 He denies chest pain, heart attack, coronary artery disease, congestive heart failure, arrhythmia, atrial fibrillation, pacemaker, pulmonary embolism, or CVA. 
He denies chest pain , heart attack , coronary artery disease , congestive heart failure , arrhythmia , atrial fibrillation , pacemaker , pulmonary embolism , or CVA .