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 68-year-old caucasian male with a past medical history significant for coronary artery disease, status post myocardial infarction times two, (status post coronary catheterization in revealing 30% stenosis of the proximal left anterior descending artery, 30% to 40% lesion of first diagonal, 50% to 60% lesion to the middle left anterior descending artery, 30% to 40% lesion to the right coronary artery, 50% to 60% lesion of the middle posterior descending artery, 70% lesion of the distal posterior descending artery), hypertension, and hypercholesterolemia who now presents with a 3-day history of intermittent substernal chest pain with minimal exertion. the patient presented to his family physician on and was found to have negative cardiac enzymes and negative electrocardiogram changes. on the morning of admission, the patient had one episode of chest pain; described as substernal chest tightness, nonradiating in nature, not relieved by sublingual nitroglycerin, and spontaneously resolved after 10 minutes of rest. on the afternoon of the day of admission, the patient reports having another episode of chest pain; this time relieved by one tablet of sublingual nitroglycerin. this pain was associated with left-handed tingling, shortness of breath, and diaphoresis. he reports that this pain was similar to that he has had in the past with his heart attack. he was taken to where his troponin was found to be elevated at 0. elevations in both his inferior and lateral leads on electrocardiogram. thus, the patient was transferred to for cardiac catheterization after being given aspirin, lovenox, and integrilin. mr. was admitted to the coronary care unit around 9 p.m. chest pressure and without any other complaints. past medical history: 1. coronary artery disease; status post cardiac catheterization in revealing noncritical stenosis. 2. left carotid artery stenosis. 3. multiple lacunar infarctions demonstrated via magnetic resonance imaging in . 4. hypertension. 5. hypercholesterolemia. 6. left cerebrovascular accident in . 7. depression. 8. peptic ulcer disease. 9. status post myocardial infarctions times two; one in and one in . medications on admission: isosorbide 30 mg p.o. b.i.d., dipyridamole 15 mg p.o. b.i.d., lescolxyl 80 mg p.o. q.d., potassium 10 mg p.o. q.d., lisinopril/hydrochlorothiazide 20/25 mg p.o. q.d., toprol-xl 100 mg p.o. q.d., norvasc 5 mg p.o. b.i.d., aspirin 325 mg p.o. q.d. allergies: no known drug allergies. social history: the patient admits to smoking four packs per day for the past two years. he also admits to a smoking history before these two years, but did not quantify the amount for me. his alcohol use is occasional, and he denies any recreational drug abuse. family history: mr. family history was positive for hypertension and coronary artery disease. he had a father who died of a myocardial infarction at the age of 54. he has a brother who had an angioplasty done at the age of 41, and he has various uncles who died of heart attacks in their early 60s. physical examination on presentation: physical examination revealed temperature was 97.3, blood pressure was 159/72, pulse was 70, respiratory rate was 18, oxygen saturation 99% on 3 liters nasal cannula. in general, this was a pleasant, elderly, caucasian male who was alert and oriented times three. his mentation was a little slow, and he was a questionable historian. he was not acutely diaphoretic, and he appeared to be in no acute distress. his pupils were equally round and reactive to light. his extraocular muscles were intact. he nares were patent, and his mucous membranes were moist. he did have a hearing aid in his right ear present. his neck was sunburned, but otherwise without any carotid bruits, thyromegaly, or jugular venous distention. his trachea was midline, and his lungs were clear to auscultation bilaterally. his cardiovascular examination revealed a regular rate and rhythm, without any murmurs, rubs or gallops. his abdomen was soft, nontender, and nondistended with normal bowel sounds. there were no hepatosplenomegaly or palpable masses. his extremities revealed 2+ distal pulses without any signs of clubbing, cyanosis or edema. there was no calf tenderness or unusual rashes present. neurologic examination demonstrated that cranial nerves ii through xii were intact. his cerebellar function was within normal limits. he had muscle strength throughout, and sensation was also within normal limits. his reflexes were 2+ symmetrically and bilaterally with downgoing babinski. pertinent laboratory data on presentation: laboratories on admission revealed white blood cell count was 12.2, hemoglobin was 14.2, hematocrit was 40.2, platelets were 239. differential revealed 62 neutrophils, 26 lymphocytes, 5 monocytes, 6 eosinophils, and 1 basophil. pt was 13.1, ptt was 34, inr was 1.2. sodium was 142, potassium was 3.6, chloride was 104, bicarbonate was 28, blood urea nitrogen was 18, creatinine was 1, blood glucose was 87. calcium was 9.4, magnesium was 1.7, phosphorous was 2.8. ast was 25, ldh was 174. triglycerides were 218, high-density lipoprotein was 26, low-density