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Possible causes include: [4] Asthma Carbon monoxide poisoning Excess fluid around your heart (cardiac tamponade) Hiatal hernia Heart failure Low blood pressure (hypotension) Pulmonary embolism (blood clot in the lungs) Pneumothorax (collapsed lung) Pneumonia Sudden blood loss Upper airway obstruction Advertisement Chronic shortness of breath is an ongoing condition, which may worsen over time