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 developed seven out of ten chest pain this morning with radiation to his left arm while showering. the patient took aspirin and three sublingual nitroglycerin without relief. the patient then went to without resolution of his chest pain with the nitroglycerin. the patient also reports feeling nauseous, diaphoretic and short of breath. the patient reports that over the last month, he has had intermittent shortness of breath that he was recently seen by his primary care physician for and the primary care physician felt that he had evidence of congestive heart failure. he was started on lasix. the patient was also seen by his cardiologist, , within the last week who also felt that he was developing congestive heart failure. at , the patient was started on heparin, intravenous nitroglycerin, given 2 milligrams of morphine, 5 milligrams of intravenous lopressor and finally started on integrelin. the patient's pain was two out of ten at transfer but upon arrival to with a slight increase in intravenous nitroglycerin the patient was made pain free. the patient subsequently vomited a moderate amount of bilious liquid. the patient was admitted to the pcu on integrelin, heparin, nitroglycerin. past medical history: 1. coronary artery disease. cardiac catheterization in , showed two vessel disease with 60% left circumflex and 90% right coronary artery. cardiac catheterization on , showed an ejection fraction of 24% with 1+ mitral regurgitation, 80% mid right coronary artery, 40% right posterior descending artery, 30% mid circumflex and a 30% distal circumflex. the patient had percutaneous transluminal coronary angioplasty with stent times two to the mid right coronary artery. the patient was also noted to have moderate systolic and diastolic dysfunction with global hypokinesis. 2. carotid endarterectomy in . 3. status post complete heart block with pacemaker placement. 4. history of hypertension. 5. history of high cholesterol. 6. left bundle branch block on electrocardiogram. medications: 1. lipitor 20 milligrams q.d. 2. isosorbide 20 milligrams t.i.d. 3. aspirin 325 milligrams q.d. 4. zestril. medications on transfer: 1. intravenous nitroglycerin. 2. intravenous heparin. 3. aspirin. 4. lopressor. 5. integrelin. 6. morphine. allergies: no known drug allergies. social history: previously smoked one pack per day and has since quit in the last eight to ten years. the patient was a heavy drinker but also quit eight to ten years ago and previously would drink greater than a case of beer a week. the patient is employed as a kitchen designer. family history: no significant family history of coronary artery disease or diabetes mellitus. physical examination: temperature is 97.3, pulse 60, blood pressure 112/61, respiratory rate 18, pulse oximetry 93% on four liters nasal cannula. in general, resting in bed, alert, oriented in no apparent distress. head, eyes, ears, nose and throat - the oropharynx is clear. anicteric sclera. moist mucous membranes. neck is supple with no jugular venous distention. cardiovascular regular rate and rhythm, normal s1 and s2, no murmurs, gallops or rubs. the lungs are clear to auscultation bilaterally. the abdomen is soft, nontender, nondistended, normoactive bowel sounds. extremities warm, 1+ pedal edema bilaterally, no femoral bruits, 2+ dorsalis pedis and posterior tibial pulses bilaterally. neurologic - alert and oriented times three. laboratory data: on admission, white count 9.8, hematocrit 40.6, platelets 218,000, 89% neutrophils. prothrombin time 16.6, partial thromboplastin time 150, inr 1.8. sodium 139, potassium 4.3, chloride 102, bicarbonate 26, blood urea nitrogen 23, creatinine 1.1, glucose 161. ck was 96. chest x-ray revealed cardiomegaly with no evidence of congestive heart failure. electrocardiogram revealed a paced rhythm with left bundle branch block. hospital course: 1. coronary artery disease - the patient remained pain free on integrelin, heparin and nitroglycerin. the patient ruled in for myocardial infarction with positive troponin of 30 with peaked ck of 198 with positive mb fraction and index. the patient was taken to cardiac catheterization on , and cardiac catheterization showed moderately elevated right and left sided filling pressures with right atrium 9 mmhg, wedge pressure of 25 mmhg and left ventricular end diastolic pressure of 26 mmhg. there was also moderate pulmonary hypertension with a pulmonary artery pressure of 49/26. cardiac index was low at 1.9. the patient had a 50% distal stenosis of the left main and a 40% stenosis of an acute marginal with patent stents in the right coronary artery. the patient tolerated the cardiac catheterization well and did not have any episodes of chest pain following the catheterization. the patient was placed on aspirin and lopressor and continued on his lipitor. the patient's lipid profile was very good with a ldl of less than 100. 2. congestive heart failure - the patient had evidence of congestive heart failure on admission with an oxygen requirement. the patient was given two doses of lasix with good diuresis and improved shortness of breath. the patient's cardiac catheterization showed moderate right and left ventricular diastolic dysfunction. the patient was started on zestril 5 milligrams and lasix 20 milligrams on discharge and will follow-up with . discharge medications: 1. lisinopril 5 milligrams q.d. 2. lopressor 25 milligrams b.i.d. 3. lasix 20 milligrams p.o. q.d. 4. potassium 8 meq p.o. q.d. 5. sublingual nitroglycerin. 6. aspirin 325 milligrams p.o. q.d. follow-up: . discharge status: to home. condition on discharge: stable. discharge diagnoses: acute myocardial infarction. , m.d. dictated by: medquist36 procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters combined right and left heart angiocardiography diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery tobacco use disorder congestive heart failure, unspecified unspecified essential hypertension percutaneous transluminal coronary angioplasty status 

Answer: The patient is high likely exposed to