A 72-year-old male presents to the Emergency Department with complaints of acute chest pains that started 45 minutes ago. He says the pain feels like a tightness in his chest and radiates to his left upper extremity. The patient has a history of coronary artery disease and says he took nitroglycerin which did not relieve the pain. EKG shows ST segment elevations in leads II, III, and AVF. Cardiology is consulted and the patient is rushed to the cath lab. If osteopathic structural examination were performed on this patient, which of the following diagnoses would be most consistent with his presentation?