Description

J.M is a 67-year old F with hx of DM and HLD presents to ED with complaints of worsening SOB with activity, associated intermittent chest pressure for 1 month. States having to stop what she is doing due to SOB and chest pain initially noticed while walking that lasted for approximately 30 seconds and relieved by rest. Patient denies burning or stabbing chest pain, nausea, diaphoresis, dizziness, cough, orthopnea, paroxysmal nocturnal dyspnea, wt gain, palpitations, acid taste in the throat, wheezing, jaw pain. Physical assessment cardiac rate and rhythm regular, no murmurs, peripheral edema and JVD <4cm. States no established cardiologist and no prior stress test and last EKG was normal. Patient doesn’t exercise, drinks 2-3 glass of wine per month, used to smoke tobacco 15 years ago for 5 years. She has not tried nitroglycerin or other medications for relief. No recent fevers, chills, or respiratory infections reported.

Reason for encounter: Worsening Shortness of breathe and intermittent chest pain with activity.