A 58-year-old male with a history of smoking and high cholesterol presents with complaints of chest pain that occurs during exertion and is relieved by rest. He rates the pain as a 6/10 and states it feels like "pressure" in his chest. An EKG reveals ST depressions during an episode of pain. What is the likely diagnosis, and what are the next steps?
This patient's presentation of exertional chest pain relieved by rest is consistent with stable angina, likely due to coronary artery disease from atherosclerosis. The ST depressions on the EKG during an episode of pain suggest myocardial ischemia. The next step would include further evaluation of his coronary arteries, likely with a stress test, and beginning medical management for angina and atherosclerosis.