Case scenario : Natalia is a 66 year old Spanish woman living in rural Victoria in the township of Warracknabeal.  She has a history of diabetes, hypercholesterolemia, hypertension, non-insulin dependent and unstable angina.  Her GP is concerned that she does not understand her risk.

Natalia complains that she frequently experiences chest painfor various reasons & experiences increased pain when under stress.  The pain is described as squeezing, pressure heaviness on the chest.  Angina symptom happen when she exerts herself, walks uphill , after a heavy meal and feeling cold. It lasts a short time, less than 5mins, after rest of use of medication.

She is overweight. Her cholesterol level was high and was also checked 5 weeks ago.