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 44 year old man with a history of diabetes , hypertension and hypercholesterolemia, who presented to an outside hospital with substernal chest pain radiating to both arms, not associated with shortness of breath or diaphoresis. electrocardiogram at the outside hospital showed 2 mm elevations in v2 through v4. the patient was transferred to for cardiac catheterization. cardiac catheterization revealed a pulmonary capillary wedge pressure mean of 22, right ventricular pressure 38/11, pulmonary artery pressure 38/22, cardiac index 2.9, cardiac output 6.28. coronary angiography demonstrated a right dominant anatomy. the left main coronary artery demonstrated no significant flow limiting disease. the left anterior descending artery contained a 99% lesion just distal to the second diagonal with timi-2 slow flow and a 30% to 40% lesion proximal to the diagonal two. the left circumflex coronary artery demonstrated a 40% proximal and diffuse 40% to 50% lesion in the obtuse marginal one. the right coronary artery was found to have diffuse disease with an 80% proximal and 70% mid-lesion. the posterior descending coronary artery contained a 60% to 70% lesion. the distal left anterior descending artery was stented, improving flow to timi-2 fast. the proximal left anterior descending artery was post dilated with final 0% lesion in stent, 20% haziness just distal to stent, and timi-3 flow. the patient was sent to the coronary care unit for monitoring on aspirin, plavix 75 mg daily, and an integrilin drip times 18 hours. the patient noted that his original chest pain did not resolve until he was taken to catheterization (approximately six hours). past medical history: 1. diabetes times six years. 2. hypercholesterolemia. 3. hypertension, usually 140/100, difficult to manage. allergies: topical antifungal medication. medications on admission: glucophage 1,000 mg p.o.b.i.d., amaryl 4 mg p.o.q.d., lipitor 20 mg p.o.q.d., niaspan 1,000 mg p.o.q.d., .................. labetalol 300 mg p.o.b.i.d., .................. 10 mg p.o.q.h.s. family history: family history is significant for coronary artery disease, diabetes and hypertension in the patient's mother, diabetes in his father. social history: the patient is a resident of and is in town visiting . the patient smokes an occasional cigar and drinks alcohol only occasionally. he denies other drug use. physical examination: on physical examination, the patient had a temperature of 100.2, heart rate 100, and blood pressure 135/71. cardiovascular: tachycardiac, no murmurs. extremities: good distal pulses. laboratory data: white blood cell count was up to 17.9 from 8.3 and continued to decrease throughout the hospital stay. ck was 184, mb 16, index 8.7, troponin 3.8. hospital course: after his cardiac catheterization, the patient's chest pain recurred. therefore, he was taken back to the catheterization laboratory to look for re-occlusion. no new source of flow limiting disease was seen. the patient's stent was widely patent. the patient was continued on aspirin, plavix and an integrilin drip for 18 hours. cks trended up to a maximum of 2,067 and were down to 400 48 hours after admission, mb fraction 340, troponin greater than 50. the patient's lipitor and niaspan were continued. hemoglobin a1c was checked and found to be 6. therefore, it was believed that the patient's outpatient metformin dose was adequate in controlling his blood sugars. during his hospitalization, however, metformin was held secondary to the substantial dye load on his kidneys. his creatinine remained at 0.9 and bun at 14, demonstrating no renal compromise during the hospital stay. the patient subsequently had an echocardiogram to evaluate cardiac function as well as rule out pericarditis considering his low grade temperature, white blood cell count and chest pain recurrence. the left ventricular ejection fraction was measured to be 40% to 45%. there was mid to distal anteroseptal as well as apical akinesis. the left atrium was mildly dilated. trivial mitral regurgitation was seen as well as trivial tricuspid regurgitation. there was a partially echolucent space anterior to the right ventricle, felt to be consistent with a fat pad or, at most, a trivial pericardial effusion. the patient was monitored on telemetry and had no arrhythmic events. he was transferred out of the coronary care unit to the cardiac medicine floor. his antihypertensives were rapidly titrated up for adequate heart rate and blood pressure control. the patient's final medications included losartan 50 mg daily and atenolol 100 mg twice a day. the patient was taken back to catheterization for a scheduled intervention of the right coronary artery. the distal right coronary artery was stented and the patient subsequently received an additional 18 hours of integrilin treatment. femoral ultrasound of the right groin was done to further visualize and define a large hematoma that had developed. results of the ultrasound are not available at the time of dictation. condition on discharge: stable. discharge diagnoses: 1. st elevation anterior myocardial infarction with significant ck leak and stent to the left anterior descending artery and right coronary artery. 2. left ventricular ejection fraction 40% to 45%. discharge medications: atenolol 100 mg p.o.b.i.d. losartan 50 mg p.o.q.d. plavix 75 mg p.o.q.d. times 30 days. aspirin 325 mg p.o.q.d. niaspan 1,000 mg p.o.q.d. lipitor 20 mg p.o.q.d. protonix , m.d. dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) injection or infusion of platelet inhibitor other and unspecified coronary arteriography diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute myocardial infarction of other anterior wall, initial episode of care 

Answer: The patient is high likely exposed to