Elderly Female With Acute Chest Pain: Early Recognition An

ELDERLY FEMALE WITH ACUTE CHEST PAIN: EARLY RECOGNITION AND MANAGEMENT OF NSTEMI IN AMBULATORY CARE A 69-Year-Old Female with Chest PainPATIENT HEADER Field Data Patient Name Eleanor "Ella" M. Harrison Age 69 years old Gender Female Race/Ethnicity Caucasian Date of Birth 03/22/1957 Encounter Date April 22, 2026 Encounter Time 9:15 AM Location Outpatient Clinic (with X-ray, ECG, and Laboratory capabilities) Encounter Type Scheduled appointment (self-referred due to symptoms) Chief Complaint "I've been getting this weird chest pressure for the past few days when I walk." Source Patient (reliable historian) Mode of Arrival Self-driving SECTION 1: SUBJECTIVE DATAThis section contains verbatim and paraphrased information reported by the patient. History of Present Illness (HPI) Eleanor Harrison is a 69-year-old retired schoolteacher who presents to the outpatient clinic with a chief complaint of intermittent chest pressure that began approximately 4 days ago. Chronology of Events: 4 Days Ago (Saturday): The patient first noticed the sensation while walking up a slight incline in her neighborhood. She describes it as a "pressure" or "tightness" in the center of her chest, just behind the sternum. She stopped walking, and the sensation resolved completely within 5-7 minutes of rest. She attributed it to "being out of shape"