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 45-year-old male with no previously diagnosed coronary artery disease, who is transferred to from hospital status post acute st elevation mi. the patient was woken up from sleep early the morning of admission by sharp, substernal bilateral chest pain, which was associated with dyspnea, diaphoresis, and possible palpitations. the patient denies any associated nausea or vomiting. the chest pain was nonpleuritic and aside from mild right forearm tingling, did not radiate. at the outside hospital, the ekg showed st elevations greater than 3 mm at i, avl, v1 through v5, peaked t's anteriorly, st depressions inferiorly, poor r-wave progression. this first set of ck and troponin-i were normal. patient was treated with heparin, nitroglycerin, aspirin, lopressor and was transferred here for emergent cardiac catheterization, which revealed an 80 percent stenosis of the mid rca, 100 percent proximal lad stenosis, 80 percent proximal left circumflex, and 99 percent stenosis of the om-1. the left ventricular end diastolic pressure was 31 mm hg. the lad was stented and intra-aortic balloon pump was placed, and the patient was enrolled in the coil mi2 clinical trial. past medical history: 1. low back pain. 2. no known diabetes, no known hypertension, no known high cholesterol. current medications on transfer: 1. enteric coated aspirin 325 mg p.o. q.d. 2. plavix 75 p.o. q.d. 3. heparin iv drip. 4. meperidine 25 mg iv prn shivering. 5. integrelin drip. family history: father: history of cva at age 72. mother passed away at age 62 from lung cancer. patient has three brothers and one sister with no known history of heart disease. social history: the patient works as a roofer. he is married and has three children. he had a one pack per day smoking history x25 years. he has a history of drinking beer, however, he states that he currently only drinks approximately glasses of wine every two weeks or so. there is no history of illicit drug use or cocaine use. review of systems on transfer to : negative for chest pain, dyspnea, or diaphoresis. he had no constitutional symptoms. he was breathing comfortably. he denied a history of syncope or presyncope. he had no known pnd, orthopnea, or dyspnea on exertion. physical examination on admission: his temperature was 36.5 c, heart rate 60-84, blood pressure 110-122/90-98, respiratory rate 10-12, and oxygen saturation 100 percent on room air. general: he is awake in bed in no apparent distress. he is calm and comfortable. heent: normocephalic, atraumatic, sclerae are anicteric, pupils are equal, round, and reactive to light and accommodation. extraocular motions intact bilaterally. mucous membranes were moist. his oropharynx was clear. his neck was supple. he had 2 plus carotids bilaterally without bruits. his jugular venous pressure was approximately 7 cm up 45 degrees. cardiovascular exam was regular, rate, and rhythm, normal s1, s2, no murmurs, rubs, or gallops. chest was clear to auscultation bilaterally with good aeration. abdomen was obese, soft, nontender, nondistended, normoactive bowel sounds, no hepatosplenomegaly, no palpable pulsatile masses. extremities are warm and dry without clubbing, cyanosis, or edema. he had 2 plus pedal pulses bilaterally. on his skin, a tattoo on the right upper extremity, no rashes. neurological exam: alert and oriented times three, speech normal. cranial nerves ii through xii are grossly intact bilaterally. had a sheath in the right and left groin without hematoma and palpable distal dorsalis pedis pulses bilaterally. his ekg on at 11:02 a.m. showed sinus rhythm at 72 beats per minute, poor baseline artifact, anterior st elevations less pronounced, approximately 1.5 to 2 mm. the patient underwent cardiac catheterization, which showed a normal left main coronary artery, proximally occluded lad, a proximal 80 percent tubular lesion on the left circumflex. laboratories on admission: ck of 5109 with a ck mb of 490. in addition, the patient had a normal chem-7 with a creatinine of 1.0 at the outside hospital with an initial cpk of 116 and mb 1.0, troponin-i of less than 0.05 at hospital. he had a normal hematocrit and platelet count prior to catheterization. brief hospital course: 1. st elevation mi. this 45-year-old gentleman with no known history of coronary artery disease, diabetes, high cholesterol, or hypertension was transferred to from with a st elevation mi. on catheterization, he was