What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis?
Based on these reports along with vital signs obtained during the assessment, it appears likely that the patient is experiencing a heart attack. Other possible differential diagnoses include pericarditis or angina; however given their age and medical history (no significant conditions) it is more likely to be an acute coronary event such as a myocardial infarction or unstable angina.
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