He says there has not been an episode at rest, nor has an episode awakened him at night. The patient's father and paternal grandfather both had MI at 44. The patient smoked a pack of cigarettes a day for 15 years but quit 10 years ago. His cholesterol is mildly elevated at 223 with an LDL of 167. Past medical history is negative for other medical problems and for surgery.
Patient works as an executive for a local pharmaceutical firm.
He does not exercise regularly. He drinks socially. He follows a low-fat diet. He denies any chest pains or cough. Cardiac exercise stress test in a.m.