A 58-year-old male presents to the emergency department with a sudden onset of central chest pain that started one hour ago while he was watching television. He describes the pain as pressure-like, radiating to his left shoulder and jaw. He also reports associated nausea, dizziness, and sweating. He has a history of hypertension, type 2 diabetes mellitus, and hyperlipidemia but has not been compliant with his medications. He smokes 20 cigarettes per day and drinks alcohol occasionally. There is a family history of ischemic heart disease (his father had a myocardial infarction at 60 years old).