<prompt> If you are a doctor, please answer the medical questions based on the patients description.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  <response>: Hi ! I had gone through your question and I understand your concern. Yes sometimes heart disease it can be experienced like gastritis symptoms, cause, vomiting heartburn we call them atypical presentation of heart disease in the rather case we will think angina sectorsSometimes there are not to May specific think to distinguish but when the hurt burn is from the stomach reflux it disappear when we give antacid to the patient sanitizing, the patient have regurgitation also. Pain from peptic ulcer worse 3 hours 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 when the pain start after physical exercise it is from the heart. If your father have episodes with hypertension and the pain come should consider from heart. . Other cardiovascular symptoms : hypotension, bradycardia 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 Chat Doctor 