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 an 81 year-old male with a history of hypertension, coronary artery disease, status post antral septal myocardial infarction in , moderate ai, preserved ef, thoracic aneurysm, left cea, tobacco use transferred from outside hospital for thoracoabdominal 7.5 cm aneurysm. patient symptomatic yesterday when awoke at 2:00 a.m. with sharp cutting pain in mid to lower back that persisted prompting admission to outside hospital. at outside hospital received lopresor and nitro drip for blood pressures in the 170s. of note the patient stopped taking his medications approximately four to five years ago. on arrival at emergency department the blood pressure was 167/82, heart rate 87. the patient titrated on a nitro drip and started on esmolol drip. the patient was pain free. the patient was evaluated by both vascular surgery and cardiovascular surgery and transferred to the coronary care unit. past medical history: 1. coronary artery disease status post myocardial infarction . 2. chronic renal insufficiency baseline creatinine of 1.3. 3. cerebrovascular accident in with right hemiparesis and dysarthria status post left cea. 4. chronic obstructive pulmonary disease. 5. hypertension. 6. degenerative hip disease. allergies: no known drug allergies. medications: the patient is not taking any regular medications. social history: he lives alone, approximately 130 pack year smoking history. the patient reports approximately one beer per day, but per discharge summary the patient with chronic alcohol use. family history: noncontributory. physical examination: vital signs 97.1, blood pressure 94/41 on right and 97/43 on left on esmolol drip, heart rate 59, respiratory rate 12. general, the patient appears older then stated age, appears fatigue, but speaking with a clear voice. heent unrevealing. cardiovascular regular rate and rhythm. normal s1 and s2. no murmurs. no s3 or s4 appreciated. lungs clear to auscultation. no rales, wheezes or rhonchi. abdomen positive bowel sounds, soft, nontender, no palpable pulsatile mass. extremities no edema. extremities warm throughout. 2+ radial and femoral pulses bilaterally. 1+ dorsalis pedis pulses and posterior tibial pulses bilaterally. data: hematocrit 43.3, bun 19, creatinine 1.2. electrocardiogram normal sinus rhythm, left axis deviation, pr .2 seconds, left ventricular hypertrophy, with left strain pattern, t wave inversion v4 through v6, evidence of old anteroseptal myocardial infarction. echocardiogram report from outside hospital preserved left ventricular function, moderate ai, minimal left ventricular hypokinesis. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified insertion of endotracheal tube arteriography of other intrathoracic vessels magnetic resonance imaging of chest and myocardium diagnoses: tobacco use disorder congestive heart failure, unspecified unspecified essential hypertension chronic airway obstruction, not elsewhere classified alcohol abuse, unspecified cardiogenic shock personal history of other diseases of circulatory system old myocardial infarction thoracoabdominal aneurysm, without mention of rupture 

Answer: The patient is high likely exposed to