A 57 year-old male presents for a visit to his primary care…

A 57 year-old male presents for a visit to his primary care physician. He is s/p MI 2 years ago but complains of chest pain 1-2 times a month. He has needed 15 nitroglycerin tablets to control the chest pain in the past week. Which of the following conditions should be highest on the differential diagnosis for this patient? 

A 65 year-old male presents to the office with chest pain. …

A 65 year-old male presents to the office with chest pain.  For the past 2 years, he experienced the same pain about once every 2 months.  Although the pain was brought on by exertion, it had always relieved completely with rest after a few minutes.  In the past week, he has had 3 episodes of the same pain, but the most recent episode this morning lasted 10 minutes and didn’t resolve completely. What is the next step in evaluation of this patient?