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 an 87-year-old male with known three-vessel coronary artery disease who presented to an outside hospital after developing chest pain after eating dinner. the patient describes his chest pain as mild discomfort across his chest involving his posterior left arm. the girlfriend whom he lives with is a retired head nurse the patient to go to the hospital for further evaluation. ekg changes: the outside hospital noted st elevations in 2, 3, avf. the patient was started on heparin and integrilin and was given two aspirin on the way to hospital by ems as well as two nitroglycerin. the patient was chest pain free at the outside hospital emergency department. he was transferred to for further cardiac evaluation via urgent cardiac catheterization. patient denies history of high cholesterol, high blood pressure, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea or lower extremity edema. of note, the patient's discharge report from the outside hospital did note the patient has had a past medical history of hypercholesterolemia and hypertension. past medical history: arthritis. bronchitis. gerd. hiatal hernia. childhood asthma. proteinuria. amaurosis fugax in . copd. bilateral inguinal hernia. sprue. left ankle fracture. renal cell carcinoma, status post right nephrectomy in . right cataract in . social history: nonsmoker, nondrinker, no iv drug use. the patient lives in with his long-term partner. the patient still actively is building boats. family history: negative for early coronary artery disease. current medications: 1. protonix 40 mg p.o. q.d. 2. plavix 75 mg p.o. q.d. 3. atenolol 25 mg p.o. q.d. 4. imdur 30 mg p.o. q.d. 5. lasix 40 mg three times per week. physical examination on admission: patient afebrile, heart rate 60, blood pressure 152/67, respiratory rate 17, oxygen saturation 98 percent on 2 liters nasal cannula. in general, he appeared comfortable in no apparent distress. lung examination: he had crackles at the right base, increased ap diameter, and prolonged expiratory phase. cardiovascular: regular rate and rhythm. s1, s2 appeared normal. he had muffled heart sounds. he had a holosystolic murmur at the apex radiating to the axilla. his abdomen was soft. active bowel sounds. no pulsatile masses. it was nontender, nondistended. his groin on the right side was dry with the pressure bandage in place. no bleeding reported. extremities: 2 plus equal bilaterally radial pulses. dorsalis pedis pulses 1 plus bilaterally. decreased hair over his lower extremities plus chronic venostasis changes on his lower extremities to mid calf. neurological examination: alert and oriented x 3 with appropriate mental status. his cranial nerves ii through xii are grossly intact. ekg with normal sinus rhythm; slight bradycardia at 58; first- degree av block; st elevations in 2, 3, avf which are 2 mm; q- wave inversions in 1, avl, v3 through v6. repeat ekg post catheterization showed normal sinus rhythm; bradycardia at 54; prolonged pr of 0.38 milliseconds; the first-degree av block; and decreased st elevations in 2, 3, and avf now only 1.5 mm with resolution of t-wave inversions in 1 as well as the lateral leads. echocardiogram from showed an ejection fraction of 35 percent. his cardiac catheterization, the day of admission showed 99 percent mid lad, 70 percent e1, 100 percent left circumflex with good right to left collaterals, 70 percent proximal rca and 100 percent pda. laboratory data: laboratories on admission were notable for cpk of 45 and a troponin 1 of less than 0.01. these were both from the outside hospital. his chem 7 was sodium 139, potassium 4.1, chloride 104, bicarbonate 27, bun 40, creatinine 2.6, and glucose of 149. cbc, white count of 10.4, hematocrit of 39.4, and platelets at 242. brief hospital course: this is an 87-year-old male with known history of three-vessel coronary artery disease now presenting with st elevations without intervenable culprit lesion identified on cardiac catheterization but rather diffusely worsening three-vessel coronary artery disease treated with integrilin and heparin. coronary artery disease: this patient's cardiac enzymes turned it up with a peak ck of 213 and a peak troponin of 0.56. the patient was continued on lovenox for 48 hours post myocardial infarction. the patient had previously been treated with plavix. therefore, the patient was not continued on integrilin post cardiac catheterization. the patient remained chest pain free throughout his hospital stay. the patient was monitored on telemetry for any arrhythmias in the setting of recent myocardial infarction. there were no arrhythmias noted on telemetry during his hospital stay. the patient was treated with lopressor 25 mg p.o. b.i.d. while the patient was in-house. he was transitioned back to his atenolol 25 mg p.o. q.d. prior to discharge. the patient will be continued on aspirin, plavix, and atenolol as well as lipitor on discharge. chronic obstructive pulmonary disease: the patient was noted to be wheezy on physical examination and multiple effusions during his hospital stay. patient reports that he takes albuterol nebulizers at home. the patient was that he should avoid albuterol in the setting of recent myocardial infarctions for at least 4 weeks. he was initiated on ipratropium nebulizers p.r.n. in the hospital. he was also started on flovent inhaler b.i.d. as well as ipratropium inhaler b.i.d. with spacer device. he should continue these medications on discharge. he should follow up with his primary care physician for followup of his copd on discharge. 1. dementia: the patient was noted to have memory deficits regarding his medications as well as his home living environment, and treatment he received during his hospital stay. he was evaluated by occupational therapy for cognitive evaluation. it appeared that he does have some chronic cognitive issues given that his partner did not feel that he had any changes in his mental status. the patient will have a home occupational therapy evaluation on discharge. discharge status: to home with services. discharge condition: stable, no arrhythmias noted on telemetry. no further episodes of chest pain or shortness of breath. discharge diagnoses: st elevation myocardial infarction. chronic obstructive pulmonary disease. dementia unspecified. status post renal cell carcinoma, status post right nephrectomy. gastroesophageal reflux disease. discharge medications: 1. aspirin 325 mg p.o. q.d. 2. lipitor 40 mg orally p.o. q.d. 3. plavix 75 mg p.o. q.d. the patient is advised he should not stop his medication without talking to a cardiologist first. 4. protonix 40 mg p.o. q.d. 5. atenolol 25 p.o. q.d. 6. ipratropium nebulizer q.6h. p.r.n. 7. ipratropium inhaler q.i.d. p.r.n. 8. fluticasone 2 puffs b.i.d. patient should follow up with his primary care physician . for followup of his chronic obstructive pulmonary disease and to check his lfts 1 month after discharge. in addition, he should contact dr. on tuesday following discharge for an appointment within the week following discharge. his partner agreed to make the phone call. she had already spoken with dr. prior to discharge. , md procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension chronic airway obstruction, not elsewhere classified other persistent mental disorders due to conditions classified elsewhere personal history of malignant neoplasm of kidney 

Answer: The patient is high likely exposed to