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: this is a 79-year-old man, without previously documented coronary artery disease, who presented to hospital on after developing chest pain while getting an abdominal mri. on arrival to , he was complaining of chest pain but otherwise was a poor historian. heart rate was 62, blood pressure 151/95, oxygen saturation 94%. he was reportedly pain free with sublingual nitroglycerin in the emergency room. electrocardiogram revealed new inferolateral biphasic t-waves, and the patient was started on aspirin, lovenox, and nitroglycerin drip, and was admitted to the intensive care unit. during the hospitalization, the patient ruled in with a peak ck of 308 on arrival. the troponin was negative. on the morning of , the patient had recurrent chest pain with deep t-wave inversions inferolaterally. the patient was seen by cardiology and started on heparin and aggrastat, with plans for transfer to for left heart catheterization. on transport to , the patient reportedly was agitated and received 2 g ativan plus or minus morphine sulfate, but it was not documented properly. he was found in the holding area to be minimally responsive, although hemodynamically stable with spontaneous respirations. he was given narcan without effect. arterial blood gases revealed 7.20, pco2 of 93, po2 of 272, on non-rebreather, consistent with hypercarbic respiratory failure. the patient was intubated and taken to the ccu for further management. past medical history: significant for history of syncope, benign prostatic hypertrophy, and gastroesophageal reflux disease. medications: he was not on any medications at home. on transfer he was on aspirin 325 p.o. q.d., lopressor 12.5 p.o. b.i.d., lipitor 10 p.o. q.d., lovenox 70, nitroglycerin drip, aggrastat drip, pepcid 20 p.o. q.d., zantac 150 mg p.o. b.i.d. allergies: no known drug allergies. social history: he lives at home with his wife. is a retired . he has occasional alcohol use. tobacco history of one pack per week. physical examination: general: he was a thin, elderly man, intubated and sedated, status post et tube placement. vitals signs: temperature 97.8??????, blood pressure 137/71, pulse 76, assist control at 12, total volume of 600, fi02 100%, peep 5. heent: he was anicteric with pinpoint pupils. he had marked jugular venous distention. lungs: clear to auscultation anteriorly and laterally with good air movement bilaterally. heart: regular, rate and rhythm. occasional pauses. s1 and s2. questionable s3. no murmurs or rubs. abdomen: soft and nontender. active bowel sounds. extremities: no clubbing, cyanosis or edema. faint pulses of dorsalis pedis and posterior tibial. neurological: he was sedated. he moved all four extremities spontaneously. he was not arousable status post et tube placement. he did not withdrawal to pain in the arms. laboratory data: on admission white blood cell count was 5.0, hematocrit 33.8, platelet count 240,000; chem7 notable for a creatinine of 1.5, which later dropped to 1.1; ck on admission was 308, with an mb fraction of 10, index 3.3, the ck later dropped to 295 and then 263, troponin less than 0.3; urinalysis was negative. electrocardiogram on arrival to revealed questionable atopic atrial beats at 65, left axis deviation, q-waves in v1 and v2, left ventricular hypertrophy, and inferolateral biphasic t-waves. on arrival to , he was in sinus rhythm in the 70s with slight pauses, left anterior descending with poor r-wave progression, slight biphasic t-waves inferiorly and laterally. chest x-ray at per report was negative. hospital course: the patient was admitted, and left heart catheterization was postponed on the day of admission because the patient was sedated and unable to give consent. it was later postponed because of an episode of hemoptysis late thursday night into early friday morning. left heart catheterization was finally done on . this revealed mildly elevated left ventricular and diastolic pressure. left ventriculography revealed global hypokinesis, with an ejection fraction of 40%. codominant anatomy with left main coronary artery patent, left anterior descending with minimal irregularity, left circumflex with minimal luminal irregularity, and right coronary with proximal 40% lesion. other issues during the hospitalization included agitation in the patient at times which was treated successfully with haldol and a 1:1 sitter. the patient was initially on aggrastat, heparin drip, and nitroglycerin drip, and these were all stopped, and all of his cardiac medications were discontinued after the left heart catheterization revealed insignificant coronary artery disease. after catheterization, the right groin site revealed no hematoma and no bruit. discharge status: the patient is stable. discharge plan: the patient is to be discharged either to home or to a nursing rehabilitation center on no medications, just as he entered the hospital, with follow-up with his primary care physician. discharge diagnosis: chest pain of unknown etiology. the patient did not have a myocardial infarction. the patient did not have unstable angina. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours angiocardiography of left heart structures left heart cardiac catheterization coronary arteriography using a single catheter insertion of endotracheal tube diagnoses: esophageal reflux esophageal reflux acute respiratory failure panic disorder without agoraphobia 

Answer: The patient is high likely exposed to