Chief complaint: chest tightness on exertion x 3 weeks, no rest pain.
History: sedentary, family h/o IHD (father, MI age 58).
O/E: BP 142/92, HR 84 reg, BMI 28.4, S1 S2 normal.
Plan: ECG, lipid profile, fasting glucose, HbA1c, 24h holter, low-dose aspirin if cardiology cleared.