A 70-year-old male complains of precordial pressure-like chest pain with exertion. The pain does not radiate, but is associated with shortness of breath. The pain lasts 10-15 minutes, resolving with rest or SL NTG. Symptoms have been gradually worsening over the last 6 months. He smokes 1 ppd. Family history is negative.
PMH: DM with proteinuria, hyperlipidemia.
Meds: metformin, aspirin, glipizide, lisinopril, simvastatin
ECG: NSR with occas PVCs. Old inverted T waves in V1-2