A 57 year-old male presents for a visit to his primary care…

A 57 year-old male presents for a visit to his primary care physician. He is s/p MI 2 years ago but complains of chest pain 1-2 times a month. He has needed 15 nitroglycerin tablets to control the chest pain in the past week. Which of the following conditions should be highest on the differential diagnosis for this patient?