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: this is a 73 year old male with a past medical history significant for hypertension. he presented to an outside hospital with a history of worsening shortness of breath times four days. the patient was transferred to for cardiac catheterization, after electrocardiogram showed anterolateral st segment elevation and q waves. the patient states that he was in his usual state of health until four days prior to admission, when he began to experience shortness of breath and dyspnea on exertion. the patient attributed the symptoms to asthma, which he has a remote history of. symptoms were ameliorated but not entirely eliminated with rest. over the following few days, he experienced worsening shortness of breath, orthopnea, paroxysmal nocturnal dyspnea. he was then brought to the hospital where an electrocardiogram showed st segment elevations in v1 through v4 and lead 2. he was treated with supplemental oxygen, lasix, aspirin, nitroglycerin, morphine, heparin. he was then transferred to for cardiac catheterization. the patient denies paroxysmal nocturnal dyspnea, orthopnea, dyspnea on exertion, shortness of breath, or chest pressure. he can walk more than a mile on flat ground and climb two flights of stairs. he has not seen a doctor for several years and has untreated hypertension. past medical history: 1. asthma. 2. hypertension. allergies: no known drug allergies. medications: none. social history: the patient denies tobacco or alcohol use. family history: father had a myocardial infarction in his mid 60's. two brothers with myocardial infarction in mid 60's. physical examination: vital signs revealed a heart rate of 95; blood pressure 128/77; respirations 20; 90% on room air. general: no acute distress. lying awake, responsive, alert and oriented times three. head, eyes, ears, nose and throat: extraocular movements intact. pupils are equal, round, and reactive to light and accommodation. mucous membranes slightly dry. chest: clear to auscultation bilaterally. cardiovascular: jvp at 7 cm, normal s1 and s2. regular rate and rhythm. abdomen soft, nontender, mildly distended. bowel sounds present. extremities: no cyanosis, clubbing or edema. neurologic: alert and oriented times three. laboratory data: electrocardiogram showed sinus rhythm at 135 beats per minute; normal interval; normal axis; st elevations with q waves in leads v2 through v4. sodium 141; potassium of 3.3; chloride 104; bicarbonate 21; bun 23; creatinine 1.2; glucose 183. white blood cell count of 13.9. hematocrit of 43.8. platelets 327. serial ck's were also followed and were 63 to 58 to 55. ck mb not performed. troponin was less than 0.01; second troponin was .04. cardiac catheterization: hemodynamics mildly elevated; filling pressures with severely depressed cardiac index, consistent with cardiogenic shock. pulmonary capillary wedge: mean of 16; a wave of 18; v wave of 18. right atrium mean 10; a wave 15; v wave 12. aortic systolic 99, diastolic 73. mean of 83. pa systolic was 35; diastolic 20; mean of 27. rv: systolic 41; diastolic 3 and 13. cardiac output: initial was 3.33; post intervention was 3.35. cardiac index baseline of 1.62. post intervention was 1.73. post intervention pulmonary capillary wedge mean 20; a wave 24; v wave 25. ra mean 12; a wave 12; v wave 13. pa systolic 37; diastolic 21; mean 28. rv systolic 36; diastolic 8 and end 14. left ventriculography was not performed. coronary angiography: right dominant, lmca normal; left anterior descending 100% total occlusion; proximal origin t1; also occluded apical left anterior descending, fills via faint right to left collaterals intermedius. moderate sized vessel, 20% ostial stenosis of the left circumflex; small vessel, normal. right coronary artery: large ectatic vessel, 40% proximal stenosis with common 90% large pl branch. interventional details: the patient had a 42 cc intra-aortic balloon pump placed prophylactically in the left femoral artery. left anterior descending had a 3.5 by 23 mm hepikote stent placed with post dilation, utilizing 3.5 by 15 mc ranger. final angiography demonstrated 0% residual stent type but pruned appearance distal to the left anterior descending, beyond d-2, consistent with extensive previous infarction. given ongoing cardiogenic shock, they elected to treat right coronary artery as well. the patient had a 13 mm zeta stent with post dilation utilizing a 3.0 by 9 nc ranger, with 10% residual versus flow dissection. echocardiogram: left atrium is normal in size. there is severe regional left ventricular systolic dysfunction with an ejection fraction of 25%. there is akinesis of the apex. there is severe hypokinesis of the anterior wall and the anterior septum. the mild and distal lateral wall is hypokinetic. intrinsic left ventricular systolic function would be more depressed given the severity of valvular regurgitation. no thrombus is seen in the left ventricle. the right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aorta properly flows left to right. arterial leaflet is mildly thickened. trace aortic regurgitation is seen. there is no aortic stenosis. the mitral valve leaflets were mildly thickened. there is at least moderate 2+ mitral regurgitation. there is moderate pulmonary artery systolic hypertension. there is a trivial physiologic pericardial