<s>[INST] hi dr. i would like to know why with heart diseases  shows the same symptoms as gastric problems like heart burn , vomiting , gas and so os . how we can differentiate between these?this is for my father who had undergone angioplasty . he turned 66 , 157cm , 63kg weight [/INST] Hi ! I had gone through your question and I understand your concern .Yes sometimes heart dissease it can be exsperienced like gastritis symptoms , nause , vomiting heartburn we call them atipical presentation of heart dissease ( in the rather case we will think angina pectoris)Sometimes there are not to may specific think to distinguish but when the hurtburn is from the stomach ( reflux) it dissapear when we give antacid to the patient ( ranitidine ), the patient have regurgitansion also .Pain from peptic ulcer worse 3 hour after eating . In  Heart problem the pain is most of the case tightness ", "heaviness " or pressure   "sharp" chest pain that can spread to the neck and the left arm .last 20-30 minWhen the pain start after physical  exscercise  it is from the heart. If your father have episodes with hypertension and the pain come should consider from heart. .Other cardiovascular  symptoms : hypotension, bradicardia) slow heart rate ), sometimes hypertension, tachycardia  ( fast heart rate ).When you suspect call the hospital that will do an ECG to confirm the diagnosis.Hope these help you !Thank you for using HCM </s>