Record 1

Patient ID: MR0001
Name: John/Jane Doe 1
Age: 31
Sex: Female
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 6-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2006)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 121/79 mmHg
HR: 69 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 2

Patient ID: MR0002
Name: John/Jane Doe 2
Age: 32
Sex: Male
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 7-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2007)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 122/80 mmHg
HR: 70 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 3

Patient ID: MR0003
Name: John/Jane Doe 3
Age: 33
Sex: Female
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 8-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2008)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 123/81 mmHg
HR: 71 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 4

Patient ID: MR0004
Name: John/Jane Doe 4
Age: 34
Sex: Male
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 9-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2009)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 124/82 mmHg
HR: 72 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 5

Patient ID: MR0005
Name: John/Jane Doe 5
Age: 35
Sex: Female
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 10-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2010)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 125/83 mmHg
HR: 73 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 6

Patient ID: MR0006
Name: John/Jane Doe 6
Age: 36
Sex: Male
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 11-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2011)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 126/84 mmHg
HR: 74 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 7

Patient ID: MR0007
Name: John/Jane Doe 7
Age: 37
Sex: Female
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 5-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2012)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 127/85 mmHg
HR: 75 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 8

Patient ID: MR0008
Name: John/Jane Doe 8
Age: 38
Sex: Male
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 6-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2013)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 128/86 mmHg
HR: 76 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 9

Patient ID: MR0009
Name: John/Jane Doe 9
Age: 39
Sex: Female
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 7-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2014)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 129/87 mmHg
HR: 77 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 10

Patient ID: MR0010
Name: John/Jane Doe 10
Age: 40
Sex: Male
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 8-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2005)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 130/78 mmHg
HR: 78 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 11

Patient ID: MR0011
Name: John/Jane Doe 11
Age: 41
Sex: Female
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 9-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2006)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 131/79 mmHg
HR: 79 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 12

Patient ID: MR0012
Name: John/Jane Doe 12
Age: 42
Sex: Male
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 10-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2007)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 132/80 mmHg
HR: 80 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 13

Patient ID: MR0013
Name: John/Jane Doe 13
Age: 43
Sex: Female
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 11-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2008)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 133/81 mmHg
HR: 81 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 14

Patient ID: MR0014
Name: John/Jane Doe 14
Age: 44
Sex: Male
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 5-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2009)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 134/82 mmHg
HR: 82 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 15

Patient ID: MR0015
Name: John/Jane Doe 15
Age: 45
Sex: Female
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 6-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2010)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 120/83 mmHg
HR: 83 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 16

Patient ID: MR0016
Name: John/Jane Doe 16
Age: 46
Sex: Male
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 7-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2011)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 121/84 mmHg
HR: 84 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 17

Patient ID: MR0017
Name: John/Jane Doe 17
Age: 47
Sex: Female
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 8-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2012)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 122/85 mmHg
HR: 85 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 18

Patient ID: MR0018
Name: John/Jane Doe 18
Age: 48
Sex: Male
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 9-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2013)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 123/86 mmHg
HR: 86 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 19

Patient ID: MR0019
Name: John/Jane Doe 19
Age: 49
Sex: Female
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 10-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2014)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 124/87 mmHg
HR: 87 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 20

Patient ID: MR0020
Name: John/Jane Doe 20
Age: 50
Sex: Male
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 11-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2005)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 125/78 mmHg
HR: 68 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 21

Patient ID: MR0021
Name: John/Jane Doe 21
Age: 51
Sex: Female
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 5-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2006)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 126/79 mmHg
HR: 69 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 22

Patient ID: MR0022
Name: John/Jane Doe 22
Age: 52
Sex: Male
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 6-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2007)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 127/80 mmHg
HR: 70 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 23

Patient ID: MR0023
Name: John/Jane Doe 23
Age: 53
Sex: Female
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 7-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2008)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 128/81 mmHg
HR: 71 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 24

Patient ID: MR0024
Name: John/Jane Doe 24
Age: 54
Sex: Male
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 8-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2009)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 129/82 mmHg
HR: 72 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 25

Patient ID: MR0025
Name: John/Jane Doe 25
Age: 30
Sex: Female
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 9-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2010)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 130/83 mmHg
HR: 73 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 26

Patient ID: MR0026
Name: John/Jane Doe 26
Age: 31
Sex: Male
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 10-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2011)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 131/84 mmHg
HR: 74 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 27

Patient ID: MR0027
Name: John/Jane Doe 27
Age: 32
Sex: Female
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 11-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2012)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 132/85 mmHg
HR: 75 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 28

Patient ID: MR0028
Name: John/Jane Doe 28
Age: 33
Sex: Male
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 5-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2013)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 133/86 mmHg
HR: 76 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 29

Patient ID: MR0029
Name: John/Jane Doe 29
Age: 34
Sex: Female
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 6-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2014)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 134/87 mmHg
HR: 77 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 30

