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 45-year-old male with past medical history significant for myocarditis at age 15 who presents with retrosternal pain that radiates to his back and shoulders. the patient states that the pain began shortly after finishing a match of tennis. of note, the patient had also taken viagra on the morning of admission. the pain, which reached a "" was constant and was greatest actually in the back "between the shoulders." the pain was somewhat improved by rest. he states that he has experienced similar pain though to a lesser degree and for short durations after exercise on several other occasions. he denies any associated shortness of breath, nausea, or vomiting, diaphoresis, or pallor. on ed admission, the patient's blood pressure was 160/115. initial ekg shows a normal sinus rhythm of rate 55 beats per minute with normal axis and normal intervals with hyperacute t waves in v2 through v5 as well as t-wave inversions in 3 and f. the patient was given a total of 10 mg of lopressor iv as well as 40 mg of labetalol iv, 10 mg of hydralazine, and 4 mg of morphine. past medical history: myocarditis at the age of 15. the patient states that this occurred in the setting of inflamed tonsils. he states he was recommended to take several weeks off from sports and was treated with antibiotics for this illness. this occurred in . gi bleed. the patient states that he had an episode of hematochezia as well as iron deficiency anemia. the patient underwent apparently flexible sigmoidoscopy, which revealed patchy erythema in the rectum and sigmoid. allergies: the patient has no known drug allergies. medications on admission: 1. motrin p.r.n. 2. viagra p.r.n. social history: the patient is a biologist currently on sabbatical at the . he is single, though in a relationship with a girlfriend. smoked occasionally as a student but does not currently smoke, has 1 to 2 glasses of alcohol per week. denies any intravenous drug use. family history: there is no known family history of cad or of mi. physical examination: blood pressure 130/80, heart rate of 72, respiratory rate of 16, o2 saturation of 100 percent on 2 liters. in general, the patient was found lying flat in bed, talking with a partner in no acute distress. pupils were equal, round, and reactive to light. extraocular muscles were intact. mucous membranes are moist with no associated lesions in the oropharynx. there was no jvd. no cervical bruits. the patient has a regular rate and rhythm. normal s1 and s2. no murmurs, rubs, or gallops. he is clear to auscultation bilaterally. abdomen soft, nontender, and nondistended. positive bowel sounds. no hsm or masses. no cva tenderness. there was no peripheral edema. no calf tenderness. he has 2 plus dp and pt pulses. there were femoral bruits. laboratory on admission: sodium 141, potassium 4.1, chloride 106, bicarb 25, bun 26, creatinine 1.3, glucose 101. white count of 13.7 with differential of 87 percent neutrophils and 5 percent bands. hematocrit of 48.6 and platelets of 187, ptt 21, and inr of 1.0. his first set of cardiac enzymes reveals a ck of 199 with a ck-mb 6 and troponin t of 0.03. subsequent ecg during " pain" reveals t-wave set are less acute in the anterior leads than in the prior ecg and now bibasic t-waves in 3 and avf. hospital course: 1. myocardial infarction. the patient ruled in for myocardial infarction on his second set of cardiac enzymes. his second set of enzymes had a ck of 1459 and ck-mb of 261, and mb index of 17.9 percent and troponin t of 0.84. his ck max before the admission was 5254 with max ck-mb of greater than 500 and max mb index of 17.9 and maximum troponin t of 12.42. the patient was initially managed with aspirin, beta blocker, p.r.n. morphine and after ruling in he was also began on integrilin as well as a nitroglycerin drip. the patient was noted to have increasing oxygen requirement and required 5 liters of oxygen by nasal cannula for his adequate oxygenation. pulmonary examination prior to cardiac catheterization revealed significant pulmonary edema. cardiac catheterization revealed a total occlusion of the lad mid vessel with thrombus present and distal filling via faint left to left collaterals. the left circumflex also had 80 percent stenosis after the takeoff of the first obtuse marginal branch. a taxus drug-eluting stent was placed in the lad culprit lesion. resting hemodynamics revealed moderately elevated right and left sided filling pressures with mean ra of 13 mmhg and rvedp of 15, pulmonary capillary wedge pressure of 20 and the lvedp of 28. cardiac index was 2.2. left ventriculography revealed an ef of 42 percent. the patient was transferred to the cardiac intensive care unit for further management. he was maintained on aspirin, plavix, beta blocker, ace inhibitor, and lipitor. echocardiogram on the first of revealed left ventricular systolic dysfunction with akinesis of the distal two thirds of the anterior septum and anterior wall as well as distal inferior wall and apex. the patient's ejection fraction was estimated at 25 percent to 30 percent. the patient was taken for a second cardiac catheterization on to address his left circumflex artery lesion. the patient underwent placement of second taxus drug-eluting stent at this time in left circumflex. there was no residual stenosis. the patient tolerated the procedure well. cholesterol panel revealed a total cholesterol of 153 with hdl of 45 and ldl of 89. the patient was therefore begun on high dose of statin therapy with lipitor 80 mg q.d. the patient was maintained on telemetry and noted only to have one episode of nsvt x5 beats within 24 hours of his presentation. the patient was maintained on heparin anticoagulation given his significant wall motion abnormalities and risk for mural thrombus and the stroke. the patient was transitioned on discharge to lovenox as a bridge to coumadin, which he began 2 days prior to discharge. 1. fever. the patient was noted to have intermittent low grade fevers up to 101 degrees with first elevated on admission. these fevers resolved spontaneously. all blood and urine cultures were negative. chest film did not reveal any acute pulmonary process. it was felt that his fevers most likely were secondary to myocardial inflammation related to his infarction. the patient was discharged in stable condition. discharge diagnoses: anterior myocardial infarction. coronary artery disease (2 vessels). hyperlipidemia. followup: the patient will follow up with his primary care physician, . , on friday, . his lfts and cks will be checked given his recent initiation of high dose lipitor therapy. he will also follow up with dr. and dr. on . in addition, he will follow up with dr. on for consideration of electrophysiology study and possible icd placement. he will have an echocardiogram on prior to this visit. in addition, his blood will be drawn on the monday and wednesday following discharge from monitoring of his inr and his coumadin dose will be adjusted accordingly prior to his visit with his primary care physician. primary care physician will then assume dosing of his coumadin. medication on discharge: 1. aspirin 325. 2. plavix 75 q.d. 3. lipitor 80 q.d. 4. coumadin 5 mg h.s. 5. lisinopril 20 mg q.d. 6. lovenox 80 mg b.i.d. until inr therapeutic. 7. toprol xl 100 mg q.d. , procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures angiocardiography of left heart structures injection or infusion of platelet inhibitor injection or infusion of platelet inhibitor left heart cardiac catheterization coronary arteriography using a single catheter insertion of drug-eluting coronary artery stent(s) insertion of drug-eluting coronary artery stent(s) diagnoses: coronary atherosclerosis of native coronary artery acute myocardial infarction of other anterior wall, initial episode of care paroxysmal ventricular tachycardia other and unspecified hyperlipidemia personal history of other diseases of circulatory system 

Answer: The patient is high likely exposed to