You are incorrect - the patient's history is most consistent with mitral valve disease.


Your choice: Coronary Artery Disease
Coronary artery disease typically presents with ischemic cardiac pain including angina pectoris and acute myocardial infarction. Angina pectoris is a transient type of chest distress that is commonly provoked by exertion and relieved by rest or nitroglycerin. Myocardial infarction is usually associated with more prolonged symptoms, but it may also be silent.

Other presentations of coronary artery disease include dyspnea, arrhythmias, and sudden death.