A 52-year-old male patient who is a house painter presents to the office reporting chronic fatigue and mild chest pain. When he is painting, chest pain is relieved after taking a break. He reports that the pain usually lasts 5 minutes or less and occasionally spreads to his left arm before subsiding. The patient was last seen 3 years ago by you, and you recommended diet changes to manage mild hyperlipidemia, but the patient has gained 30 pounds since that time
A 52-year-old male patient who is a house painter presents to the office reporting chronic fatigue and mild chest pain. When he is painting, chest pain is relieved after taking a break. He reports that the pain usually lasts 5…