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: past medical history: 1. arrhythmia: the patient is not sure of the name of the arrhythmia, he thinks it might be atrial fibrillation but unclear. 2. cad: the patient reports previous catheterization at the , unclear about details of catheterization. 3. hypercholesterolemia. 4. hypertension. admission medications: 1. amiodarone. 2. captopril. 3. coumadin 5 mg one day, 4 mg the next day, alternating. allergies: penicillin. social history: the patient drinks two drinks of alcohol a night. he smokes one pack every other day for the past 40 years. denied use of drugs. he is employed as a manager at . he is married. family history: significant for breast cancer in his mother, significant for cad in his father. physical examination on admission: general: the patient was a pleasant male in no apparent distress. vital signs: temperature 96, blood pressure 140/70, heart rate 80, respiratory rate 22, 02 saturation 99% on 2 liters. heent: normocephalic, atraumatic. pupils equally round and reactive to light. extraocular movements intact. mucous membranes moist. oropharynx clear. heart: distant heart sounds, regular rate and rhythm, s1, s2. lungs: clear to auscultation anteriorly. abdomen: soft, nontender, obese, positive bowel sounds. extremities: no clubbing, cyanosis or edema. neurologic: alert and oriented times three. cranial nerves ii through xii grossly intact. examination otherwise nonfocal. laboratory data: white count 21.8, hematocrit 42.5, platelets 301,000. chemistries: sodium 142, potassium 3.8, chloride 110, bicarbonate 17, bun 14, creatinine 1, glucose 145. pt 25.2, ptt 150, inr 4.2. ck on admission 117, troponin less than 0.3, mb 4, ck at 5:00 a.m. 186, alt 49, ast 61, alkaline phosphatase 81, total bilirubin 0.8. ecg: normal sinus rhythm, 60 beats per minute, normal intervals, vertical axis, st segment elevation 2 mm in ii, iii, avf, t wave inversion in v2, v3, and v4, right-sided leads showed 1 mm st segment elevation in v4r, lvh. impression: this is a 57-year-old male with inferior transferred from status post lytic therapy. hospital course: the patient was admitted to the ccu for management. he was administered iv fluids due to his preload dependence. he was chest pain-free on arrival. he was maintained on heparin and aspirin. he was started on a beta blocker when his blood pressure improved. his inr was elevated so he was administered vitamin k in anticipation of catheterization. during his hospital stay, his cks peaked at 186, mb 14, mb index 7.5. a lipid panel was measured. total cholesterol was 237, triglycerides 181, ldl 152, hdl 49. the patient was instructed about the importance of smoking cessation and he was maintained on a nicotine patch. an echocardiogram was done on . the ejection fraction was 15-20%. the left atrium was moderately dilated. the left ventricular cavity was moderately dilated. there was an apical left ventricular aneurysm. there was severe global left ventricular hypokinesis with slight preservation of basal posterior wall motion. overall left ventricular systolic function is severely depressed. no masses or thrombi were seen in the left ventricle. the aortic valve leaflets were mildly thickened. the mitral valve leaflets were mildly thickened. there was 1+ mr. the patient went to cardiac catheterization on . coronary angiography of this right dominant system revealed two vessel coronary artery disease. the lmca was unobstructed. the lad had a 60% stenosis at its midsegment. the left circumflex artery had mild diffuse disease only. the rca had a mid vessel diffusely diseased hazy segment with up to 70% stenosis. resting hemodynamics revealed unremarkable right-sided and elevated left-sided filling pressures (lvedp 28) with normal systemic arterial pressures and preserved cardiac output and index (4.9 liters per minute and 2.6 liters per minute respectively). there was no significant systolic pressure gradient across the aortic valve. left ventriculography revealed severely hypokinetic to akinetic anterolateral and apical wall segments and a distinctly hypokinetic inferior wall with a reduced overall ejection fraction of 25%. there was no significant mr. successful ptca/stenting of the mid rca was performed. there was 10% residual stenosis, normal flow, and no apparent dissection. due to the patient's lv aneurysm found on echo, the patient will require coumadin. importance of medication compliance and smoking cessation were emphasized to the patient. discharge condition: good. discharge instructions: 1. the patient is to follow-up with his pcp, . , on monday, so that his inr may be checked. 2. the patient is to follow-up with dr. in the next two weeks for an appointment. the patient states that he may transfer his care to the hospital. the patient was given the appropriate paperwork for such transfer. if the patient decides to transfer to the hospital he will follow-up with dr. and will be referred to a va cardiologist. 3. the patient was instructed to call dr. at to obtain an appointment in the cardiac electrophysiology clinic. the patient needs icd risk stratification. 4. since the patient takes amiodarone, it is important that he have his lfts, tfts, and pulmonary function tests followed. discharge medications: 1. aspirin 325 mg p.o. q.d. 2. pravastatin 40 mg p.o. q.d. 3. plavix 75 mg p.o. q.d. times nine months. 4. coumadin 5 mg p.o. q.d. 5. lisinopril 5 mg p.o. q.d. 6. atenolol 25 mg p.o. q.d. 7. amiodarone 200 mg p.o. q.d. discharge diagnosis: 1. two vessel coronary artery disease. 2. severe ventricular systolic dysfunction. 3. successful percutaneous transluminal coronary angioplasty/stenting of the mid right coronary artery. , 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 angiocardiography of left heart structures injection or infusion of platelet inhibitor diagnoses: acidosis coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension systolic heart failure, unspecified acute myocardial infarction of other inferior wall, initial episode of care aneurysm of heart (wall) cardiac dysrhythmia, unspecified 

Answer: The patient is high likely exposed to