You are Seb, a 55-year-old chap who was admitted to hospital six weeks ago with some chest pain.

HPC: You vividly recall the events which lead to your hospital admission. While having dinner with your wife and daughter, suddenly a horrible feeling overcame you. You can’t really explain it: it felt like the world was ending. You then suddenly experienced a large chest pain in the middle of your chest, which did not move anywhere. You felt like a truck had fallen onto your chest. You didn’t have any sweating or feel clammy at the time. The pain lasted till the ambulance arrived and gave you some medication (about 30 minutes). If you had to score it out of 10, it would definitely have been an 11!

ICE: You immediately thought you were having a heart attack. It was the scariest moment in your life and you were concerned that you may never have left the hospital like your dad did. When you came to clinic, you were expecting to figure out what you could do to prevent yourself from getting another heart attack.

PMH: You never visited your GP for any medical problems nor have you had any previous surgeries. You felt that going to the doctors was a sign of weakness – now you know better and would go even fore a broken toenail! Since your hospital admission, it was discovered that you had hypertension, high cholesterol and diabetes.

SH: You do not currently smoke or drink. You drank at least two bottles of vodka on the weekends and only two beers every night prior to your hospital admission. In addition, you smoked 20 cigarettes a day for forty years. You have tried most recreational drugs but stopped after your first child.

FH: Your father and younger brother died of a heart attack at 45 and your mother had a stroke at 60. You have two healthy kids in their twenties.

DH and allergies: You don’t have any allergies. You don’t remember the names of all your medication but four are for your heart and one is for your diabetes. You take all your medication as required. You work at an office.

SE: No other symptoms.