A 52-year-old patient complains about strong persistent pain behind the breastbone. The pain irradiates to the left arm, left scapula and shoulder. Objectively: the patient is excited, frightened; he is moaning. The pain arose 2 hours ago at his workplace after a nervous overstress. Repeated ingestion of nitroglycerine didnt arrest the pain. What disease might be suspected in this patient?

Valvular defect
Stenocardia
Essential hypertension
Rheumatism
Myocardial infarction