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 is a 62 year-old male with no known history of coronary artery disease, history of hypercholesterolemia and osteoporosis who presented on with substernal chest pain without radiation while driving. he denies shortness of breath, paroxysmal nocturnal dyspnea, nausea, vomiting. he reports some diaphoresis and tingling in his fingers. two gas-x without relief and went to the emergency department for further evaluation. at the hospital emergency department initial electrocardiogram revealed large st elevation myocardial infarction anterolaterally. he received aspirin and nitroglycerin drip, heparin and full dose of tissue plasminogen activator. his chest pain resolved after 45 minutes with decrease in st elevations on electrocardiogram. however, they reported worsening elevations on repeat electrocardiograms. he received increased nitro drip, morphine sulfate with a total of 16 mg intravenous was given and ativan. he also got atropine 0.5 mg times one for a heart rate of 56 prior to the administration of lopressor intravenous. given the increase in chest pain after lysis he was transferred to catheterization laboratory for rescue tci in stable condition. in the catheterization laboratory he underwent stenting of mid left anterior descending coronary artery lesion. in the process of stenting two diagonals were jailed one of them was percutaneous transluminal coronary angioplastied and the out flow with 80% stenosis residual. right heart catheterization with pulmonary capillary wedge pressure of 18 and mb of o2 sat in the 70s. the patient was transferred to coronary care unit for further management. he was reportedly agitated and confused in the catheterization laboratory. upon transfer, however, he was alert, oriented times two. past medical history: osteoporosis, hypercholesterolemia. medications at home: lipitor 40 mg once a day, fosamax once a week, calcium and vitamin d, aspirin 325 mg b.i.d., zinc, vitamin c and vitamin e. allergies: no known drug allergies. social history: he lives alone. no children. denies smoking, intravenous drug or ethanol use. family history: brother died of myocardial infarction at age 52. mother had a myocardial infarction in her 60s. father myocardial infarction in 70s. family history is positive for osteoporosis and hypercholesterolemia. one of his aunts has diabetes. physical examination: vital signs on admission temperature 95.9. heart rate 82. blood pressure 122/70. respirations 20. oxygen saturation 98% on room air. in general,the patient is a pleasant middle aged male in no acute distress lying in bed. heent pupils are equal, round and reactive to light and accommodation bilaterally. extraocular movements intact. oropharynx is clear. mucous membranes are moist. neck jvp at about 8 cm. neck is supple. no thyromegaly. carotid pulses are 2+ without bruits. chest clear to auscultation anteriorly. cardiovascular examination regular rate and rhythm. normal s1 and s2. no murmurs. point of maximal impulse not displaced. abdomen soft, nontender, nondistended. positive bowel sounds. two small masses subcutaneously on the abdomen consistent with small lipomas. extremities 2+ distal pulses. no edema. groin with sheath in place. neurological examination was nonfocal. laboratory: troponin less then 0.03, sodium 134, potassium 3.3, chloride 97, bicarb 24, bun 15, creatinine 0.6, glucose 163, white blood cell count 12.2, hematocrit 52.3, platelets 284, ck 3066. cardiac catheterization showed cardiac output of 3.9 and index of 2.2. wedge pressure was found to be 19, svr 1395. it showed diffusely diseased proximal left anterior descending coronary artery, discreet lesions in mid left anterior descending coronary artery and second diagonal with other vessels being normal. the proximal left anterior descending coronary artery have mild diffuse disease with 40% focal stenosis just before diagonal one followed by total occlusion just after d1. after crossing the lesion with the guidewire the second diagonal also was occluded. left circumflex and obtuse marginal have no angiographic disease. right coronary artery had some mild distal luminal irregularities, but no angiographic disease. resting hemodynamics revealed mildly elevated right and left sided filling pressures with ra pressure of 10. right ventricular diastolic pressure 15 and mean capillary wedge of 19. the occluded left anterior descending coronary artery was successfully treated with angioplasty stenting as mentioned above. hospital course: the patient was transferred to the coronary care unit in stable condition. he was started on aspirin, plavix, lipitor was continued. he was also started on lopressor. the next day echocardiogram was done and showed left ventricular ejection fraction of 35 to 40% with mildly dilated left atrium, normal in size right atrium. overall depressed left ventricular systolic function, anterior distal septal and apical hypokinesis to akinesis was present. the aortic root was mildly dilated. the aortic valve leaflets were mildly thickened. the mitral valve leaflets were mildly thickened as well. cardiovascular wise the patient was continued on aspirin and plavix, lipitor and beta blockers. he remained tachycardic over the next two days with good blood pressure control. his lipid panel was done and showed triglycerides to be 79, el 44, cholesterol to hdl ratio 3.0 and ldl cholesterol 72. his troponin was elevated the next day above 50 and ck peaked at 3066 with subsequent decrease over the next 24 hours down to 1134. his echocardiogram showed hyper versus akinesis. the need for anticoagulation was discussed and it was decided that the patient would need reevaluation of his cardiac function as an outpatient one month after discharge. pulmonary wise, mr. had lung examination and chest x-ray consistent with mild congestive heart failure. he was diuresed nicely over the next two days after admission with significant improvement on clinical examination as well as improvement in oxygen saturation. endocrine wise, he remained on his outpatient medications for osteoporosis. hemoglobin a1c was ordered and came back mildly elevated at 6.2. mr. was transferred to the regular floor on . he continued to do well over the next two days without any complaints. he did not have any chest pain or shortness of breath. his physical examination remained normal. he maintained good oxygen saturations on walking and was discharged to home on a cardiac healthy diet in good condition on his outpatient medications plus lisinopril 10 mg once a day, toprol xl 50 mg once a day and plavix 75 mg once a day for twenty eight days. the patient was to arrange follow up with his primary care physician. discharge diagnoses: 1. acute anterior myocardial infarction. 2. osteoporosis. 3. hyperlipidemia. , m.d. dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified acute myocardial infarction of anterolateral wall, initial episode of care osteoporosis, unspecified 

Answer: The patient is high likely exposed to