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The patient is a 45-year-old female who presents with chest pain.

She reports experiencing fatigue and sluggishness upon awakening this morning, accompanied by chest tightness during household activities. Initially, she attributed these symptoms to bronchitis due to the associated difficulty in breathing, but the onset of pain prompted her to seek medical attention. This is her first encounter with such symptoms. She also experienced palpitations prior to the onset of pain, which she initially attributed to anxiety. She reports no episodes of lightheadedness, dizziness, or syncope.

She has a history of Hashimoto's disease, which occasionally results in foot swelling and dry skin, but no recent weight gain or fluctuations. Her current medication regimen includes levothyroxine 0.5 mg daily. She reports no other medical conditions.