Consider the following medical report that includes the patient's historical health records. Use it to predict the disease that the patient is high likely exposed to. 

 Medical Report: history of present illness: the patient is a fifty-nine-year-old man with hypertension on no medications who presented to hospital in on . six hours prior to his presentation to the emergency department, the patient had developed chest pain, severe indigestion, shortness of breath, diaphoresis and tingling down both arms. an electrocardiogram done in the emergency department showed 5 mm to elevations in the anterolateral leads. the patient was thrombolysed with 8 ml tnk and treated with 81 mg aspirin, lopressor 15 mg intravenous, heparin gtt. the patient's indigestion continued throughout the night but it had resolved upon transfer to in the morning on . at the outside hospital, cardiac enzymes were initially normal but peaked with a creatine phosphokinase of 30/64, creatine kinase myocardial bound 438 and troponin 219. upon arrival to , the patient's electrocardiogram showed continue st elevations in the anterolateral lead and the patient was taken directly to the catheterization laboratory. the patient's catheterization showed normal left ventricular main coronary artery, 50% proximal left anterior descending artery, 90% focal mid with 20% diffuse om lesion, focal 50% mid right coronary artery and an left ventricular function of 30% with a cardiac index of 2.2. ventriculogram showed moderate systolic ventricular dysfunction with mild systolic biventricular dysfunction. the left anterior descending artery was stented with 0% residual on timi three flow. due to the large area of infarct, as well as persistent st elevations in the anterolateral leads, the patient was transferred to the ccu for monitoring. past medical history: hypertension, hyperlipidemia. past surgical history: past surgical history is unknown. social history: four to five alcoholic drinks per night. tobacco, two packs per day. the patient is married, lives with his family out in and works as a bus mechanic. family medical history: negative for heart disease. outpatient medications: none. allergies: no known drug allergies. physical examination: physical examination on admission to the ccu, temperature 101.2 f, blood pressure 130/68, heart rate 84, respiratory rate 20, 97% on two liters nasal cannula. in general, the patient is in no acute distress. the patient is somnolent but answers questions appropriately. head, eyes, ears, nose and throat examination, oropharynx clear. mucous membranes moist. poor dentition. jvp not well seen due to the necessity of the patient lying flat, secondary to femoral sheath. chest, clear to auscultation anteriorly. cardiovascular, regular rate, normal s1, s2, positive s3, no murmurs or rubs. abdomen was soft, nontender, nondistended, normal active bowel sounds. extremities, right groin site with femoral sheath and swan-ganz catheter without oozing or hematoma, 1 to 2+ posterior tibialis and dorsalis pedis pulses bilaterally. the skin was warm and dry. laboratory data: laboratory studies sent from outside hospital, white blood cell count 16.1, hemoglobin 16, hematocrit 47.8, platelet count 229,000. chemistry panel, sodium 137, potassium 4.4, chloride 100, bicarbonate 28, blood, urea and nitrogen 10, creatinine 0.9, glucose 136. partial prothrombin time 26. total cholesterol 182, high-density lipoprotein 51, low-density lipoprotein 112, triglycerides 97. ast 507, alt 105, alkaline phosphatase 98, total bilirubin 0.2, albumin 3.2, ldh 262. impression: fifty-eight-year-old male with no known coronary disease, history of hypertension, hyperlipidemia presenting with a large anterolateral st elevation. myocardial infarction which was lysed at outside and an left anterior descending artery stented with 0% residual, now with anterolateral apical dyskinesis, akinesis and ejection fraction of 35%. hospital course: cardiovascular, a) coronary artery disease, please see above history of present illness for cardiac catheterization results. following catheterization, the patient was started on aspirin, plavix and integrilin which was continued for eighteen hours. the patient was started on heparin following integrilin being discontinued and femoral sheath being pulled. as transaminitis resolved on repeat laboratory studies at with an ast of 113, alt of 66, the patient was started on lipitor 10 mg every day. cardiac enzymes peaked at outside hospital with a creatine kinase of 3564, creatine kinase myocardial bound 438.6 and an index of 6.8 with a troponin of 219. cardiac enzymes during hospital course at showed creatine kinase peak at 1431, creatine kinase myocardial bound 94 and index of 6.6 on , at 6 p.m. cardiac enzymes trended down throughout the remainder of the hospital course. b) systolic dysfunction. the patient with an ejection fraction of 35% by ventriculogram in the catheterization laboratory. follow-up gte, the following day showed ejection fraction of 40%, anterior distal septal and apical akinesis. due to risk of left ventricular thrombus formation due to akinesis, the patient was loaded with heparin and started on coumadin prior to discharge. c) hypertension. the patient was on no medications on admission and was started on metoprolol 25 twice a day which was increased to 50 twice a day and switched to toprol xl 100 every day on discharge. an ace inhibitor was also started and the patient was discharged on enalapril 2.5 mg every day. throughout the hospital course, the patient's systolic blood pressure ranged from high 80's to approximately 110 and therefore, the patient was not titrated up any further on antihypertensives. d) rhythm and rate. the patient had a six beat run of nonsustained ventricular tachycardia approximately twenty-four hours after onset of symptoms. electrophysiology was consulted and will be following up with the patient with further studies as an outpatient. the patient was on telemetry for his entire hospital course and no other arrhythmias were noted. 2) gastrointestinal. the patient had transient transaminitis present in outside hospital which trended down throughout hospital course here. transaminitis was considered secondary to myocardial ischemia and it was felt safe to start lipitor. 3) hematology. on admission, the patient with hematocrit of 40 which showed a drop to 34 on hospital day number two, (which was later noted to be a laboratory error). however, stools were guaiac and the patient was found to be guaiac positive times one. the patient's hematocrit with the exception of the laboratory error was constant at 40 throughout the hospital course and it was deemed appropriate to follow-up with an outpatient colonoscopy. the patient reported no bright red blood per rectum or melena throughout the hospital course. 4) infectious disease. on admission to outside hospital, the patient was febrile with increased white blood cell count. both trended down throughout the hospital course and were felt to be attributed to myocardial infarct. 5) disposition: physical therapy saw and evaluated the patient and it was felt safe for the patient to be discharged to home. the patient to follow-up as an outpatient with cardiology, cardiac rehabilitation. condition at discharge: improved and stable. discharge diagnoses: 1) status post anterolateral myocardial infarct with stent placement. 2) hypertension. 3) hyperlipidemia. discharge medications: aspirin 325 mg every day, plavix 75 mg every day times thirty days, toprol xl 100 every day, lipitor 10 every day, enalapril 2.5 mg every day, warfarin 5 mg every day. follow-up: follow-up appointments, 1) dr. , , primary care physician. patient to schedule appointment for the week of . 2) prior to follow-up appointment, the patient to receive coumadin check, including international normalized ratio and complete blood count, secondary to guaiac positive stools. 3) electrophysiology, the patient to follow-up with dr. at for planned electrophysiologic study in one month including twa, eps and single average electrocardiogram. 4) the patient is to follow-up with outpatient cardiology in . the patient was given names of cardiologists in the area. , m.d. dictated by: medquist36 d: 13:50 t: 14:37 job#: procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia tobacco use disorder unspecified essential hypertension acute myocardial infarction of other anterior wall, initial episode of care paroxysmal ventricular tachycardia heart disease, unspecified 

Answer: The patient is high likely exposed to