What causes a feeling of stuffiness or blockage in the center above the chest, and what should be done about it?

Jun 04, 2023 Source: Cainiu Health
Dr. Tian Hongbo
Introduction
A feeling of tightness or blockage in the center above the chest may be related to conditions such as cardiac neurosis, coronary atherosclerotic heart disease, or acute myocardial infarction. Patients can receive treatment through daily lifestyle adjustments, oral medications, or surgery. In addition to these common causes, it may also be associated with congenital heart disease, rheumatic heart disease, or heart failure.

The sensation of tightness or blockage in the center above the chest may be related to conditions such as cardiac neurosis, coronary atherosclerotic heart disease, or acute myocardial infarction. Patients can receive treatment through lifestyle adjustments, oral medications, surgery, and other methods. Specific analyses are as follows:

1. Cardiac Neurosis

Cardiac neurosis refers to cardiovascular symptoms caused by psychological issues or nervous system dysfunction. Clinical manifestations include chest pain, shortness of breath, palpitations, and chest tightness. Patients can appropriately relieve psychological stress and maintain a positive mental state to help alleviate discomfort. When necessary, medications such as clonazepam tablets or propranolol hydrochloride tablets may be taken under medical guidance.

2. Coronary Atherosclerotic Heart Disease

If the coronary arteries become narrowed or blocked, affecting blood supply to the heart, it may cause cardiac discomfort. Clinical symptoms include chest tightness, shortness of breath, and chest pain. Patients may take medications such as nitroglycerin tablets or suxiao jiuxin pills as directed by a physician to improve symptoms.

3. Acute Myocardial Infarction

This condition is typically caused by an acute blockage in the coronary arteries, leading to myocardial ischemia and tissue necrosis. It is an acute illness characterized by chest discomfort, shortness of breath, chest pain, and restlessness. Immediate surgical intervention should be performed under medical supervision, such as emergency coronary artery bypass grafting or stent implantation.

In addition to the common causes mentioned above, similar symptoms may also be associated with congenital heart disease, rheumatic heart disease, or heart failure. If patients frequently experience cardiac discomfort, they should promptly seek medical evaluation and treatment at a hospital.

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