noted to have multiple discrete lesions to the rca, proximal lad, and left circumflex. the patient had a stent placed in the lad, which was felt to be the culprit lesion. postcatheterization, the patient had an intra-aortic balloon pump placed, and was transferred to the coronary intensive care unit for icu monitoring. the patient was continued on heparin drip as well as integrelin for 18 hours postcatheterization. he was also continued on aspirin and plavix. his intra-aortic balloon pump was weaned slowly. there was discussion regarding whether the most appropriate course of care would be to perform a cabg or to repeat catheterization with stenting of the other lesions in the rca and the left circumflex. given that these lesions appeared to be discrete rather than long tubular lesions, a decision was made that repeat catheterization would be a favorable choice in this patient. the patient underwent repeat cardiac catheterization on with a stent to the rca and the circumflex. the patient tolerated this procedure well without any events. the patient was transferred to the general cardiology floor following catheterization. he did not experience any chest pain, shortness of breath postprocedure. he did have some mild right groin pain. he did not develop any significant hematomas or bleeding from his catheterization site. postcatheterization, the patient did have three beats of nsvt. ep was consulted, and felt that given patient has had a recent large anterior myocardial infarction with three vessel intervention, that his three beats of nsvt was likely secondary to reperfusion. dr. recommended that the patient have an echocardiogram as well as a holter monitor prior to following up with her at 12:30 p.m. to help discuss possible electrophysiology study and possible icd placement if needed. the patient was started on lipitor 80 and lopressor was titrated up daily for cardioprotective effects. in addition, the patient was started on lisinopril. in addition, the patient was started on coumadin given that his post-st elevation mi echocardiogram demonstrated the patient had a depressed ejection fraction of 25 percent with severe left ventricular systolic dysfunction and akinesis of the distal of the heart with evidence of mild aneurysm of the apex. the patient was evaluated by physical therapy prior to discharge, who felt the patient was safe to be discharged home. discharge condition: stable, no further chest pain, or nonsustained vt. discharge diagnoses: 1. anterolateral st segment elevation myocardial infarction. 2. congestive heart failure. 3. left ventricular aneurysm. major surgical procedures: cardiac catheterization. discharge status: to home. discharge follow up: the patient is to followup with dr. , his primary care physician to check his inr and for coumadin adjustment. his primary care physician should also refer the patient to cardiac rehab. in addition, the patient has follow up with dr. in cardiology on at 8 a.m. he also has a follow-up appointment on with dr. at 12:30. finally, he has an appointment with the holter laboratory on at 10 a.m. he was advised to avoid all heavy lifting or vigorous exercise. he was advised to take all medications as prescribed, and follow up with appointments listed above. discharge medications: 1. aspirin 325 mg p.o. q.d. 2. plavix 75 mg p.o. q.d. 3. lipitor 80 mg p.o. q.d. 4. toprol xl 100 mg sr q.d. 5. warfarin 5 mg p.o. h.s. 6. lovenox 100 mg subq b.i.d. until inr is therapeutic. 7. lisinopril 10 mg p.o. q.d. as previously stated, the patient will follow up with his primary care physician, . for followup of his inr and advice regarding cessation of the lovenox injections and adjustment of coumadin dosing. , md procedure: insertion of non-drug-eluting coronary artery stent(s) angiocardiography of left heart structures injection or infusion of platelet inhibitor injection or infusion of platelet inhibitor left heart cardiac catheterization left heart cardiac catheterization coronary arteriography using a single catheter coronary arteriography using a single catheter implant of pulsation balloon angiocardiography of right heart structures insertion of drug-eluting coronary artery stent(s) diagnoses: coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified acute myocardial infarction of anterolateral wall, initial episode of care examination of participant in clinical trial paroxysmal supraventricular tachycardia 

Answer: The patient is high likely exposed to