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 61 year-old male with a past medical history of hypertension, gastroesophageal reflux disease, anxiety with cardiac risk factors of age, gender, hypertension, borderline hypercholesterolemia who presented to at 3:00 a.m. on after onset acutely of chest pain at 10:00 p.m. . the chest pain was 8 out of 10 in severity, radiating down the patient's left arm, not associated with any nausea, vomiting, diaphoresis. there was no relief with antacids or rest. in the emergency department, electrocardiogram showed inferior st elevations and high lateral depressions of 1, avl. in the emergency department the patient received aspirin 325 mg, lopressor 5 mg intravenous, started on nitroglycerin drip, heparin drip and integrilin drip. the patient arrived at the catheterization laboratory at approximately 4:45 a.m. with continued chest pain. cardiac catheterization showed acute inferior myocardial infarction due to occlusion of left dominant circumflex after first marginal. this was successfully reperfused and stented. during catheterization the patient had a prominent and transient bezold-jarisch reflex that occurred with reperfusion. this required transient right ventricular pacing. it also required atropine and low dose transient dopamine. the patient did not have any recurrence of this reaction throughout the rest of the catheterization case. catheterization also showed a 20% proximal lesion of the left anterior descending coronary artery with a 70 to 80% lesion in the mid left anterior descending coronary artery. left ventriculogram was performed throughout the catheterization, which showed an ejection fraction of 64%. also showed focal inferior basal hypokinesis. the patient was then transferred to the coronary care unit for further monitoring. past medical history: 1. hypertension. 2. gastroesophageal reflux disease. 3. situational anxiety. 4. borderline hypercholesterolemia. allergies: the patient reports an allergy to iodine and shellfish, unknown reaction. medications prior to admission: 1. aspirin 81 mg po q.d. 2. atenolol 25 mg po q.d. 3. prevacid 30 mg po q.d. social history: the patient lives alone. reports occasional alcohol use consistent of one to two martinis, half bottle of red wine nightly. denies any recreational drug use or tobacco use. family history: the patient's mother died of myocardial infarction in her 60s. father deceased at old age secondary to complications of bronchitis. physical examination on admission: vital signs temperature 97.9. pulse 84. blood pressure 116/55. respiratory rate 18. o2 saturation 97% on 4 liters nasal cannula. general appearance, well developed, well nourished, white male, sleeping comfortably and in no acute distress. heent normocephalic, atraumatic. sclera anicteric. pupils are equal, round and reactive to light and accommodation. oral mucosa moist. neck supple, no masses or lymphadenopathy. no jugulovenous distention or elevated jugulovenous pressure noted. lungs clear to auscultation bilaterally. no rhonchi, wheezes or rales. cardiovascular regular rate and rhythm. s1, s2 heart sounds auscultated. no murmurs, rubs or gallops. abdomen soft, nontender, nondistended. positive bowel sounds. no hepatosplenomegaly. groin femoral catheterization bandage site, clean, dry and intact. no serosanguinous discharge noted. extremities no clubbing, cyanosis or edema noted. extremities warm and dry. 2+ dorsalis pedis pulses peripherally bilaterally. pertinent laboratories/x-ray studies: complete blood count on admission showed a white blood cell of 6.4, hematocrit 42.2, platelet count 228. serum chemistries showed sodium 140, potassium 3.9, chloride 103, bicarbonate 27, bun 16, creatinine 0.8, glucose 119. coagulation profile showed a pt 12.5, ptt 23.4, inr 1.0. cardiac enzymes on admission showed ck 301, ckmb 7, troponin 0.05. peak ck was 1401, peak troponin 3.10. electrocardiogram on admission showed normal sinus rhythm at 75 beats per minute, normal axis and intervals. no evidence for atrial ventricular enlargement. no evidence for a bundle branch block. 0.5 to elevations noted in leads 2, 3, avf. 0. depressions noted in leads 1, avl, v5-v6. right sided electrocardiogram showed no st elevation in lead v4r. chest x-ray on admission showed no evidence of congestive heart failure or pneumonia. echocardiogram performed showed left ventricular ejection fraction 60%. left atrium is moderately dilated. the left ventricular cavity size is normal. overall left ventricular systolic function is normal. small basal posterior hypokinesis is present. the aortic valve leaflets (3) are mildly thickened. