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 57 year old male with hypercholesterolemia and known coronary artery disease status post coronary artery bypass graft in with quiescent disease since then, not requiring sublingual nitroglycerin; chest pain either. he presented with one day of chest pain that began this morning while putting up wallpaper. the patient noted ten out of ten chest pain, substernal chest pain with no radiation with associated diaphoresis but no shortness of breath, lightheadedness, nausea or vomiting. the patient took three sublingual nitroglycerin that had already expired without effect, called emergency medical services where he received nitroglycerin spray times two without effect as well. at the outside hospital, he was noted to have st elevations in leads ii, iii and f plus reciprocal st depressions in leads v1 through v2. the patient received reopro and retavase at full dose as well as nitroglycerin and aspirin at the outside hospital. there was no change in his chest pain, therefore, the patient was transferred to . in the catheterization laboratory here, he was noted to have a pulmonary arterial pressure of 38/21 with a pulmonary arterial mean of 26. a pcwp of 19. all grafts were found to be open. the right coronary artery was noted to have a 30% proximal stenosis and a mid-99% stenosis which was stented. after catheterization, the patient was made chest pain free. note: the patient may have become transiently hypotensive at the outside hospital after nitroglycerin. past medical history: 1. hypercholesterolemia. 2. coronary artery disease status post myocardial infarction in and ; coronary artery bypass graft in where he underwent three grafts including a left internal mammary artery to the left anterior descending, saphenous vein graft to obtuse marginal 1 and saphenous vein graft to d1. medications: 1. accupril 10 q. day. 2. aspirin 325 mg q. day. 3. lipitor 10 q. day. allergies: no known drug allergies. social history: distant tobacco history. currently no alcohol. he denies drug use. he is married with four children and he lives in . physical examination: temperature 97.7 f.; blood pressure 113/75; heart rate of 76; o2 saturation of 100%. in general, alert and oriented times three in no acute distress. heent: normocephalic, atraumatic. pupils are equal, round and reactive to light. extraocular motions are intact. oropharynx is clear. pulmonary clear to auscultation bilaterally, anteriorly. no wheezes. cardiovascular: regular rate and rhythm; no murmurs, rubs or gallops. abdomen nontender, nondistended, normoactive bowel sounds. no hepatosplenomegaly. extremities with no cyanosis, clubbing or edema. laboratory: white blood cell count of 9.4, hematocrit 35.2, platelets 174. inr of 1.4. sodium of 141, potassium of 4.4, chloride 111, bicarbonate of 24, bun of 11, creatinine of 0.7, glucose of 107. ck 1345. arterial blood gases 7.31, 46, 120. ekg post catheterization revealed elevations in t and f, poor r wave progression, and t wave inversions in v5 through v6, ii, iii and f. assessment: this is a 57 year old male with coronary artery disease, now with new right coronary artery disease, plus/minus inferior myocardial infarction. hospital course: 1. cardiac: status post right coronary artery intervention. the patient is now made chest pain free and was hemodynamically stable. he was continued on aspirin and plavix and reopro for twelve hours. a beta blocker was started at low dose and his ace inhibitor was continued. fasting lipids were checked and were found to be a total cholesterol of 114, hdl of 41, ldl of 58 and triglycerides of 73. he was continued on his lipitor. he was continued on telemetry and his cks were cycled and were found to be trending down. nitroglycerin and morphine was avoided given possible right ventricular involvement. he underwent an echocardiogram the next morning which revealed an ejection fraction of 35 to 40%, a normal left atrium and left ventricle and right ventricle. moderate left ventricular systolic dysfunction, mild mitral regurgitation; akinesis in the basal inferior, mid to distal anterior and apical areas. he also underwent an electrophysiology consultation in order to do a single average ekg to assess his sudden risk for death and this was positive; therefore, as an outpatient he will complete this work-up by undergoing a t wave alternans test as well as a holter monitor. the patient was transferred to the floor on and was doing well. his beta blocker was titrated up, his ace inhibitor was continued, and he was doing well and was stable for admission on . discharge status: the patient was discharged to home. discharge instructions: 1. he will be following up with dr. . 2. he will be returning for a t wave alternans test and a likely electrophysiology study. condition on discharge: good. discharge medications: 1. toprol xl 25 q. day. 2. lipitor 10 q. day. 3. quinapril 10 q. day. 4. plavix 75 q. day for a total of nine months. 5. aspirin 325 q. day. 6. multivitamin. discharge diagnoses: 1. inferior myocardial infarction status post stent to the right coronary artery. 2. positive single average electrophysiology test. 3. hypercholesterolemia. , m.d. dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters insertion of temporary transvenous pacemaker system right heart cardiac catheterization diagnoses: subendocardial infarction, initial episode of care anemia, unspecified coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension aortocoronary bypass status family history of ischemic heart disease 

Answer: The patient is high likely exposed to