Reason for referral
Please assess exertional chest pain and advise on the need for further cardiac investigation. (appears in this excerpt)
Relevant history
58-year-old patient with a 6-week history of central chest tightness on climbing stairs, relieved by rest within 5 minutes. Hypertension for 10 years. Father had a myocardial infarction at 61.
Findings and investigations
BP 146/88 mmHg. Resting ECG on 12 March: sinus rhythm, no ischemic changes. LDL cholesterol 4.1 mmol/L. (appears in this excerpt)
Current medications
Ramipril 5 mg orally once daily. Atorvastatin 20 mg orally once daily. (appears in this excerpt)
Request
Opinion and stress testing if indicated. Not urgent. (appears in this excerpt)