HISTORY OF PRESENT ILLNESS: The patient is a 67-year-old male with a history of coronary artery disease (CAD), type 2 diabetes mellitus and hyperlipidemia who presents with substernal chest pain radiating to the left arm. He denies shortness of breath, nausea, or diaphoresis. No fever or chills. Past medical history is significant for CAD status post percutaneous coronary intervention in 2015.

MEDICATIONS: Aspirin 81 mg daily, atorvastatin 40 mg nightly, metformin 500 mg b.i.d.

ALLERGIES: Penicillin (rash).

ASSESSMENT: Acute coronary syndrome, rule out myocardial infarction. Troponin was not elevated. EKG without ST changes.
