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: an 85-year-old male with a history of coronary artery disease is status post myocardial infarction and percutaneous transluminal coronary angioplasty in at who presents with total body aching and malaise at outside hospital on . he subsequently developed chest pain and left arm pain. emts were called and gave the patient nitroglycerin. the patient was started on nitroglycerin drip and became pain free, however over the course of the next day he developed left arm pain and rest that was not relieved with nitroglycerin drip, aspirin and lovenox. he was then transferred to for emergent catheterization. en route, the patient was given integrilin drip as well as fentanyl 50 mcg x2 with resolution of his pain. past medical history: 1. transient ischemic attack 2. coronary artery disease, status post myocardial infarction with angioplasty in 3. 4.2 cm abdominal aortic aneurysm being followed by dr. 4. leg cramps outpatient medications: 1. atenolol 2. echinacea multivitamin 3. protonix 4. pravachol 5. doxazosin 6. aspirin transfer medications: 1. nitroglycerin drip 2. integrilin drip 3. lovenox 4. aspirin 5. atenolol 50 mg po q day 6. fentanyl prn allergies: no known drug allergies. social history: lives with his wife, former and no alcohol use. family history: father with coronary artery disease at unspecified age. physical exam on admission: vital signs: blood pressure 125/76, heart rate 71, o2 saturation 98% on 2 liters nasal cannula. general: elderly male lying flat in no acute distress. head, ears, eyes, nose and throat: extraocular movements intact. tongue midline, no jugular venous distention. cardiovascular: normal s1, s2, regular rate and rhythm, q6 systolic murmur at right upper sternal border. lungs: clear to auscultation bilaterally. abdomen: soft, nontender, obese, normoactive bowel sounds. extremities: 2+ dp pulses bilaterally. no groin bruits. admission labs: white blood count 9.5, hematocrit 36.4, platelets 154. inr 1.1, ptt 34.9. sodium 141, potassium 3.9, chloride 101, bicarbonate 28, bun 17, creatinine 0.9, glucose 109. ck 253 with an mb of 21, troponin of 17. imaging: electrocardiogram normal sinus rhythm at 80 beats per minute. q-wave in 2 and avf, depression in v4 through v6. impression: the patient is an 85-year-old male with non st elevation myocardial infarction with recurrent pain despite lovenox, aspirin and nitroglycerin drip. hospital course: 1. cardiovascular: the patient was taken to cardiac catheterization on the morning of . catheter was found to have a diffusely diseased and totally occluded right coronary artery with collateralization suggesting chronic occlusion. there was a 70% lad lesion and an om1 lesion which was 90% stenosed. the om1 lesion was felt to be the culprit given the electrocardiogram findings and this was percutaneous transluminal coronary angioplastied and stented with resulting 0% stenosis and timi-3 flow. the patient was started on captopril which was gradually titrated up from 6.25 mg to 37.5 mg po tid and was then changed over to lisinopril 10 mg po q day. the atenolol was increased to 75 mg po q day. he was started on plavix 75 mg and continued on the aspirin. the patient was also started on lipitor 20 mg po q day. post catheter, the patient continued to complain of bilateral shoulder pain and it was unclear if this was due to muscular and skeletal pain versus possibility of aortic dissection. he underwent a ct angiogram on which showed the abdominal aortic aneurysm unchanged in size with no evidence of dissection. there was also a small hematoma at the right groin site which was manually compressed and which stopped bleeding with stable hematocrit for two days with post catheter. the patient's cks peaked at about 355 and mb 27. troponin peaked at 20.1 and were trending down by . the patient was seen by physical therapy who recommended cardiac rehabilitation and the patient is to follow up with his primary cardiologist, , at hospital within the next week. discharge diagnoses: 1. acute myocardial infarction 2. status post percutaneous transluminal coronary angioplasty and stent of om1 lesion 3. abdominal aortic aneurysm 4. leg cramps discharge condition: good. the patient is feeling well, is ambulating without difficulty, eating and drinking without any problems and is to be discharged home with plans for cardiac rehabilitation and cardiac follow up. discharge medications: 1. lisinopril 10 mg po q day 2. atenolol 75 mg po q day 3. lipitor 20 mg po q day 4. aspirin 325 mg po q day 5. plavix 75 mg po q day x1 year , 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: subendocardial infarction, initial episode of care unspecified essential hypertension percutaneous transluminal coronary angioplasty status old myocardial infarction abdominal aneurysm without mention of rupture 

Answer: The patient is high likely exposed to