Mr. Jones is a 57 year old African American male with history of hypertension and diabetes who presents to the office with complaints of chest pain. The pain started approximately one hour ago and is characterized as being substernal in location, pressure-like in quality, and lasting approximately two minutes. The pain was brought on with ambulating up his driveway and alleviated with rest and the administration of a nitroglycerine tablet. Associated symptoms included shortness of breath and diaphoresis. Coronary artery disease risk factors include hypertension, diabetes, and tobacco abuse.