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 49 year-old gentleman with no known history of coronary artery disease who presented to an outside hospital complaining of substernal chest pain. the pain began at 10:00 a.m. and was substernal without radiation described as a dull ache different from the usual gerd. the patient preceeded to the local emergency room given the persistent and worsening pain at 10:30 a.m. at the outside hospital emergency department the patient also complained of diaphoresis and now of chest pain. an electrocardiogram revealed st elevation and peaked t waves. the patient was given sublingual nitroglycerin, morphine, lopressor, aspirin and the pain decreased to , but never went away completely. the patient was then transferred to for cardiac catheterization. catheterization revealed that right dominant system normal, normal lmca, lcx with mild disease, right coronary artery with 40% mid and 50% posterior descending coronary artery stenosis, left anterior descending coronary artery with 70% stenosis at the origin and 99% stenosis due to thrombotic occlusion distally with slow timi two flow. an angiojet coronary thrombectomy was performed followed by stenting of the left anterior descending coronary artery at the origin and distally. physical examination at presentation: pulse 65. blood pressure 120/58. respirations 18. oxygen saturation 100%. general appearence in no acute distress, alert and awake. heent mucous membranes are moist. pupils are equal, round and reactive to light. oropharynx clear. no jvd. cardiovascular regular rate and rhythm. normal s1 and s2. no murmurs. lungs clear to auscultation anteriorly and laterally. abdomen is soft, nontender, nondistended. normal bowel sounds. extremities no clubbing, cyanosis or edema. right groin there is an arterial venous sheath in place. no bruit or hematoma. good distal pulses bilaterally. laboratories at outside hospital: white blood cell 6.2, hematocrit 46.4, platelets 141, sodium 143, potassium 3.9, chloride 106, bicarb 21, bun 16, creatinine .7, glucose 81, ck 130, and troponin less then 0.01. electrocardiogram at outside hospital showed normal sinus rhythm with a heart rate of 70, normal intervals, right axis, st elevation in v1 through v4, peaked t waves in v1 through v4 and flat ts. after stent placement at electrocardiogram showed normal sinus rhythm with a heart rate of78, normal intervals, normal axis, st elevation in v2 through v4 is still present, but decreased and there is a q wave in v3 of questionable significance and normal t waves. peak cpks was 2600 and peak troponin was more then 50. total cholesterol was 206, hdl 46, ldl 142, triglycerides 89. echocardiogram showed an ef of 30%, apical akinesis, anteroseptal and free anterior wall hypokinesis. past medical history: 1. depression. 2. gastroesophageal reflux disease. 3. mild hypercholesterolemia. allergies: penicillin, which causes a rash. medications at home: prozac, protonix occasionally. family history: no history of coronary artery disease, cerebrovascular accident or diabetes mellitus. social history: no smoking, occasional alcohol intake. prior marijuana use in . he leads an active lifestyle and recently picked up scuba diving. he is divorced and he is a pharmacist. hospital course: mr. is a 49 year-old gentleman with no prior history of coronary artery disease who presented to an outside hospital with substernal chest pain and diaphoresis and anterior st elevation on electrocardiogram consistent with an anterior myocardial infarction and was transferred to for catheterization, which revealed left anterior descending coronary artery stenosis 70% at the origin and 99% mid distally, now status post stent of the left anterior descending coronary artery at the origin and distally. coronary artery disease, mr. is status post anterior myocardial infarction and stenting of the left anterior descending coronary artery times two. he received integrilin for eighteen hours and then was started on aspirin 325 mg, plavix 75 mg. a lipid panel was drawn and ldl was found to be 142, which is significantly higher then the goal of 100 for him, therefore atorvastatin 10 mg po q.d. was also started. an echocardiogram showed an ef of 30% with akinesis at the inferior wall and hypokinesis v3 and septal inferior wall. an ace inhibitor was started and titrated up. the patient also was started on heparin for anticoagulation due to akinesis and decreased ef. the anticoagulation was supposed to be performed with heparin for a few days until coumadin was provided with a therapeutic inr, however, after only one hour of being on heparin the right groin hematoma enlarged and heparin was immediately discontinued and the patient was never started on coumadin. mr. had a few runs of nonsustained ventricular tachycardia during the 24 hours after the anterior myocardial infarction and catheterization. he then had no more arrhythmias. a beta blocker was started and titrated up as tolerated. he was randomized to the cooling arm of the cool myocardial infarction protocol trial. his hospital stay was otherwise unremarkable. mr. was evaluated by physical therapy who gave information about the amount of exercise that he should perform and how to pace himself. he was deemed fit to go home by the physical therapy. medications at discharge: atorvastatin 10 mg po q day, toprol xl 50 mg po q day, lisinopril 10 mg po q day, plavix 75 mg po q day to continue for thirty days, aspirin 325 mg po q day. discharge condition: good. discharge status: to home. follow up: mr. to follow up with his cardiologist on . , m.d. dictated by: medquist36 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 esophageal reflux pure hypercholesterolemia acute myocardial infarction of other anterior wall, initial episode of care paroxysmal ventricular tachycardia 

Answer: The patient is high likely exposed to