Chest pain | Figure 1

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Chest pain

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First of all no ekg is available at this time. 36/m complains about tight chest and chest pains and shortness while simply walking. Has been getting worse for the last 6 months. He is a smoker and one pack will last him a day and half. Has been smoking off and in since 2006. Had gastric bypass in 2004 and has keep the weight off the entire time. Ideas?

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