History of Present Illness

The patient is a 62-yr-old white male who presents to his primary care clinic with the chief complaint of chest pain. He has no pain currently. He first noticed the pain 2 months ago but attributed it to indigestion. He describes the pain as a pressure sensation in the middle of his chest that does not radiate anywhere else. It seems to come only with exertion and not at rest. He noticed it more last week when he had to shovel snow; no pain since then. Pain usually lasts 10-15 minutes and goes away if he takes a break. When present, the pain is not worsened by movement or breathing. He took an aspirin the last time he got the pain which he thinks helped. The pain is not associated with shortness of breath, nausea or diaphoresis. He denies any recent fever, cough or infectious symptoms.

Patient 3