What causes chest tightness and back pain?

If you experience chest tightness and back pain, you should consider whether it is caused by heart or lung disease. Common heart failure, bronchial asthma, pulmonary congestion, etc. can cause such symptoms. In addition to pathological reasons, overwork can also cause such symptoms.

One is cardiac chest tightness - chest tightness and dyspnea after fatigue, or paroxysmal dyspnea at night. Patients may wake up from sleep due to suffocation. It is seen in heart disease patients with pulmonary congestion and heart failure. Chest tightness can also be a manifestation of angina pectoris when myocardial ischemia occurs in coronary heart disease. Younger people should pay attention to the possibility of myocarditis.

The second is pulmonary chest tightness, which is seen in bronchial asthma, pleural effusion, spontaneous pneumothorax, pulmonary fibrosis, etc.

Chest tightness caused by functional problems of the three nerves - common in cardiovascular dysfunction. Patients feel chest tightness and shortness of breath, and subjectively feel that there is not enough air and breathing is not smooth. They often breathe like sighing and feel comfortable after exhaling a long breath. Sometimes they are also accompanied by palpitations, stabbing pain in the precordial area, as well as fatigue, dizziness, confusion, panic, anxiety, sweating, insomnia and other neurological symptoms. Most of the patients suffer from this disease, and its characteristic is that the symptoms are numerous and changeable, which are similar to coronary heart disease and angina pectoris, but no organic lesions are found in electrocardiogram, cardiac B-ultrasound and other examinations.

4. In addition, organic chest tightness often occurs after exercise or fatigue, while functional chest tightness often occurs during rest; organic chest tightness can be significantly improved after sitting up, while functional chest tightness often does not change due to changes in body position.