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 60 year-old male with coronary artery disease, coronary artery bypass graft times ten years ago who developed nausea and vomiting and diaphoresis after shoveling snow this morning. he also described a pressure across his anterior chest. he took tons of baking soda without relief. he called 911 and took aspirin. the pain was relieved somewhat by nitroglycerin. he was taken to and was given additional aspirin. he was started on heparin and given 300 mg of plavix, morphine and started on a nitro drip. he was then transferred to for catheterization. his electrocardiogram demonstrated acute st elevations. his cardiac anatomy was saphenous vein graft to obtuse marginal one and posterior descending coronary artery, saphenous vein graft to left anterior descending coronary artery and saphenous vein graft to ramus. catheterization revealed a right dominant system with evidence of native disease plus saphenous vein graft to left circumflex and obtuse marginal one to posterior descending coronary artery with timi two flow and a large thrombus, which was stented. he was bradycardic much of the procedure. in the holding area he vomited bright red blood times two and integrilin and heparin were discontinued. he was given dopamine for bradycardia and transferred to the coronary care unit for monitoring. his wedge pressure was 28. past medical history: 1. coronary artery disease with a coronary artery bypass graft ten to twelve years ago. 2. sleep apnea. 3. status post tonsillectomy and adenoidectomy. 4. status post pilonidal cyst. approximately ten years. allergies: no known drug allergies. medications: he was on aspirin 325 once a day, however, he was not compliant with this. social history: he has a history of tobacco use. one pack per day times twenty five years. he quit after his coronary artery bypass graft. he has rare alcohol use. no intravenous drug abuse and lives alone. family history: significant for father who died at age 59 of a heart attack and likely hypertension. physical examination on admission: his temperature was 98. blood pressure 125/73. pulse 60. respirations 15. 100% on 2 liters nasal cannula. he is a pleasant man in no acute distress. pupils are equal, round and reactive to light and accommodation. extraocular movements intact. his mucous membranes were dry. his heart had a regular rate and rhythm with no appreciable murmurs, rubs or gallops. he had no elevated jvp. his lungs were clear anteriorly and bilaterally. abdomen he had hyperactive bowel sounds, but his abdomen was benign. his femoral sheath was intact. he had no hematoma. extremities were warm with no clubbing, cyanosis or edema. positive dorsalis pedis pulses bilaterally. laboratory: white blood cell count 11.6, hematocrit 36.3, platelets 205, pt 12.9, ptt 29.6, inr 1.1. differential 86.9 neutrophils, 0 basophils, 9.4 lymphocytes, 3.2 monocytes, .2 eosinophils, .3 basophils. sodium 143, creatinine 4.2, chloride 105, bicarb 25, bun 15, creatinine 1, glucose 136. his ck was 243 and then 178. hospital course: he is admitted to the coronary care unit with close follow up as he is in with a gastrointestinal bleed in the setting of heparin and integrilin. he had no further episodes of emesis. his hematocrit remained stable overnight. he had initially frequent ectopy on telemetry including nonsustained ventricular tachycardia all within 48 hours of his myocardial infarction. the frequency of these decreased with aggressive electrolyte repletion. he was started on low dose metoprolol, however, his heart rate was down into the 40s. he was asymptomatic with this. he was maintained on intravenous protonix b.i.d. he was started on plavix 75 mg q day and lipitor. additional laboratory work included triglyceride of 56, hdl of 56, ldl of 230 and a ratio of 5.3. alt 44, ast 225, alkaline phosphatase is 74, total bilirubin .7. his cks peaked at and began to trend downward. his troponin was registered as greater then 50. his hematocrit remained stable with only a slight trend downward. he was seen by physical therapy who deemed it safe for him to go home without any further physical therapy needs. he had an echocardiogram, which revealed an ef of 35 to 40%, normal left atrium size, elongated left atrium with an left ventricular mildly dilated, hypokinesis, akinesis of inferior septum and inferior wall and posterolateral walls, left ventricular function, right ventricular function depressed. trace aortic regurgitation and 1+ mitral regurgitation. the patient was given much encouragement to follow up with his physician. reestablished care with dr. who could serve both as his primary care physician and his primary cardiologist. dr. office was contact and updated on the hospital stay with suggestion for referral for gastroenterology for further evaluation of gastrointestinal bleed. discharge medications: 1. nitroglycerin .3 mg tab sublingual take one tab sublingual as needed for chest pain. 2. plavix 75 mg one tablet po q day times 90 days. 3. aspirin 325 mg one tablet po q day. 4. atorvastatin 20 mg tablet one tablet po q day. 5. metoprolol 12.5 mg po b.i.d. 6. captopril 6.25 mg t.i.d. 7. pantoprazole one tablet p.o. q. day. , 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 intraoperative cardiac pacemaker injection or infusion of platelet inhibitor coronary arteriography using a single catheter diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery coronary atherosclerosis of autologous vein bypass graft other specified cardiac dysrhythmias hematemesis 

Answer: The patient is high likely exposed to