Shortness of breath and chest tightness, what's wrong?

Patient's question:

Chest tightness, shortness of breath, weakness, occasional cough after exercise, about 10 years. Chest tightness after exercise, suspecting fatty liver, heart disease, trachea, or lung disease. However, after examination, there were no heart disease or lung disease. What is the reason for shortness of breath and chest tightness during exercise?

Doctor's answer:

It should be caused by myocardial ischemia, related to overexertion, arteriosclerosis, and poor dietary and lifestyle habits. Further tests are needed to clarify the condition. It is recommended to undergo a combination of examinations such as an electrocardiogram (ECG), myocardial enzymes, 24-hour Holter monitoring, chest X-ray, and echocardiography to further assess the situation. It is possible that your previous tests were not comprehensive, so it is important to address this promptly. Rest, maintain a light diet, avoid smoking and drinking beer, and prevent overexertion and staying up late. Temporarily refrain from physical activity.

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