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. persantine stress test (), the patient exercised for a total of four minutes with a 55% maximal heart rate achieved. no chest, back, neck or arm discomfort was reported during the procedure. no significant st segment changes were noted from baseline. the rhythm was sinus with no ectopy noted. the hemodynamic response to the persantine effusion was appropriate. the patient had no anginal symptoms or electrocardiogram changes from baseline. the nuclear portion of this examination showed stress images with normal left ventricular cavity size. there was a small, severe, intense defect in the base of the inferior wall, which was fixed on resting perfusion images. ejection fraction calculated from gated wall motion images obtained after dipyridamole administration was 50%. there was normal wall motion. the overall impression was that of a small, severe, fixed defect in the base of the inferior wall. hospital course: 1. coronary artery disease: the patient was status post inferior myocardial infarction, status post left circumflex percutaneous intervention with stent placement in left circumflex. on arrival to the floor he was continued on aspirin, plavix, integrilin. integrilin was discontinued after 18 hours. initially beta blocker and ace therapy were held secondary to hemodynamic instability, history of bezold-jarisch reaction while in the catheterization laboratory. on arrival to the floor he was on a dopamine drip and this was weaned as tolerated by his blood pressure. as his blood pressure improved we added beta blocker and ace inhibitor back to his medication regimen and this was tolerated well. cardiac enzymes were cycled with peak value of ck 1401, troponin t 3.10. while the patient's left circumflex was felt to be the vessel involved in his inferior myocardial infarction, we were also concerned due to his left anterior descending coronary artery lesions on coronary catheterization. therefore once he was stabilized he underwent persantine stress testing with results as above. namely there was a small severe intensity defect in the base of the inferior wall, which was fixed on resting perfusion images. the patient was discharged on a medication regimen of aspirin, plavix, metoprolol, lisinopril, lipitor. he was instructed that he is to continue aspirin and plavix daily for the next nine months status post percutaneous stent placement. 2. possible alcohol abuse: during this admission the patient was monitored on ciwa scale for signs and symptoms of alcohol withdraw. if he exhibited evidence of withdraw he was to be administered lorazepam. however, he did not exhibit any signs or symptoms of withdraw during this hospitalization. he was counseled as to his alcohol intake and instructed to cut down his level of intake. the patient was amenable to this discussion and agreed to monitor his alcohol intake more closely. condition on discharge: stable. the patient was cleared by physical therapy for discharge to home without any additional services or physical therapy needed. he was ambulatory independently. he was chest pain free. discharge status: the patient was discharged to home. discharge diagnoses: 1. st elevation myocardial infarction. 2. hypertension. 3. gastroesophageal reflux disease. 4. situational anxiety. 5. hypercholesterolemia. discharge medications: 1. aspirin 325 mg po one po q.d. 2. plavix 75 mg one po q.d. 3. lipitor 10 mg one po q.d. 4. lisinopril 10 mg one po q.d. 5. lansoprazole 30 mg one po q.d. 6. toprol xl 100 mg 1.5 po q.d. follow up plans: the patient was instructed to call his doctor or return to the emergency room if he had recurrent chest pain, chest pressure, difficulty breathing, dizziness or weakness. he was instructed to take all of his medications as prescribed particularly that he is required to take his aspirin and plavix daily for the next nine months. he was also instructed to limit his daily alcohol intake to one drink per day. he was counseled on a low cholesterol, low fat diet. he was instructed to participate in a cardiac rehabilitation program and to start an exercise program with the guidance of his cardiologist dr. . he is told to call and see his primary care physician, . in one to two weeks. he was finally instructed to call to schedule an appointment to see dr. for a cardiology follow up. she will manage his cardiovascular care and schedule an exercise stress test in six weeks. , m.d. dictated by: medquist36 d: 05:13 t: 09:20 job#: 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 intraoperative cardiac pacemaker injection or infusion of platelet inhibitor diagnoses: esophageal reflux unspecified essential hypertension cardiac arrest acute myocardial infarction of other inferior wall, initial episode of care other and unspecified alcohol dependence, unspecified examination of participant in clinical trial alcohol withdrawal 

Answer: The patient is high likely exposed to