zakaria asked:

Bob is a 40 year old male. He eats a Big Mac everyday for dinner. After that, he goes home, studies for 3 hours while smoking and goes to bed. He repeats this kind of lifestyle everyday.
Significant family history: Bob’s father died of a heart attack at the age of 54. His mother smokes and suffers from emphysema.
Last night, Bob had a sudden onset of sharp pain on the middle portion of his back and his left arm, accompanied by nauseation, shortness of breath and dizziness. He was sent to ER