human diseases. First, functional chest tightness: staying in a room with poor ventilation for a long time, or encountering some unpleasant things, or even quarreling with others, or in a climate with low air pressure, often leads to chest tightness and fatigue. After a short rest, opening the window for ventilation or breathing fresh air outdoors, relaxing your mind and adjusting your mood, you will soon return to normal. Chest tightness like this may be functional. Second, pathological chest tightness: caused by diseases in some organs in the body, that is, pathological chest tightness. Such as: 1. Respiratory tract obstruction: long tumor in trachea and bronchus, tracheal stenosis, tracheal external pressure (goiter, longitudinal