ABSTRACT

His cholesterol level was “high” 1 yr ago. He is trying to follow a low-fat diet and to lose weight but has not had his cholesterol level rechecked. He has no history of DM, HTN, or tobacco use. His family history is unremarkable. He does not report any previous history of chest discomfort or MI. He describes his symptoms as a “central chest burning” that comes on when he is under stress in a courtroom or when he plays doubles tennis. The discomfort has never forced him to stop a courtroom argument or to interrupt his tennis game. In fact, he notes that it frequently resolved while he continued his activity. The discomfort sometimes lasts for an hour or more after he stops playing tennis. He has never taken NTG for this discomfort.