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: mr. is a 42-year-old gentlemen with a history of cardiac risk factors only significant for increased cholesterol and obesity, who was in his usual state basketball that morning, which he had not done for one and a half years, the patient experienced sudden onset of substernal heaviness, as though, "someone was squeezing my chest." the pain was accompanied by some mild shortness of breath, but no nausea, vomiting or palpitations. after several minutes, the sensation resolved only to recur when he again resumed playing basketball. over the next 45 minutes, the patient experienced gradual increase in the severity of the pain until it reached as if someone was punching him in the chest. at that point, the patient's wife insisted on calling 911 and he presented to an outside hospital emergency department at hospital where he was found to have anterolateral st elevations with reciprocal inferior st depressions. the patient was then treated with lopressor, aspirin, sublingual nitroglycerin and a nitroglycerin drip which decreased the chest pain to . he was then treated with reteplase times two with subsequent decrease in pain during the ambulance ride to the to . at the , the patient underwent a cardiac catheterization which demonstrated a proximal tight, ulcerated left anterior descending artery lesion which was stented with subsequent resolution of st elevations in the anterolateral leads. there was a distal (apical) lad total occlusion which was felt to be due to embolized thrombus from the proximal lesion, and which was not treated due to the small caliber of the vessel. the patient was then transferred to the coronary care unit for observation. past medical history: hypercholesterolemia. past surgical history: none. medications: none. the patient had previously been prescribed lipitor, but he was not currently taking lipitor. allergies: no known drug allergies. social history: married with children. no alcohol, tobacco or drug use. he sells produce for a living. physical examination: on arrival to the coronary care unit, the patient had the following vital signs: temperature 99.2. pulmonary artery pressure 35/17 with a mean of 25. systolic blood pressure 132/89 diastolic. heart rate was 82 and regular. he was breathing 20 and saturating 99% on two liters. general: patient was lying in bed in no acute distress. head, eyes, ears, nose and throat: normocephalic, atraumatic, anicteric. pupils equal, round and reactive to light. oropharynx clear and moist. neck: supple, no jugular venous distention was notable, but is was likely elevated. cardiovascular: regular rate and rhythm, no murmurs, rubs or gallops. lungs: clear to auscultation bilaterally. abdomen: soft, nontender, nondistended, normal bowel sounds, no hepatosplenomegaly. extremities: there was no cyanosis, clubbing or edema. neurological: he was alert and oriented times three. cranial nerves ii through xii are intact. motor sensory intact bilaterally of the upper extremities, lower extremities. he is guaiac negative. laboratories: the patient had the following laboratories from the outside hospital: white blood cell count 11.9, hematocrit 45.8, platelet count 274,000, ck-mb of 4, mb percentage of 2. on cardiac catheterization here, the patient showed right atrial pressure of 24, 23 and 20 mean. pulmonary artery pressure of 56, 36 with 44 mean. pulmonary capillary wedge pressure 43,49,33 mean. pulmonary artery saturation was 70%. the patient had a peak ck of 3500. he had triglycerides of 76, hdl 54, ldl of 138. he had a signal averaged electrocardiogram prior to discharge, which was negative. his electrocardiogram demonstrated normal sinus rhythm at 87 initially (at the outside hospital) with st elevations in v1 through v4. he st depressions in ii, iii and avf. he also had elevations in i and avl. on the day of discharge, the patient had the following laboratory values: ck of 1463, mb of 41 and an index of 2.1. he had blood cultures times two and urine cultures from the , which were negative. hospital course: 1. cardiovascular: as previously mentioned, the patient had an ulcerated severe proximal lad lesion which was treated with angioplasty and stenting. he also had elevated pulmonary capillary wedge pressures at the time of catheterization. he was admitted to the cardiac intensive care unit. for the duration of his hospital stay, the patient remained chest pain free. he denied any shortness of breath or palpitations. he did have within 24 hours of stenting some runs of idioventricular rhythms consistent with reperfusion. he was treated conservatively with beta-blockers, ace inhibitors and gentle diuresis for fluid overload. he was also started on plavix and treated with heparin for undetermined cardiac systolic function pending an echocardiogram. he was also treated with aspirin. on the afternoon of discharge, we are waiting for the final echocardiogram results to determine the patient's need for risk stratification for arrhythmias and for anticoagulation for a possible akinesis of the apex of the heart and to determine the patient's final ejection fraction. 2. infectious disease: the patient spiked a fever two days following his admission to 101.5. blood cultures and urine cultures were drawn and the results were negative at the time of discharge and the patient remained afebrile and clinically well. he was not treated with any antibiotics. 3. endocrine: the patient denies history of diabetes, however, there is diabetes in the family. his blood sugars were slightly elevated to the 150s through his hospital stay and it is quite possible the patient has diabetes mellitus. the patient should follow-up with primary care physician for glucose tolerance test. 4. hypercholesterolemia: the patient was demonstrated to have elevated ldl and should be continually treated with a statin . condition on discharge: the patient was in good condition at discharge. discharge status: to home. discharge diagnoses: 1. status post anterior myocardial infarction. 2. status post percutaneous transluminal coronary angioplasty to the left anterior descending artery for two ulcerative lesions. 3. hypercholesterolemia. 4. possible diabetes mellitus. discharge medications: the patient was discharged on the following medications: 1. enteric coated aspirin 325 mg po q.d. 2. lisinopril 10 mg po q.d. 3. plavix 75 mg po q.d. times 12 months. 4. lipitor 10 mg po q.d. 5. metoprolol 15 mg po b.i.d. 6. it is also possible that the patient will be discharged on lovenox 100 mg subcutaneous b.i.d. and warfarin 5 mg po q.h.s. depending on the results of the echocardiogram which are pending. the final determination for these anti-coagulants will be made when the results of the echocardiogram are available. follow-up plans: the patient is to call dr. at for follow-up appointment within one week of discharge. he indicated that he would do so and the patient is also to call his primary care physician for appointment within one week of discharge for a glucose tolerance test. he indicated that he would do this as well. , m.d. dictated by: medquist36 d: 16:32 t: 19:57 job#: 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 congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute myocardial infarction of other anterior wall, initial episode of care paroxysmal ventricular tachycardia obesity, unspecified 

Answer: The patient is high likely exposed to