The patient also stated that the pain is 6/10 on

The patient also stated that the pain is 6/10 on the pain scale, accompanied by dyspnea and fatigue during exertion, and denies palpitation, dizziness, and nausea. The patient reports that the chest pain and shortness of breath subside within 3 to 5 minutes when she is at rest. Upon physical examination, the patient reports no pain, dizziness, distress, or unlabored breathing but is tachycardic at 108 bpm. A primary doctor saw the patient five months ago and diagnosed her with a stable grade 2 systolic murmur. The echocardiogram revealed a mild aortic murmur, no left ventricular hypertrophy, and no symptoms were noted. The doctor suggested a referral to a cardiologist, but the patient declined. Blood work shows high total cholesterol and LDL, HDL is low, and triglycerides are on the borderline; other lab work is within range. The patient has PMHx of coronary artery disease, hypertension, and hyperlipidemia, along with a family history of COPD, hypertension, and hyperlipidemia. What is the primary diagnosis and Differential diagnosis?

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