A 75 years old man with severe left sided chest pain on exertion since 45 days

This is a HIPAA de-identified open-online-patient-record with initial information in duty-doctors notes as well as patient's voice, posted here early winter 2015 after collecting informed patient consent (form downloadable here) by LNMCH research assistant and patient-information-communication-executive, Dr Jyoti, for a discussion initiated by patient's primary care physician in-charge: 


Last 1 yr burning sensation in abdomen progress to chest.

Backache
Neck pain

Epigastric discomfort since 1 month.

Deafness

Headache. Since 2 month weight lifting on head.
Cervical dorsal muscle pain due to tightness.


Past/history__
Surgical..abdomen operation (intestinal hernia) since 15yr

Personal/history__ smoking


Investigation __
ECG done