Chest pain, associated with sweating, and becoming pale, happening about 3 times a day, lasting 10 - 15 mins. This episode has lasted 30 mins. Normal sleeps well and wakes up fine. Has woken up in the middle of the night felling clams and sweaty and having chest pain. No drug or alcohol use. No headache, no vomiting > peeing more in last 3 days. E: pale, clamy, Sweating. O/E- 16 resp per min O/E- blood pressure 128/75. O/E pulse rate 89 bpm Oxygen sats 100% blood glucose 2.7mmol