54 yrs old male c/o dizziness and arm pain, dizziness become w | sᴘᴏᴛ ᴅɪᴀɢɴᴏsɪs

54 yrs old male c/o dizziness and arm pain, dizziness become worse when the patient vigorously move his arms as when he tries to play tennis, Hx is significant for HTN & DM, which of the following describes this patients condition :