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 46-year-old male with cardiac risk factors of hypertension, hypercholesterolemia, and smoking (three to four packs per day for approximately 30 years) who presented via ambulance to from an outside hospital for rescue cardiac catheterization after failed thrombolysis for an acute inferior myocardial infarction. the patient was in his usual state of health on , the day before admission; when, after hunting, he experienced substernal chest pain radiating to both while sitting down that did not resolve for several hours. there was some associated diaphoresis, but the patient denied shortness of breath, dizziness, or palpitations. after several hours of continuous pain, the patient went to an oxygen saturation hospital ( hospital) where he arrived with stable vital signs and an electrocardiogram indicative of an inferior myocardial infarction. the patient was given thrombolytics times two as well as heparin, morphine, lopressor, nitroglycerin drip, and aspirin; all without significant improvement in the electrocardiogram or in his pain. the patient was therefore transferred, with stable vital signs, to where he had a coronary angioplasty with two stents placed in the right coronary artery. there was stenosis in the proximal right coronary artery of 60%, and in the distal right coronary artery of 99%, with timi-i flow. after stent placement, timi-iii flow was seen. left ventriculography showed an ejection fraction of 45% with inferior hypokinesis. no mitral regurgitation and increased filling pressures. the patient was admitted to the coronary care unit at with improvement in symptoms and electrocardiogram findings and in stable condition. review of systems: review of systems was significant for occasional chest pain over the course of the past year or more that was similar to the chest pain he experienced before admission. in addition, the patient reports abdominal pain upon eating which has been occurring for several months. otherwise, review of systems was negative. past medical history: past medical history is significant for hypertension, hypercholesterolemia, hemorrhoids. no history of heart disease. at the time of admission, the patient did not regularly see a primary physician. allergies: there were no known drug allergies. medications on admission: the patient took no medications at home. family history: family history was significant for both parents who had myocardial infarctions in their 50s. social history: social history was significant for three to four packs per day of smoking for 30 years and approximately 10 beers per week. physical examination on presentation: physical examination on admission to the coronary care unit revealed vital signs with a temperature of 96.9, heart rate was 62, blood pressure was 140/88, respiratory rate was 19, oxygen saturation was 99% on 3 liters nasal cannula, a weight of 165 pounds, and a height of 5 feet 11 inches. in general, the patient was awake and alert, in no acute distress; though the patient appeared restless. head, eyes, ears, nose, and throat examination was significant for pupils which were equal, round, and reactive to light with extraocular muscles intact. there was increased jugular venous pressure to the jaw at 15 degrees, and there was a question of bilateral carotid bruits. cardiovascular examination was significant for a regular rate and rhythm. a soft systolic ejection murmur at the left lower sternal border. lung examination was significant for clear lungs bilaterally. abdominal examination revealed positive bowel sounds, nontender, mildly tensed abdomen. extremities revealed he was moving all four extremities. there was a right femoral catheter which was nontender without hematoma, and the patient had bilateral dorsalis pedis pulses. pertinent laboratory data on presentation: laboratory values from hospital immediately before admission to showed the following; a complete blood count with a white blood cell count of 9000, hematocrit was 44.2, platelets were 351. the differential showed 39 neutrophils with 49 lymphocytes. chemistry-7 showed sodium was 143, potassium was 3.7, chloride was 104, bicarbonate was 25, blood urea nitrogen was 14, creatinine was 1.2, and blood glucose was 126. the ptt was 23.1. the creatine kinase was 104. the mb fraction was 1.5. troponin i was less than 0.4. radiology/imaging: a chest x-ray was normal. electrocardiogram on admission to the emergency room at hospital showed sinus rhythm with a rate of 66, an axis of -30, with 2-mm to 3-mm st elevations in ii, iii, and avf; and reciprocal changes st changes in avl and v1 through v4. electrocardiogram at after angioplasty showed a sinus rate of 90, with an axis of -30, and improved st elevations in ii, iii, and avf; as well as improved st depressions in v1 through v4. the cardiac catheterization showed a left main, a left anterior descending, and left circumflex arteries without flow-limiting disease. the right coronary artery showed a 60% proximal stenotic lesion proximal to the acute marginal with timi-ii flow distally and a mid distal right coronary artery with 99% stenosis. right atrial pressures were 15. right ventricular pressure was 35/20. left ventricular end-diastolic pressure was 35. pulmonary capillary wedge pressure was 27. right atrial pressure was 35/20. the cardiac output was 4.23. the left ventricle showed inferior hypokinesis with an ejection fraction of 45%. hospital course: the patient was admitted to the coronary care unit in stable condition. he was started on plavix 75 mg b.i.d., aspirin 325 mg q.d., heparin, captopril 25 mg t.i.d., and lopressor 12.5 mg t.i.d. because of the suspicion of alcohol withdrawal, the patient was started on oxazepam as needed as well as thiamine, folate, and multivitamins. this suspicion was based on the patient's admitted use of 10 beers per week as well as elevated ast at 237, an alt of 52, and the patient's significant restlessness. it was also considered that this restlessness was due to withdrawal from a significant nicotine habit. the patient's cholesterol was found to be elevated with a total cholesterol of 229, a high-density lipoprotein of 29, a low-density lipoprotein of 161, with triglycerides of 196. as a result, the patient was stated on lipitor once his abnormal liver function tests resolved. the patient's right femoral catheter was removed on hospital day one. pressure was held on for 55 minutes without oozing and with a small hematoma. because the patient had some increasing back pain around this time, a hematocrit was checked which was shown to be decreased to 36 from 39. on rechecking the hematocrit the next day, it remained stable at 38.5, and no further workup was felt to be necessary. smoking cessation: because of the patient's history of three to four packs per day of smoking, the patient was started on a nicotine patch, and the importance of smoking cessation was emphasized and discussed with the patient. the patient was to follow up with his primary care physician regarding this matter. addendum: the patient's creatine phosphokinase peaked at 2588, with a mb fraction of 407, and a troponin i of greater than 50. discharge followup: the patient was to follow up with dr. for primary care at medical group at , in , (telephone number ). in addition, the patient was to follow up with cardiologist dr. . medications on discharge: 1. lisinopril 10 mg p.o. q.d. 2. atenolol 25 mg p.o. q.d. 3. lipitor 10 mg p.o. q.d. 4. aspirin 325 mg p.o. q.d. 5. protonix 40 mg p.o. q.d. 6. plavix 75 mg p.o. q.d. (times 30 days total). 7. folic acid 1 mg p.o. q.d. 8. multivitamin. 9. nicotine patch. discharge diagnosis: inferior myocardial infarction with no complications. , m.d. dictated by: medquist36 d: 16:10 t: 16:21 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 alcohol detoxification diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia tobacco use disorder unspecified essential hypertension hematoma complicating a procedure alcohol abuse, unspecified acute myocardial infarction of other inferior wall, initial episode of care cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure family history of ischemic heart disease 

Answer: The patient is high likely exposed to