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: mr. is an 84-year-old russian-speaking only male with a history of diabetes who is very active and presenting with the acute onset of substernal chest pain and shortness of breath. he denies a prior history of chest pain, shortness of breath, paroxysmal nocturnal dyspnea, orthopnea, or lower extremity edema. he walks extensively every day. he reports onset of his pain on the afternoon of admission while sitting at a bus stop. it was accompanied by shortness of breath but not nausea, vomiting, diaphoresis, or radiation of his pain. after returning home, he called emergency medical service who noted the patient to have frothy sputum production. in the emergency department, his electrocardiogram showed incomplete right bundle-branch block, left anterior vesicular block, and 2-mm st elevations in i avl and v2 through v3. his right bundle-branch block and st changes were new from a comparison study in . he was given aspirin, heparin, sublingual nitroglycerin, nitroglycerin drip, and lasix and was taken emergently to the catheterization laboratory where he was found to have a 90% middle left anterior descending artery lesion and 40% right coronary artery lesion. he underwent stenting of his middle left anterior descending artery and was started on integrilin. a right heart catheterization was also performed which showed a right atrial pressure of 5, pulmonary artery pressure of 15, cardiac output of 2.85, and a cardiac index of 1.8. he was subsequently transferred to the coronary care unit. past medical history: 1. type 2 diabetes; diet controlled. last hemoglobin a1c of 6.3 in . 2. osteoarthritis. 3. status post hernia. medications on admission: 1. atarax 10 mg p.o. q.d. 2. protonix 40 mg p.o. q.d. social history: he lives with his wife, very active. no smoking or alcohol. a retired store manager. physical examination on presentation: blood pressure of 100/60, heart rate of 80, respiratory rate of 23, oxygen saturation of 97% on 2 liters. in general, an elderly russian-speaking male in no apparent distress. head, eyes, ears, nose, and throat revealed pupils were equally round and reactive to light. extraocular movements were intact. mucous membranes were moist. neck revealed no jugular venous distention. cardiovascular revealed a respiratory rate. first heart sound and second heart sound. no murmurs, rubs or gallops. lungs revealed diffuse bilateral coarse breath sounds. the abdomen soft, nontender, and nondistended. no hepatosplenomegaly. no masses. normal active bowel sounds. extremities revealed no edema. distal pulses were 1+. catheterization site without swelling, ecchymosis, or bruits. neurologically, alert and oriented. strength was bilaterally. cranial nerves ii through xii were intact. radiology/imaging: electrocardiogram in the emergency department as above. left axis deviation, left anterior vesicular block, new incomplete right bundle-branch block, and st elevations in i, avl, v2 and v3. post catheterization electrocardiogram revealed left axis deviation, left anterior vesicular block; right bundle-branch block now resolved. q waves in v2 and v3. st changes resolving in i and avl. a chest x-ray revealed borderline cardiomegaly, bilateral hilar congestion, diffuse valvular interstitial infiltrates, right greater than left; consistent with moderate congestive heart failure. assessment: this is an 84-year-old previously male with a history of diabetes (diet controlled) who presented with acute anterior myocardial infarction, status post cardiac catheterization and stenting of middle left anterior descending artery. hospital course: 1. cardiovascular: (a) ischemia: the patient was treated post catheterization with aspirin, integrilin times 18 hours, plavix, and lipitor. a beta blocker and ace inhibitor were also started at low doses and titrated up as tolerated. over the course of his hospitalization, he continued to have occasional episodes of chest pain without electrocardiogram changes or increased enzymes. (b) pump: a transthoracic echocardiogram was obtained which showed an ejection fraction of 35% to 40% and mild dilation of the left ventricle. the echocardiogram also showed septal distal lateral and distal inferior akinesis, apical dyskinesia, and probable anterior hypokinesis. he was subsequently started on anticoagulation with lovenox and coumadin. on admission, he had moderate congestive heart failure on his chest x-ray and was diuresed with lasix with good results. (c) electrophysiology: the patient presented with old left anterior vesicular block and new right bundle-branch block. his right bundle-branch block resolved status post catheterization. he also initially had a few episodes of nonsustained ventricular tachycardia which also resolved. 2. hematology: the patient's creatinine and hematocrit stable status post cardiac catheterization. 3. endocrine: his diabetes was controlled with a regular insulin sliding-scale while in house. discharge status: discharged to home. condition at discharge: in stable condition. discharge diagnoses: 1. status post anterior myocardial infarction and left anterior descending artery stent. 2. congestive heart failure with an ejection fraction of 35 to 40%. 3. apical dyskinesia. medications on discharge: 1. aspirin 325 mg p.o. q.d. 2. captopril 37.5 mg p.o. t.i.d. 3. lopressor 37.5 mg p.o. b.i.d. 4. lipitor 10 mg p.o. q.d. 5. coumadin 2 mg p.o. q.d. 6. plavix 75 mg p.o. q.d. 7. protonix 40 mg p.o. q.d. 8. sublingual nitroglycerin p.r.n. discharge followup: follow up with dr. , and follow up with primary care physician (dr. , and follow up with clinic. , m.d. dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute myocardial infarction of other anterior wall, initial episode of care 

Answer: The patient is high likely exposed to