Patient ID: MR0030
Name: John/Jane Doe 30
Age: 35
Sex: Male
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 7-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2005)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 120/78 mmHg
HR: 78 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 31

Patient ID: MR0031
Name: John/Jane Doe 31
Age: 36
Sex: Female
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 8-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2006)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 121/79 mmHg
HR: 79 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 32

Patient ID: MR0032
Name: John/Jane Doe 32
Age: 37
Sex: Male
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 9-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2007)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 122/80 mmHg
HR: 80 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 33

Patient ID: MR0033
Name: John/Jane Doe 33
Age: 38
Sex: Female
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 10-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2008)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 123/81 mmHg
HR: 81 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 34

Patient ID: MR0034
Name: John/Jane Doe 34
Age: 39
Sex: Male
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 11-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2009)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 124/82 mmHg
HR: 82 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 35

Patient ID: MR0035
Name: John/Jane Doe 35
Age: 40
Sex: Female
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 5-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2010)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 125/83 mmHg
HR: 83 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 36

Patient ID: MR0036
Name: John/Jane Doe 36
Age: 41
Sex: Male
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 6-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2011)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 126/84 mmHg
HR: 84 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 37

Patient ID: MR0037
Name: John/Jane Doe 37
Age: 42
Sex: Female
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 7-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2012)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 127/85 mmHg
HR: 85 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 38

Patient ID: MR0038
Name: John/Jane Doe 38
Age: 43
Sex: Male
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 8-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2013)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 128/86 mmHg
HR: 86 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 39

Patient ID: MR0039
Name: John/Jane Doe 39
Age: 44
Sex: Female
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 9-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2014)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 129/87 mmHg
HR: 87 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 40

Patient ID: MR0040
Name: John/Jane Doe 40
Age: 45
Sex: Male
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 10-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2005)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 130/78 mmHg
HR: 68 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 41

Patient ID: MR0041
Name: John/Jane Doe 41
Age: 46
Sex: Female
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 11-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2006)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 131/79 mmHg
HR: 69 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 42

Patient ID: MR0042
Name: John/Jane Doe 42
Age: 47
Sex: Male
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 5-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2007)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 132/80 mmHg
HR: 70 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 43

Patient ID: MR0043
Name: John/Jane Doe 43
Age: 48
Sex: Female
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 6-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2008)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 133/81 mmHg
HR: 71 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 44

Patient ID: MR0044
Name: John/Jane Doe 44
Age: 49
Sex: Male
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 7-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2009)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 134/82 mmHg
HR: 72 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 45

Patient ID: MR0045
Name: John/Jane Doe 45
Age: 50
Sex: Female
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 8-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2010)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 120/83 mmHg
HR: 73 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 46

Patient ID: MR0046
Name: John/Jane Doe 46
Age: 51
Sex: Male
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 9-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2011)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 121/84 mmHg
HR: 74 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 47

Patient ID: MR0047
Name: John/Jane Doe 47
Age: 52
Sex: Female
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 10-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2012)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 122/85 mmHg
HR: 75 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 48

Patient ID: MR0048
Name: John/Jane Doe 48
Age: 53
Sex: Male
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 11-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2013)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 123/86 mmHg
HR: 76 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 49

Patient ID: MR0049
Name: John/Jane Doe 49
Age: 54
Sex: Female
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 5-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2014)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 124/87 mmHg
HR: 77 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------

Record 50

Patient ID: MR0050
Name: John/Jane Doe 50
Age: 30
Sex: Male
Chief Complaint: Intermittent chest discomfort, fatigue, and shortness
of breath.
History of Present Illness:
The patient reports a 6-week history of intermittent symptoms, often
occurring during moderate physical activity. No episodes of syncope.
Denies recent infections, trauma, or major lifestyle changes. Symptoms
have gradually increased in frequency.

Past Medical History:
- Hypertension (diagnosed 2005)
- Mild hyperlipidemia
- Seasonal allergies

Medications:
- Lisinopril 10 mg daily
- Atorvastatin 20 mg nightly
- Loratadine 10 mg PRN

Family History:
Positive for cardiovascular disease in father; mother has Type 2
diabetes.

Social History:
Non-smoker. Social alcohol consumption. Works in an office environment.
Exercises irregularly.

Review of Systems:
Denies fever, chills, GI symptoms, or neurological deficits. Reports
increased fatigue.

Physical Examination:
BP: 125/78 mmHg
HR: 78 bpm
Lungs: Clear to auscultation
Cardiac: Regular rhythm, no murmurs
Extremities: No edema

Diagnostics:
- EKG: Normal sinus rhythm
- Chest X-ray: Unremarkable
- Bloodwork: Mildly elevated LDL, normal troponin

Assessment:
Likely stable angina vs. deconditioning. Consider further cardiology
evaluation.

Plan:
- Order stress test
- Adjust statin dosage pending lab review
- Encourage structured exercise program
- Follow-up in 4 weeks

------------------------------------------------------------------------
