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Poor r wave progression in V2
Hi i have been having severe burning pain from jaw till upper abdomen with acid coming to mouth
Had an ekg done at er- says r wave progression poor- can u recheck it? Er junior doc said seems grossly ok
I have lot of chest hair so nurse had tough time sticking leads to my chest
I havw a clean history- echo tmt all normal recent done
Answers (21)
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Donât worry too much about the ECG report.Since your recent Echo and TMT were both normal, its likely just a technical error. Because of the chest hair, the leads probably didn't stick properly, which often gives a slightly off reading. In your case, since your heart tests are clean, this finding isn't actually a cause for concern. That burning sensation from your jaw to your stomach, along with the acid in your mouth, sounds like a case of severe acidity or GERD.
The heart and the food pipe share similar nerve paths, so acid reflux can often feel like heart pain.
Next Steps
You should now consult Gastroenterologist to manage this acidity. Also, if you ever need another ECG, just ask them to shave small patches so the leads sit perfectly.
Health Tips
if the pain ever feels like heavy crushing pressure instead of burning, or if you feel breathless and sweaty, then head back to the ER immediately. Otherwise, you should be fine once the acidity is treated.
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Dr. Siva Simma
Consult Now
Ayurvedic Endocrinologist & Internal Medicine Specialist
5 yrs exp
Visakhapatnam
Consult general physician… take pantoprazole 40mg OD
Next Steps
Upper GI endoscopy if not relived after 2 weeks
Health Tips
Eat food atleast 2hrs before sleep, Stop smoking and alcohol consumption or atleast control.
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Hi
Take pantaprazole thrice a day for a week
Next Steps
Take soft diet no spicy food and junk food
Health Tips
ECG is normal
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Ecg is normal , ur symptoms may be due to gastritis
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The ECG appears to be normal,the symptoms you have experienced are most likely related to gastric issues, not cardiac related
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ECG looks overall normal sinus rhythm, no clear acute heart issue.
R-wave progression appears mildly poor but likely due to lead placement (very common), not disease—especially since echo + TMT are normal.
Your symptoms fit acidity/GERD more.
Repeat ECG once properly (good lead contact). If pain continues or changes, consult me for proper evaluation and treatment.
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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I carefully reviewed your ECG images.
Health Tips
• Avoid triggers:
– Spicy/oily food
– Coffee, late meals
• Lifestyle:
– Don’t lie down immediately after eating
– Elevate head while sleeping
• Important reassurance:
• ECG changes like “poor R wave progression” are very commonly due to lead placement error, especially in hairy chest
⚠️ When to worry:
• Crushing chest pain
• Pain with sweating, breathlessness
• Pain on exertion
⸻
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Your age and symptoms??
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Do consult
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Consult superspecialist like cardiologist
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Needs correlated with your symptoms.please consult.
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ECG seems to be normal
Your symptoms point towards Acid reflux
Next Steps
Consult general practitioner for proper prescription
Health Tips
Consider lifestyle modifications
-Avoid tea/coffee on empty stomach
-Dinner around 7-8 pm- atleast 2 hr gap between meal and sleep
- avoid spicy and oily food
-consume small frequent meals to prevent acid buildup
- consume salad with meals
- consult for proper medication schedule
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Normal ecg findings.so your chest pain is caused by mainly heartburn due to gerd/gastritis. You need to start treatment of this and also dietary changes required. Its play a major role .
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ECG looks grossly okay. You require treatment for acid reflux and gastritis
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Dr. Romain Rajan
General Physician
2 yrs exp
Ghaziabad
Hello,
I am Dr. Romain Rajan, General Physician (Ex Govt Medical Officer at RML Hospital, New Delhi), and your case has been allotted to me.
Thank you for sharing your ECG image. I have reviewed it carefully.
⢠Heart rate ~99 bpm â slightly on higher side but acceptable (can be due to anxiety, pain, ER setting)
⢠Rhythm appears regular (sinus rhythm)
⢠No obvious ST elevation or acute ischemic changes
⢠No clear evidence of heart attack pattern
ð Overall, this ECG looks grossly normal in emergency context
About âPoor R wave progressionâ
From this ECG:
⢠There is no clear pathological PRWP pattern
⢠Likely due to:
â Lead placement issue (very common, especially with chest hair)
â Technical factors
ð This supports what ER doctor told you
Correlation with your symptoms
Your symptoms:
⢠Burning from jaw to abdomen
⢠Acid coming to mouth
ð Strongly suggest GERD / acidity, not cardiac pain
Final clinical conclusion
ð ECG is reassuring
ð No signs of acute cardiac emergency
ð Symptoms are most consistent with acid reflux
What you should do now
⢠Start PPI (pantoprazole before breakfast)
⢠Avoid spicy, oily food, caffeine
⢠No lying down immediately after meals
⢠Elevate head while sleeping
When to still be cautious
Consult urgently if:
⢠Pain becomes pressure-like or exertional
⢠Associated with sweating or breathlessness
⢠Radiates to left arm
Important reassurance
With:
⢠Normal ECG (current)
⢠Recent normal Echo and TMT
ð Serious heart problem is very unlikely
For a one to one consultation and proper treatment plan for acidity, you can reach out to me on WhatsApp at 85271646 seven seven.
Wishing you quick relief.
Dr. Romain Rajan
General Physician
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
ECG is normal
It's due to GERD
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Dr. Rachna Pande
Internal Medicine
42 yrs exp
Bhopal
Ecg looks normal. More likely you have gastritis.
Take small frequent meals, avoid heavy meals, late evening meals, excess of tea, coffee, alcohol.
Take tab pantaprazole 40mg one daily before breakfast.
Syp maalox gel, 5m.l every 8hours.
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Its gerd
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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