What is your husband's age ?
Does he smoke ?
Does he have risk factors for heart disease? ( high blood pressure , family history, high cholesterol?)
The EKG Does not indicate any specific findings to say ah ha ..there must be coronary artery disease...
The abnormal R wave progression is if you will a nonspecific type finding as if the rear portion of the heart ( circumflex artery distribution to the back side muscle should be impaired then it could lead to this finding ) the lead positions may alter the EKG appearance
You staying that he has had stomach pain along with chest discomfort then that makes me think he may have discomfort due to reflux as being more likely ...
EKG basically NORMAL with basically minimal change of uncertain significance ...more reassuring than not is bot***** *****ne it seems ..
His details of risk / age / character of symptoms would help
Did the ER suggest treatment for reflux ?? Trial of GI coctail at ER ? ( my pants plus lidocaine plus raglan ) if such helped then it helps to I'D source of pain to esophagus -- not heart ...
Did they suggest any cardiac follow up ??
If heart attack and acute unstable angina is ruled out then at times a follow up with cardiologist may be advised --- a stress test may be considered
It sounds more likely that he may have esophageal irritation and may benefit to take an acid reducer...
He should follow up with his regular doctor on this ....
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