A 35 year old man presents with breathlessness, palpitations, dizziness, and retrosternal chest pain for 15 minutes. The pain was moderate in intensity, and tightening in character.
He experienced 3 similar episodes 3, 6, and 8 weeks ago. These occurred respectively during a board meeting, when he was called upon to deliver a speech, and while waiting for co-workers in the lunch room. During these episodes, he had a severe urge to just drop things and leave the place.
Because of this, he has avoided such situations for the past month, as he is highly worried of a serious outcome.
His medical and surgical histories are unremarkable. There is no family history of cardiac disease, or of sudden deaths at a young age.
He has a good relationship with his family, but as a senior manager, is currently stressed at work. He drinks in moderation, does not smoke, and strongly denies using controlled substances.