Mr.No history of prior myocardial infarction or stroke.Past surgical history of intervertebral disc with No prior cardiac surgeries or intervention.Positive family history of ACS  
His father died from MI at age of 80, His mother is still alive with HTN and DM ,His Brother have the same condition give me a case summaryThe patient denied syncope, lower limb edema , cough and wheezing.Hyperlipidemia: Diagnosed 8 years ago, on statin therapy.Hypertension: Diagnosed 10 years ago, on medication.