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 59-year-old male with chronic renal insufficiency and known coronary artery disease status post inferior myocardial infarction in , status post cabg in , hypertension, hypercholesterolemia, and tobacco use, who presented to with substernal chest pain. the patient states that around 9:30 pm, he was lying down on the bed and developed substernal chest pressure. he felt it might be from overeating, so he forced himself to vomit with no relief. the pain continued with radiation to the back, arms, bilateral jaw, nausea, vomiting, shortness of breath, or palpitations, or diaphoresis. he presented to , where he was found to have global st depression, and was given a half of dose, tnk and aggrastat and heparin drip, also borderline hypotension, sbp in the 90s-100 which was sensitive to fluid. he received in addition to above, aspirin 325 mg, iv lopressor, heparin, 6 mg of morphine, and 1.2 liters of normal saline. the patient was then transferred to for catheterization. on arrival, he was evaluated by ccu and was found to be stable and pain free, and was decided to transfer to unit and in anticipation for catheterization in the am. review of systems: no fever or chills, nausea, vomiting, diaphoresis, normal bowel movements, no dysuria, no melena, no bright red blood per rectum, no cough, no claudication, no orthopnea, paroxysmal dyspnea, increased edema, increased dyspnea on exertion. past medical history: 1. coronary artery disease status post inferior myocardial infarction in . cabg in , several peripheral vascular disease. 2. hypertension. 3. high cholesterol. allergies: no known drug allergies. medications on transfer: 1. heparin drip. 2. aggrastat. 3. aspirin. 4. prinivil. 5. lipitor. 6. lopressor. 7. zantac at home. 8. aspirin. 9. gemfibrozil. 10. prinivil. 11. lipitor. 12. metoprolol. 13. zantac. social history: retired soldier. positive tobacco. positive alcohol. physical examination: vital signs on admission: atrial fibrillation, heart rate 88, blood pressure 89/60, and 98% on 3 liters nasal cannula. sleeping in bed, position in trendelenburg in no acute distress, and comfortable. heent: pupils are equal, round, and reactive to light and accommodation. extraocular muscles are intact. oropharynx is clear. mucous membranes moist. neck: patient is flat, no bruits. chest was clear to auscultation bilaterally. regular, rate, and rhythm, no murmurs, rubs, or gallops, no s3, normal s1, s2. abdomen has positive bowel sounds, nontender, and nondistended and no hepatosplenomegaly. extremities: no edema, warm, no clubbing or cyanosis. skin: no rash. outpatient hospital laboratories: white blood cells 12, hematocrit 39.6, platelets 306. sodium 138, potassium 4.8, chloride 103, bicarb of 26, bun 21, creatinine 1.0, glucose of 164, inr of 1.0. ck of 166, mb 19, mb 111, troponin greater than 25. electrocardiogram at outside hospital: normal sinus rhythm at 87, normal axis, normal intervals, st depressions, in i, ii, greater than iii, avf, v2-v3, right sided v4, strain. electrocardiogram at : normal sinus rhythm at 91, normal axis and normal intervals, but significant st depressions in v4 through v6, significantly improved. hospital course: the patient was admitted to ccu service. had a bedside echocardiogram which was limited of optimal with no obvious focal wall motion abnormalities through the inferior wall, so the inferior wall may be more hypokinetic, + mitral regurgitation, + tricuspid regurgitation. patient presented to initial ck 114, troponin 0.05 on arrival, to , ck 166, mb 19, troponin greater than 25 but pain free. peak ck 571, mb 106, troponin greater than 50, stable and pain free on night of admission. catheterization the next morning. coronary angiography of this right dominant circulation revealed severe lmca and right coronary artery disease. the lmca and rca were both totally occluded proximally without any filling of distal vessels. graft angiography demonstrated a patent lima to mid left anterior descending artery that supplied a small distal vessel and a small diagonal 2 that ran parralel as a "twin left anterior descending artery" system. the lima also supplied a small proximal vessel and a small bifurcating d1 0 via retrograde flow. the saphenous vein graft to pda was widely patent and also filled a small diffusely diseased plv via retrograde flow. the saphenous vein graft to om-1 touchdown on the lower pole of the moderate bifurcating om-1, the small mid and distal left circumflex was also supplied via retrograde flow. the saphenous vein graft to om had an 85% distal stenosis just proximal to the anastomosis. resting hemodynamics revealed normal rv filling pressures with a rv mean pressure of 7 mg hg and rv end diastolic pressure of 11. the mean pcw was 17. the cardiac output was preserved at 5.5. left ventriculography was not performed. the stenosis in the saphenous vein graft om near the distal anastomosis was successfully treated by angioplasty and stenting using a 2.5 x 18 mm velocity hepakote stent with no residual stenosis, no angiographic evidence of dissection, and timi-3 flow. the patient remained stable and was called out to the floor. he was continued on aspirin, plavix, and a statin, and was started on low dose beta blocker. he remained normotensive. on , the patient had an echocardiogram which was pending at the time of discharge. cks were coming down. left femoral groin showed no evidence of hematoma or bruit. the patient was counseled to quit smoking multiple times throughout the hospital course, however refused. he was also recommended to stay until receiving his echocardiogram results so that he would be able to bring them to his primary care doctor, however, he declined. he was discharged to home to followup with his primary care doctor , whom he does not remember their name. he had an echocardiogram performed on which was pending at the time of discharge. however, it subsequently returned showing ejection fraction of 40%, normal left ventricular wall thickness, and cavity size, regional wall motion abnormalities, including basal inferior akinesis with basal and mid inferolateral mid inferior hypokinesis, right ventricular chamber size, and free wall motion are normal. the aortic valve is mildly thickened. no aortic regurgitation is seen, moderate mitral regurgitation, and borderline pulmonary artery systolic hypotension are also visible. discharge diagnosis: 1. acute myocardial infarction status post catheterization with stent. 2. native three vessel coronary artery disease. 3. moderate diastolic ventricular dysfunction. 4. mild systolic dysfunction with ejection fraction of 40%. 5. hypercholesterolemia. recommended followup: he must see doctor as soon as possible. discharge medications: 1. atorvastatin 20 mg po q day. 2. ranitidine 150 mg po bid. 3. aspirin 325 mg po q day. 4. plavix 75 mg po q day x9 months. 5. lisinopril 5 mg po q day. 6. metoprolol 25 mg po bid. 7. nitroglycerin prn. , m.d. dictated by: medquist36 d: 10:57 t: 13:34 job#: procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery pure hypercholesterolemia tobacco use disorder unspecified essential hypertension coronary atherosclerosis of autologous vein bypass graft atherosclerosis of native arteries of the extremities with intermittent claudication 

Answer: The patient is high likely exposed to