lipoprotein was 63. creatine kinases peaked at 220, mb fractions peaked at 14, mb index peaked at 6.4, troponin peaked at 19.4. radiology/imaging: a chest x-ray on revealed cardiomegaly; otherwise clear. electrocardiogram taken on prior to catheterization revealed a normal sinus rhythm, with a ventricular rate at 60, left axis deviation, normal intervals, left ventricular hypertrophy, and 1-mm st elevations in leads v1 through v3. cardiology reports: 1. cardiac catheterization on revealed a right-dominant circulation with 1-vessel and branch vessel coronary artery disease. the left main coronary artery was normal. the left anterior descending artery had mild luminal irregularities, bifurcated into a "twin" system, and did not extend to the apex. the left circumflex had mild luminal irregularities but gave off a large branching second obtuse marginal with a proximal 50% lesion and another 50% lesion in the lower pole. the right coronary artery was a large vessel that extended to and around the apex. there was a 95% ostial lesion, a 30% midlesion, and a 50% lesion at the distal right coronary artery at the origin of the posterior descending artery and posterior left ventricular. the posterior descending artery had mild-to-moderate diffuse disease with a 50% midlesion. the proximal right coronary artery was successfully stented. 2. an echocardiogram on revealed an ejection fraction of greater than or equal to 55%. it demonstrated moderate symmetric left ventricular hypertrophy with normal chamber sizes. the ascending aorta was mildly dilated. there was mild 1+ mitral regurgitation. the left ventricular inflow pattern suggested impaired relaxation. otherwise, there were no wall motion abnormalities, and the rest of the echocardiogram was within normal limits. hospital course: mr. was admitted on at around 9 p.m. to the intensive care unit for overnight observation before his cardiac catheterization the next morning. he was placed on aspirin, metoprolol, lipitor, and lisinopril. he was also placed on an integrilin drip and b.i.d. lovenox for anticoagulation. his outpatient dipyridamole was held during this hospital stay. he was placed on telemetry monitoring and remained in normal sinus rhythm throughout his hospital stay without any signs of increased ectopy. he underwent a cardiac catheterization on the morning of without any complications and was transferred to the cardiac stepdown unit floor afterwards. he continued to remain on telemetry monitoring to watch for any signs of increased ectopy. he remained chest pain free throughout his hospital course, and an echocardiogram was performed on the morning of to evaluate his ejection fraction and assess for any wall motion abnormalities. his complete blood count and his electrolytes were checked on a daily basis; and his potassium, magnesium, and calcium were repleted as needed. he received prior and post catheterization hydration with intravenous fluids, per protocol. his ins-and-outs were monitored closely. his creatinine remained stable throughout his hospital course. his foley was discontinued on the morning of , and he spontaneously urinated without any complications. pulmonary wise, his oxygen saturations remained excellent on minimal nasal cannula and then eventually room air. he was placed on a cardiac diet and protonix for gastrointestinal prophylaxis. he remained afebrile with no leukocytosis during his hospital course; and, thus, no antibiotics were given. his hematocrit remained stable status post cardiac catheterization, and his groin site was monitored closely for any signs or symptoms of hematoma or excessive bleeding. since his proximal right coronary artery was stented on , in the cardiac catheterization laboratory, he was placed on a daily dose of plavix thereafter. on , his lisinopril dose was increased to 30 mg p.o. q.d., and his amlodipine was discontinued. given his extensive tobacco history and his history of depression, he was extensively advised to quit smoking and was started on wellbutrin 75 mg p.o. b.i.d. before discharge. physical therapy was also consulted, and they determined that the patient was safe to be discharged home without any further services. condition at discharge: condition on discharge was good. medications on discharge: 1. lisinopril 30 mg p.o. q.d. 2. plavix 75 mg p.o. q.d. 3. toprol-xl 100 mg p.o. q.d. 4. colace 100 mg p.o. b.i.d. 5. hydrochlorothiazide 25 mg p.o. q.d. 6. aspirin 325 mg p.o. q.d. 7. lipitor 40 mg p.o. q.d. 8. isosorbide dinitrate 30 mg p.o. b.i.d. 9. wellbutrin 75 mg p.o. b.i.d. discharge status: mr. was discharged to home at on with a list of his current medications. discharge instructions: he was to follow up with his primary care physician (dr. on , . he was to follow up with dr. (his cardiologist) in one month. he was to quit smoking and to take it easy for the next few days. , md dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension occlusion and stenosis of carotid artery without mention of cerebral infarction other and unspecified hyperlipidemia acute myocardial infarction of unspecified site, initial episode of care 

Answer: The patient is high likely exposed to