Tuberculosis can cause symptoms such as fever, night sweats, cough, and hemoptysis, and in severe cases, it can lead to chest tightness, shortness of breath, and palpitations. However, if a patient experiences shortness of breath, difficulty breathing, and palpitations without symptoms like fever, hemoptysis, or night sweats, it is advisable to consider heart disease or chronic lung disease, or pneumonia leading to cardiopulmonary insufficiency. To rule out these conditions, examinations such as a chest CT and cardiac echocardiography should be conducted. Patients experiencing chest tightness and difficulty breathing are advised to seek medical attention at a hospital as soon as possible.