,HISTORY:,  This is a 77-year-old white female patient whom I have known for the last about a year or so who has underlying multiple medical problems including hypertension, hyperlipidemia, diabetes mellitus, coronary artery disease status post aortocoronary bypass surgery about eight years ago at Halifax Medical Center where she had triple vessel bypass surgery with left internal mammary artery to the left anterior descending artery, saphenous vein graft to the left circumflex and right coronary arteries. 
,HISTORY : , This is a 77 - year - old white female patient whom I have known for the last about a year or so who has underlying multiple medical problems including hypertension , hyperlipidemia , diabetes mellitus , coronary artery disease status post aortocoronary bypass surgery about eight years ago at Halifax Medical Center where she had triple vessel bypass surgery with left internal mammary artery to the left anterior descending artery , saphenous vein graft to the left circumflex and right coronary arteries .