This case involves a forty-two-year-old male patient with a past medical history of hyperlipidemia, hypertension and a long history of cigarette smoking. The patient also had an extensive family history of cardiovascular disease with both parents suffering myocardial infarctions in their forties and thus, he was using multiple medications, including Lipitor and Benicar. While at work, the patient experienced an episode of acute chest pain and became extremely diaphoretic when he got up from his desk. A colleague called for an ambulance and the patient was taken to the emergency room. The patient was admitted for overnight observation due to the suspicion that he may have been suffering from angina. He was worked up by a cardiologist who ordered a stress test and EKG which were all interpreted to be normal. The patient was scheduled to undergo diagnostic cardiac catheterization however the procedure was cancelled without explanation and the patient was discharged shortly thereafter. Two weeks later the man suffered a massive ST-elevation myocardial infraction and died as a result. An autopsy was performed which revealed that the patient suffered from severe coronary artery disease with 100% occlusion in the left anterior descending coronary artery and 80% occlusion in the diagonal branch.