Patient presents with complaints consistent with typical angina.  The patient reports episodic chest pain, characterized as a pressure, tightness, or squeezing sensation, precipitated by exertion or emotional stress.  The pain is retrosternal and may radiate to the left arm, jaw, or back.  Symptom duration is typically less than 15 minutes and is relieved by rest or nitroglycerin administration.  The patient denies associated symptoms such as nausea, vomiting, diaphoresis, or shortness of breath.  Cardiac risk factors include hyperlipidemia and a family history of coronary artery disease.  Physical examination reveals normal heart sounds, regular rhythm, and no murmurs, rubs, or gallops.  Lungs are clear to auscultation.  Electrocardiogram (ECG) at rest is normal.  Based on the characteristic symptoms, risk factors, and absence of other concerning findings, the diagnosis of stable angina pectoris is established.  Differential diagnoses considered include esophageal spasm, pericarditis, and musculoskeletal chest pain.  Treatment plan includes lifestyle modifications such as smoking cessation, dietary changes, and regular exercise.  Pharmacological management will be initiated with a beta-blocker and nitroglycerin as needed for angina episodes.  The patient is educated on the importance of medication adherence, symptom monitoring, and follow-up care.  Referral to cardiology for further evaluation, including stress testing, is recommended to assess the severity of coronary artery disease and guide further management.  ICD-10 code I20.9 Angina pectoris, unspecified is assigned.