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Are acidity and chest pain due to poor R-wave progression?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have a problem with acidity and anxiety as well. My heart rate becomes high when I have acidity, and I also experience chest pain. My mother also has a complaint of acidity. Previously, I used the tablet Pantop D for acidity. I am attaching my ECG reports that show poor R-wave progression V3. Could you please let me know what it means? Kindly advise.

Thank you.

Answered by Dr. Ilir Sharka

Education:

Faculty of Medicine

Professional Bio:

Dr. Ilir Sharka is a Cardiologist. He can diagnose and manage heart diseases such as coronary artery disease and heart failure. He can interpret ECG, echocardiography, and stress tests. He can help in hypertension management and lipid control. He can treat arrhythmias and conduction disorders. He also does interventional procedures, including angioplasty and stenting (where applicable). He can help in heart valve disease assessment and management. He can provide preventive cardiology and risk factor modification.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concern and would be happy to help. I have reviewed the ECG (electrocardiogram) report you shared (attachments removed to protect the patient's identity). The report is within the normal range. V3 is a transition zone of the QRS complex that represents ventricular depolarization, and it depends on the cardiac axis, that is, orientation within the chest. Also, there are no signs of cardiac ischemia. Regarding acidity, I would suggest you undergo fibrogastroscopy, as acid reflux can also be the reason for chest pain.

I hope this helps.

Please revert so I can assist you further.

Thank you.

Patient's Query

Hello doctor,

Thank you for your answer.

So, is there no heart-related issue? Kindly advise.

Thank you.

Answered by Dr. Ilir Sharka

Education:

Faculty of Medicine

Professional Bio:

Dr. Ilir Sharka is a Cardiologist. He can diagnose and manage heart diseases such as coronary artery disease and heart failure. He can interpret ECG, echocardiography, and stress tests. He can help in hypertension management and lipid control. He can treat arrhythmias and conduction disorders. He also does interventional procedures, including angioplasty and stenting (where applicable). He can help in heart valve disease assessment and management. He can provide preventive cardiology and risk factor modification.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

Based on your symptoms, it appears like gastroesophageal reflux.

I hope this helps.

Do revert in case of further questions.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At June 4, 2022
Reviewed At September 30, 2024

Education:

Faculty of Medicine

Professional Bio:

Dr. Ilir Sharka is a Cardiologist. He can diagnose and manage heart diseases such as coronary artery disease and heart failure. He can interpret ECG, echocardiography, and stress tests. He can help in hypertension management and lipid control. He can treat arrhythmias and conduction disorders. He also does interventional procedures, including angioplasty and stenting (where applicable). He can help in heart valve disease assessment and management. He can provide preventive cardiology and risk factor modification.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

Faculty of Medicine

Professional Bio:

Dr. Ilir Sharka is a Cardiologist. He can diagnose and manage heart diseases such as coronary artery disease and heart failure. He can interpret ECG, echocardiography, and stress tests. He can help in hypertension management and lipid control. He can treat arrhythmias and conduction disorders. He also does interventional procedures, including angioplasty and stenting (where applicable). He can help in heart valve disease assessment and management. He can provide preventive cardiology and risk factor modification.

This doctor is not available for online consultations on the platform anymore.

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