Case 1

Rc of retrosternal chest pain which sounds ischaemic cardiac in nature. 

He has a previous history of myocardial infarction and he states that this pain is similar in character but perhaps not quite as severe. 

In addition to ischaemic heart disease he has hypertension, hypercholesterolaemia and is taking aspirin, simvastatin, ramipril and atenolol. 

His pain has settled with some morphine and GTN and there is nothing specific to find on examination.