effusion. catheter wire seen in the right atrium. limited right coronary ultrasound: there is a large hematoma in the right groin; normal flow was identified with no superficial femoral artery and vein. no pseudo aneurysm was identified. hospital course: 1. cardiovascular: the patient was transferred from the emergency department up to the cardiac catheterization laboratory. in the cardiac catheterization laboratory, the patient had an intra-aortic balloon placed. temporary pacer was placed with percutaneous transluminal coronary angioplasty and stent to the left anterior descending using hepikote stent and percutaneous transluminal coronary angioplasty stent to the right pl branch, using a zeta stent. the patient was then placed on plavix and integrilin for 18 hours and transferred to the ccu for continued management. that same night, the patient developed an enlarging right groin hematoma after pulling of the arterial sheaths. occlusive pressure was applied for about 20 minutes and integrilin and heparin were held. the patient subsequently developed bradycardia down to the 50's and hypotension with systolic blood pressure of 70. interventional fellow was notified and the patient was given .6 of atropine and dopamine. blood pressure and heart rate responded with blood pressure rising to 110 over 70 with heart rate of 90. vascular surgery and radiology were consulted. the patient was stabilized off pressors and inotropes and was continued to monitor serial hematocrits q. four hours. stat ultrasound was obtained which showed a large hematoma in the right groin and no pseudo aneurysm. normally identified superficial femoral artery and vein. the patient was restarted on integrilin once the patient was stabilized. the patient was continued on his aspirin, plavix, atorvastatin, titration of metoprolol and captopril was done and then subsequently changed over to once a day dosing prior to discharge. intra-aortic balloon pump was removed on the fourth day of admission to the ccu without any complications. the patient, by numbers in the catheterization laboratory, showed that he was in heart failure. we continued to diurese him every night with goal negative fluid balance. the patient's lower extremities were intact neurovascularly. hematocrit remained stable after the third night of admission. the patient was started on coumadin once the intra-aortic balloon pump was discontinued on the fourth night of admission. the goal inr was 2 to 3. the patient was taught how to self administer lovenox injections and was given appointments to see his primary care physician doctor, dr. , for follow-up and inr monitoring. we recommended to the patient that he follow-up with an electrophysiologist as an outpatient for follow-up of his heart function. prior to discharge, the patient had two episodes of non sustained ventricular tachycardia. given his low ejection fraction and cardiac function, it was recommended that he see the electrophysiologist, , m.d. or dr. for further work-up and possible icd pacer. right groin hematoma remained stable throughout the remainder of his stay. vascular surgery followed up until discharge, noting that it was stable and no surgical intervention was needed at this time. pulmonary: the patient was given nebulizers prn, supplemental oxygen as needed. otherwise, he was stable. prophylaxis: intravenous heparin and protonix, then bridged with coumadin and changed over to lovenox. prior to discharge, the patient could self administer at home. physical therapy: physical therapy recommended that he was okay to go home from the hospital. they were to follow-up with short term goals and he was to ambulate with nursing. condition on discharge: stable. discharge status: to home. discharge diagnoses: 1. congestive heart failure. 2. anterior wall myocardial infarction. 3. coronary artery disease. 4. status post percutaneous coronary intervention. discharge medications: 1. aspirin 325 mg q. day. 2. plavix 75 mg q. day. 3. pantoprazole 20 mg q. day. 4. atorvastatin 10 mg q. day. 5. wolfram 5 mg p.o. q h.s. 6. metoprolol succinate 100 mg p.o. q. day. 7. lisinopril 40 mg tablet q. day. 8. anoxaparen sodium 100 mg subcutaneous q. 12 hours for seven days. 9. outpatient laboratory work slip; inr to be checked every wednesday and every saturday. please have results sent to the patient's primary care physician. follow-up plans: 1. the patient is to follow-up with his cardiologist, dr. . dr. will call about an appointment or patient is to call dr. for an appointment, by calling . 2. the patient is to follow-up with an electrophysiologist, dr. or dr. . the patient is to call . 3. the patient is to follow-up with primary care physician, . at , , nh. the patient is to follow-up next monday, , at 8:15 a.m. for coumadin blood test. the patient is to follow-up on at 10 a.m. for regular check-up with dr. . , 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 injection or infusion of platelet inhibitor insertion of temporary transvenous pacemaker system implant of pulsation balloon right heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension acute myocardial infarction of other anterior wall, initial episode of care hematoma complicating a procedure asthma, unspecified type, unspecified paroxysmal ventricular tachycardia cardiogenic shock 

Answer: The patient is high likely exposed to