A 78 y.o. Caucasian male comes to your office today following a recent negative cardiac catheterization for angina chest pain. He has had four previous coronary stents and it was determined that there was no blockage in the stents either. Prior to the catherization he was experiencing chest pressure, numbness in left arm and dyspnea that was brought on by exertion and exercise. He relates that the symptoms would dissipate soon after he rested. He would take sublingual nitrate often when he had the chest pain. He has a history of GERD, atrial fibrillation, has a pacemaker, and hyperlipidemia. He takes the following medications: Digoxin 0.25 mg o.d. Metoprolol 25 mg bid Warfarin 7.5 mg o.d. Aspirin 81 mg o.d. Plavix 75 mg o.d. Atorvastatin 20 mg o.d. Protonix 40 mg o.d. He wants to know what treatment can be offered to him for his persistent chest discomfort. Vital signs: Blood pressure: 126/82, Pulse 70 (pacemaker set) (regular), respirations 16, temperature 98.6°F orally, BMI 24.5 Chief Complaint: I continue to have chest discomfort Questions: What additional subjective data are you seeking? What additional objective data will you be assessing for? What tests will you order? What is your plan of care? What additional patient teaching may be needed? Will you be looking for a consult?