Jean Michael is a 70 year old mald who has been managed for years for his CAD, hypertension, and anemia. A cardiac catheterization done a year ago showed 50% occlusion of the circumflex coronary artery. He has had an episode of dizziness for the past 6 months with orthostatic hypotension, shoulder discomfort, and decreased exercise tolerance for the past 2 months. On his last clinic visit 3 weeks ago, a chest x-ray and 12-lead ECG were done, showing cardiomegaly and a L bundle branch block. Results of blood studies drawn at this time were chemistries: Na 136 mEq/L, K 5.2 mEq/L, BUN 15 mg/dl, creatinine 1.8 mg/dl, glucose 82 mg/dl, and Cl 95 mEq/L. CBC: WBC 4.4 mm^3, Hgb 10.5 g/dl, Hct 31.4%, and platelets 229 mm^3. This morning his daughter brought him to the ER because he has had increased fatigue, significant swelling of his ankles, shortness of breath and mild to moderate chest pain the last 2 days that subsides with rest. His vital signs are 142/83, 105, 18 and 36.6ËšC. 1. What further assessment questions would you need to ask of your patient and daughter? 2. What is the differences between angina and Acute coronary syndrome?