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 68-year-old male with cardiac risk factors of age, male gender and hypertension who was transferred from after presenting there on the at 2230 complaining of half an hour of substernal chest pain. he described the pain as sharp associated with diaphoresis and radiating to the left arm. he reports having previous episodes of similar chest pain which resolved spontaneously after a short period. the patient denied shortness of breath, nausea or vomiting. ekg at the outside hospital showed st elevations in the anterior leads in v1 and v2, lead 1 and lead avl with reciprocal depressions in leads 2, 3 and avf, v5 through v6. the patient was given aspirin and sublingual nitroglycerin times three and started on heparin with bolus and integrilin with bolus, lipitor 20 loaded and was transferred to the for emergent cardiac catheterization. a second electrocardiogram showed new left bundle branch block, worsening st elevations, found to have multivessel disease in catheterization with intra-aortic balloon pump (iabp) placed for high risk percutaneous transluminal coronary angioplasty. review of systems was positive for chest pain and denied shortness of breath, syncope or presyncope. the patient was sent for emergent catheterization at the and was found to have a right coronary artery/left anterior descending disease. the patient had a stent placed in the proximal lad and the mid rca. an intra-aortic balloon pump was placed as described above. a temp wire was placed for left anterior fascicular block/right bundle branch block. in addition patient was found to have a right pulmonary capillary wedge pressure of 10. angiography showed that the patient had a right dominant heart and a left ventricular ejection fraction was not noted. the patient was given -coated stent. past medical history: 1. hypertension. 2. osteoarthritis. 3. seasonal allergies. medications prior to admission: 1. arthrotek 75 q. day. 2. diovan. 3. hydrochlorothiazide. social history: the patient has a history of tobacco use but quit 25 years ago. reports occasional alcohol use. denies intravenous drug abuse. the patient is married. family history: remarkable for coronary artery disease in his father, mother and brother. physical examination: temperature 93.4, heart rate 87, blood pressure 148/89. mean arterial pressure 94, respiratory rate 19. the intra-aortic balloon pump: ad: 125. as: 126. ed: 86. m: 1:1. general: a comfortable male in no apparent distress. heent: normocephalic, atraumatic. pupils equal, round and reactive to light. oral mucosa moist. neck supple. no masses, no lymphadenopathy and no jugular venous distention. lungs clear to auscultation bilaterally with decreased breath sounds at the bases. question bibasilar rales. coronary: regular rate and rhythm with normal s1, s2. question of s3. no murmurs, rubs or gallops appreciated. abdomen soft, non-tender, non-distended, positive bowel sounds. left groin arterial sheath in place with pressure dressing with blood soaked through. extremities: no clubbing, cyanosis or edema, 2+ distal pulses. laboratory examination: notable for potassium of 3.2, creatinine 1.2, glucose of 147, hematocrit of 39.0, ck 905. electrocardiogram: no. 1: normal sinus rhythm 84, normal axis and intervals, 1- elevations in leads v1 and v2, 1 and avl and 1- depressions in 2, 3, avf, v5 and v6. electrocardiogram: no. 2: anterior st elevation 1 mm in v1, 4-5 mm in v2 and 1-2 mm in v3. q's in v1, v2 and v3 and left anterior descending with new left anterior fascicular and right bundle branch block. hospital course: the patient was taken to the catheterization laboratory as above with placement of the proximal left anterior descending and mid right coronary artery with the placement of an intra-aortic balloon pump to maximize perfusion for the territory at risk. a temp wire was placed due to a transient block and hemodynamics were consistent with low normal filling pressures and a preserved cardiac index. on arrival to the coronary care unit after the procedure, there was continuous oozing at the intra-aortic balloon pump size which progressed to arterial bleeding around the sheath. given the hemodynamic instability, the intra-aortic balloon pump was pulled and the patient experienced a profound vagal episode with blood pressures decreased down to 70/40 requiring the patient to receive two amps of atropine and fluid resuscitation with only minor effect. the patient was started on a dopamine drip. the patient also experienced severe nausea and was treated with ondansetron which relieved his nausea and vomiting and subsequently the dopamine was shut off. later during the morning the patient experienced an episode of