text: HISTORY OF THE PRESENT ILLNESS  The patient is a 63  year-old man with a history of hypertension and prior history of atrial fibrillation secondary to hyperthyroidism who presented to an outside hospital with a history of left-sided chest pain at rest . The patient awoke with chest pressure radiating to the right chest associated with diaphoresis . The patient was found to have a blood pressure of 170  108 with atrial fibrillation and rapid ventricular response to a heart rate of 140s . The patient was rate controlled and transferred to the Stillman Infirmary for emergent cardiac catheterization .