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 73-year-old russian male with no significant past medical history who presents to the emergency department with new acute onset of substernal chest pain of several hour duration with radiation down the left arm. patient was reportedly in his usual state of health when he reports acute onset of left arm pain associated with "pins and needles" sensation while at rest. the patient's arm pain persisted for approximately 30 minutes before onset of substernal chest pain and pressure. the chest pain progressively worsened over several hours with associated nausea and diaphoresis. the patient denies shortness of breath, pleuritic pain, palpitations, as well as lightheadedness. the patient was transported to the emergency department by ems and on route was treated with aspirin and sublingual nitroglycerin with persistent chest pain. on arrival to the emergency department, the patient was started on nitroglycerin drip, heparin, plavix, and integrilin (lopressor was held secondary to sinus bradycardia). in the emergency department, the patient was found to be afebrile with a blood pressure of 114/68, heart rate 52, and oxygen saturation 93% on room air, 97% on four liters nasal cannula. the patient's initial electrocardiogram demonstrated antero-septal st elevations with persistent chest pain. the patient was sent for emergent cardiac catheterization. past medical history: 1. anxiety disorder. 2. degenerative joint disease. 3. history of gout. 4. status post inguinal hernia repair. allergies: no known drug allergies. medications on admission: 1. paxil (dose unknown). 2. diazepam (dose unknown). social history: the patient is married and lives with his wife. the patient is a retired mechanical engineer and emigrant from . the patient has a 30 pack year tobacco history with reported occasional alcohol use. family history: no significant coronary artery disease or diabetes reported. physical exam on admission: temperature 98.6. heart rate 71. blood pressure 115/67. respiratory rate 20. oxygen saturation 95% on three liters nasal cannula. in general, patient is a well-developed, well-nourished elderly male lying flat in no acute distress. head, eyes, ears, nose and throat exam: normocephalic, atraumatic, anicteric sclera, extraocular movements intact bilaterally. pupils are equal, round, and reactive to light and accommodation, clear oropharynx, moist mucous membranes. neck with 2+ carotid pulses bilaterally, no jugular venous distention, supple, no lymphadenopathy appreciated. cardiovascular exam: distant heart sounds, regular rate and rhythm, no murmurs, rubs or gallops appreciated. pulmonary exam: clear to auscultation bilaterally anteriorly with no wheezes, rhonchi or rales. abdominal exam: soft, normal active bowel sounds, nontender, nondistended, no hepatosplenomegaly. extremities: no cyanosis, clubbing or edema, 2+ distal pulses throughout, right groin with arterial and venous catheterization sheaths with small hematoma (marked) with pressure dressing, no bruit appreciated. laboratory and studies on admission: cbc with a white blood cell count of 9.8, hematocrit 44.6, platelet count 301,000. chem-7 with sodium of 139, potassium 4.3, chloride 104, bicarbonate 20, bun 16, creatinine 1.0, glucose 153. cardiac enzymes: first set: ck 90, mb not done, troponin i 1.6. second set: ck 4396, ck-mb 613, troponin i greater than 50. third set: ck 2759, ck-mb 299, troponin i greater than 50. chest x-ray on admission showed no overt failure, no infiltrate appreciated. initial electrocardiogram: normal sinus rhythm at 86, right bundle branch block with intraventricular conduction delay, left axis deviation, elevations in v2 and v3, elevations in leads v4 and v5, q waves in v2 through v5. hospital course: the patient underwent a cardiac catheterization without complication. catheterization demonstrated a right dominant system with multivessel disease including mildly diseased left circumflex, moderate (40-50%) occluded right coronary artery, 20% left main occlusion, and total occlusion of the proximal left anterior descending artery. right heart pressures were elevated with a right atrial pressure of 9, right ventricular pressures of 34/16, pulmonary artery pressures of 36/17 and pulmonary capillary wedge pressure of 18. the patient underwent angio-jet to the left anterior descending artery with placement of three stents. 0% residual was reported post stent placement, however, "no reflow" was seen. the patient was subsequently treated with intra-coronary adenosine, diltiazem, and nitroglycerin with subsequent timi 3 flow. the patient was started on integrilin (18 hours), plavix, aspirin, and transferred to the cardiac intensive care unit. the patient ruled in for an st elevation anterior wall myocardial infarction with peak ck of 4396. the patient was started on low dose beta-blocker and ace inhibitor with low normal blood pressure, well-tolerated. the patient remained chest pain free during the remainder of the hospital course. the patient also remained in normal sinus rhythm on telemetry without signs of arrhythmia. a post myocardial infarction echocardiogram demonstrated severely decreased systolic function with an ejection fraction of 20-30%, severe hypokinesis of the inferior and anterior septum, as well as anterior free wall, and extensive apical akinesis. the echocardiogram also demonstrated mild symmetric left ventricular hypertrophy, mild pulmonary hypertension, 1+ tricuspid regurgitation, and 1+ mitral regurgitation. no thrombus was seen on echocardiogram and the patient was started on anticoagulation for akinetic/poor left ventricular function with heparin and coumadin, goal inr . there was no evidence of bleeding, complication or groin hematoma. the patient's lipid panel demonstrated a total cholesterol of 172, elevated ldl of 124, low high density lipoprotein of 25, and triglycerides of 114. the patient was started on a statin (lfts only remarkable only for an elevated ast likely secondary to cardiac origin). condition on discharge: good. discharge diagnoses: 1. anterior wall myocardial infarction. 2. ischemic cardiomyopathy with an ejection fraction of 20-30%. 3. hypercholesterolemia. 4. anxiety disorder. 5. degenerative joint disease. 6. gout. 7. status post inguinal hernia repair. medications on discharge: 1. lisinopril 2.5 mg po q.d. 2. lopressor 12.5 mg po b.i.d. 3. lovenox 60 mg subcutaneous b.i.d. (until inr therapeutic). 4. coumadin 5 mg po q.h.s. (dosed by inr level). 5. plavix 75 mg po q.d. (total of 30 days). 6. aspirin 325 mg po q.d. 7. lipitor 10 mg po q.d. instructions on discharge: the patient was discharged to home with instructions to follow-up with his primary care physician/cardiologist, dr. , on monday, at 10 a.m. patient was prescribed lovenox, quantity sufficient for four days until next blood work and inr level. the patient was instructed to follow-up with cardiology on for further risk stratification including a t wave alternans test in the stress laboratory, a signal average electrocardiogram, and 24 hour holter monitor. the risk stratification is part of an ongoing electrophysiology study for potential placement of icd. , 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 injection or infusion of platelet inhibitor diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension acute myocardial infarction of other anterior wall, initial episode of care personal history of tobacco use anxiety state, unspecified primary pulmonary hypertension osteoarthrosis, unspecified whether generalized or localized, site unspecified 

Answer: The patient is high likely exposed to