atrial fibrillation. the patient had a stable rate and a stable blood pressure. at about 6:00 a.m. the patient experienced another vagal episode with blood pressure in the 50-60's. patient was given continuous intravenous fluids, another milligram of atropine times one with elevation of his blood pressure. the dopamine was increased again to 20 and subsequently decreased off. the patient was maintained on intravenous fluids. pacing wires were kept intact and the intra-aortic balloon pump was off. post-catheterization the patient was maintained on plavix 75, integrilin, aspirin and atorvastatin. an echocardiogram performed on hospital day two showed an estimated left ventricular ejection fraction of 25% with global hypokinesis, particularly in the anterior and apical walls, positive aortic regurgitation and positive atrial insufficiency. on hospital day two the patient spontaneously reconverted to normal sinus rhythm and throughout the night experienced atrial fibrillation again with a spontaneous reconversion back to normal sinus rhythm. the patient was eventually weaned off pressors on hospital day two and hematocrit showed that the patient had a decrease in his hematocrit to 30.2. given the concern for bleed, a ct scan of the pelvis and abdomen was performed which showed no evidence of a retroperitoneal bleed. the patient was transfused one unit of packed red blood cells for a decrease of his hematocrit to 31.4. at this time the patient was taken off the pressors and ck was trending down from a peak of 4467 on hospital day two. integrilin was discontinued 18 hours after the catheterization procedure. on hospital day two the patient was started on captopril 6.25. on hospital day three the patient was increased on his captopril to 25 and a recent hematocrit was 33.1 after the transfusion. given the concern for paroxysmal atrial fibrillation, the patient was started on amiodarone 400 mg q. day and was started on heparin for prophylaxis as well and coumadin 5 mg q. hs. on hospital day three the patient experienced a severe bilateral groin bleed and was found to have a ptt of 100, supratherapeutic inr and the heparin was shut off and the patient had a pressure dressing placed on the groin with relief of the bleeding diathesis. the patient received another unit of packed red blood cells for an hematocrit of 28.8 with a return to 29 on hospital day four without any further episodes of groin bleed off the heparin. the patient complained of some shortness of breath and was found to have some mild congestive heart failure for which he improved and his oxygen saturation was 92% to 95% and improvement of his shortness of breath with lasix 20 times two and improvement of his orthopnea. on hospital day four the patient was switched from captopril to lisinopril and from metoprolol to carvedilol and the amiodarone was discontinued. electrophysiology staff was consulted given his history of atrial fibrillation in house although the patient did not have atrial fibrillation 48 hours after his episode and a signal averaging ekg was performed. recommendations were for the patient to follow up in two weeks after discharge with holter monitoring and exercise tolerance test with t-wave alternans in two weeks here at the to determine the need for an icd implantation. the patient tolerated his medications well. condition at discharge: stable. patient was hemodynamically stable on the current medications. patient's inr was improving to therapeutic levels of 1.5 to 2 while he was on plavix with a heparin bridge and the patient was seen by physical therapy for conditioning purposes. discharge diagnoses: 1. acute coronary syndrome. 2. hypertension. 3. congestive heart failure. 4. osteoarthritis. discharge medications: 1. coumadin 5 mg p.o. q. hs. 2. lisinopril 5 mg one tab p.o. q. day. 3. carvedilol 3.125 mg one tab p.o. b.i.d. 4. aspirin 325 q. day. 5. plavix 75 mg tabs q. day. 6. atorvastatin 20 mg one tab q. day. follow-up plans: 1. the patient will follow up with his primary care physician, . , on tuesday, . 2. patient will also follow up with his cardiologist of choice at hospital. 3. the patient will follow up with exercise tolerance test and t-wave alternans test in two weeks here at the with electrophysiology service following him. , 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 implant of pulsation balloon removal of external heart assist system(s) or device(s) diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension acute myocardial infarction of other anterior wall, initial episode of care cardiac complications, not elsewhere classified atrial fibrillation aortic valve disorders hemorrhage complicating a procedure 

Answer: The patient is high likely exposed to