A 63 year-old, previously healthy, male presents 5 hours aft…

A 63 year-old, previously healthy, male presents 5 hours after a 5-minute episode of exertional substernal chest pressure relieved by rest and one of his brother’s nitroglycerin tablets.  He had associated shortness of breath but no diaphoresis.  It was his first episode and the patient has no past medical history of cardiac problems.  In the emergency room, the heart and lung exams, serial EKG and cardiac enzymes are within normal limits.  Which of the following tests would be best at evaluating his symptoms further?

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?