Hi, I am a 33-year-old male, nonsmoker, non-diabetic, normal lipids, FAMILY HISTORY OF CAD, both father and mother, sedentary life style, daily exerciser, avid runner on treadmill, h/o having center chest discomfort since 2010, had been to a cardiologist, EKG negative, enzymes negative, TMT differnet doctors with different opinion. RBBB, ST- depression. ECHO- Small PFO with flap. Had exercised today too - with mild discomofrt, but able to complete a full 5 kilometers