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Anxiety can cause alterations in breathing patterns and it may be that you are holding your breath or breathing too rapidly which can cause fatigue and chest tightness. It will help to.initiate proper breathing. To abdominal breathe ( which is a much more effective breathing technique) place one hand on your abdomen and one hand on your chest... watch to see which rises. It should be the abdomen, NOT the chest.Practice breathing using your abdominal muscles... (to breathe with chest muscles causes fatique and more shortness of breath) by taking in a deep breath through your nose.. making sure only the hand on your abdomen moves, slowly.. and exhale slowly through the mouth.. your abdomen should flatten with exhalation.