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's presenting illness was substernal chest pain that began the day before admission after the patient was mowing his lawn. he described the pain to be 6 out of 10 severe substernal chest pain/pressure. the pain diminished to a 3 out of 10 after some rest later that day. over the course of the day the pain increased again to a severity of 6 to 7 out of 10. he presented to an outside hospital and demonstrated electrocardiogram changes that were dynamic as well as continued substernal chest pain at that time. at that point he was started on nitro times three, aspirin, morphine and his pain diminished to 1 out of 10. overnight, the patient had diminished chest pain, which resolved while he was on an addition of heparin as well as integrilin drips. overnight the patient experienced 1 out of 10 chest pain discomfort and at some point during the evening his pain returned to a severity of 3 or 4 out of 10. at that point he was transferred to our hospital for continued chest pain, rising cardiac enzymes and dynamically changing electrocardiograms with st and t wave changes. his enzymes had been trending up from a baseline at admission of cks of 133, ckmb of 12.7 and troponins of 1.4. at the time of arrival at our hospital the next day he had cks of 223, ckmb 22.7 and troponin of 2.8 at that point. the patient at that point was noted to have electrocardiogram changes significant for normal systolic rhythm of 77, st elevations in v1 through v3 as well as having a j point elevation of approximately 2.5 mm. his electrocardiograms from the prior institution demonstrated inverted t waves inferiorly with q waves in lead 3 and avf. the q wave had resolved by the time we evaluated the patient at out institution. the patient was complaining of continued chest pain/pressure, which was in the severity of 1 to 2 out of 10. during all of these episodes the patient never experienced diaphoresis, nausea, vomiting, lightheadedness or radiation of his pain or pressure to his extremities or to his jaw. at that time the patient was evaluated and deemed necessary to be taken to catheterization for diagnostic as well as possible intervention at that point. past medical history: significant for elevated cholesterol, mild hypertension as well as approximately a fifteen pack year history of smoking. physical examination: on arrival at our institution the patient's heart rate was approximately in the 80s, 84. blood pressure 112/70. breathing at 16 breaths per minute and sating 98% on room air. the patient was in no acute distress. his jvp was at the level of the clavicle. he was noted to have no bruits. his cardiovascular examination demonstrated regular rate and rhythm. normal s1 and s2 and a 2 out of 6 systolic ejection murmur that radiated to the axilla. it was a holosystolic murmur. his lungs were clear bilaterally except for bilateral basilar crackles right greater then left. his abdomen was benign with normoactive bowel sounds. extremities, he had 2+ femoral pulses bilaterally. he had no clubbing, cyanosis or edema. he had 1+ dorsalis pedis pulses bilateral lower extremities and 2+ radial pulses. laboratory: his cardiac enzymes on admission to the outside hospital were originally as follows: ck of 133, ckmb 12.7, troponin i of 1.4. that evening on arrival to our institution his enzymes had risen to ck of 244, ckmb 32, and a troponin i of 11.7. his chem 7 as well as his cbc were normal and his inr was noted to be 1.1 and his ptt was noted to be 69. a chest x-ray was done, which demonstrated no cardiomegaly. no infiltrates were seen. no pulmonary edema was noted. the patient was at that point taken to the catheterization laboratory. at the catheterization laboratory the patient was noted to have left main coronary artery, left anterior descending coronary artery and circumflex that demonstrated no disease and an obtuse marginal one that demonstrated an 80% lesion and a right coronary artery that demonstrated total occlusion. at that point intervention was deemed appropriate and the patient underwent angioplasty as well as angiojet with thrombectomy and had two stents placed in his right coronary artery at that point. the patient tolerated the procedure well and was hemodynamically stable and brought back to the coronary care unit for continued monitoring. the patient experienced overnight no chest pain, nausea, vomiting, lightheadedness and all chest pressure discomfort had resolved at that point. over the course of the next day the patient continued to have no episodes of chest pain. hemodynamically his heart rate was in the 70s. his pressures were in the low 100s/70s. the patient's chem 7 as well as cbc remained stable. the patient's cardiac enzymes post catheterization were noted to be a ck of 232, ckmb of 31 and troponin i of 13.4. the patient at that point was medicated with a statin, aspirin, plavix, beta blocker and at that point was started on captopril for after load reduction. two days post catheterization an echocardiogram was performed on . his left ventricular ejection fraction was noted to be greater then 60%. his left ventricular wall motion was within normal limits. the echocardiogram was noted to have 1+ mr. his aortic root was noted to be mildly dilated. the patient remained hemodynamically stable with heart rate in the 70s and blood pressure in the low 100s over 60 to 70s. the patient remained sating 95% on room air and remained afebrile throughout his hospital course. his physical examination had remained unchanged and the patient was noted to have no recurrence of chest pain, lightheadedness, nausea, vomiting or any other associated symptoms. the patient was discharged on and his condition was stable at that time. the patient was instructed to follow up with his primary care physician within one weeks time for continued monitoring of his condition as well as to set up a cardiology appointment within the next three weeks. it was discussed with the patient that he would have cardiac rehab follow up as an outpatient and that this would be arranged through his primary care physician or through his appointment with the cardiologist. discharge medications: the patient was discharged on lopressor 25 mg po b.i.d., lipitor 10 mg po q day, aspirin 325 mg po q day, plavix 75 mg po q day for a total of 26 days after his hospitalization. the patient was also started on zestril 2.5 mg po q day. the patient was also instructed to maintain a cardiac diet as well as given education about the need for cessation of his smoking. discharge diagnosis: acute myocardial infarction status post catheterization with stenting times two of his right coronary artery. , m.d. dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters intraoperative cardiac pacemaker left heart cardiac catheterization injection of antibiotic diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia tobacco use disorder unspecified essential hypertension acute myocardial infarction of other inferior wall, initial episode of care 

Answer: The patient is high likely exposed to