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 an 80-year-old male with a history of diabetes presenting the sudden onset of nausea, vomiting and chest pain that started the evening prior to admission. the patient chest pain was prominent on the left side, nonradiating, not associated with diaphoresis, but kept the patient awake all night. he presented in the morning to at 10 a.m. where ekg revealed st elevations in his inferior leads with reciprocal elevations in v1-v6 and st depressions in i and avl. at the outside hospital, his troponin i was 12.43. he was transferred to for emergent cardiac catheterization. on transfer he was on heparin drip and integrilin drip. he received lopressor 5 mg iv x 3, nitroglycerin drip, aspirin and plavix. in the catheter lab, there was elevated right- and left-sided filling pressures. cardiac catheterization revealed two- vessel coronary artery disease with thrombotic total occlusion of the proximal rca, 50% lesion at the mid lad and a totally occluded left circumflex which appeared to be chronic disease with collaterals from the right and left. the elevated left- and right-sided filling pressures were indicative of rv infarct physiology. during the procedure, the patient developed atrial fibrillation and was hypotensive requiring intra-aortic balloon placement, and a dopamine drip was started. a cypher stent was placed in the rca. on transfer to the ccu, the patient's blood pressures were stable with maps in the 70s. on arrival he denied chest pain, shortness of breath or recent dyspnea on exertion. he only complained of back discomfort from lying flat. past medical history: diabetes on glucotrol and avandia. current medications: glucotrol and avandia. social history: the patient lives at home with his wife. is a former smoker. he denies illicit drug use. family history: noncontributory. physical examination: vital signs: temperature 98.3, heart rate 91, respiratory rate 18, blood pressure 100/63 on dopamine drip, o2 saturation 100% on 2 l nasal cannula. general: the patient is an elderly male lying flat in bed, breathing comfortably with nasal cannula, in no acute distress. heent: oropharynx clear. jvp flat. cardiovascular: regular rate and rhythm. normal s1 and s2. no murmurs, gallops or rubs. respiratory: lungs clear to auscultation bilaterally anteriorly. abdomen: normoactive bowel sounds. soft, nontender, nondistended. extremities: 2+ dp pulses, 1+ pt pulses, no edema. groin: left swan sheath and intra-aortic balloon pump in place. no hematoma. no bruits. pertinent results: cardiac catheterization on : 1. right dominant system with thrombotic total occlusion on the right proximal rca. acute marginal and pda were free of disease. lmca was unobstructed. mid lad had a 50% lesion. lcx was totally occluded with chronic occlusion in its mid course and received collaterals from the right and left. 2. left ventriculography was deferred. 3. limited hemodynamics showed elevated left and right-sided filling pressures with equalization consistent with rv infarct physiology. the patient developed atrial fibrillation and was hypotensive requiring intra-aortic balloon placement. 4. successful stenting of rca with a 3.5 mm cypher drug- alluding stent. , portable chest x-ray: intra-aortic balloon pump tip present terminating approximately 2 cm below the superior aspect of the aortic knob. a swan-ganz catheter was present with the tip terminating in the region of the pulmonary artery. the cardiac silhouette is in the upper limits of normal size for technique. there is some crowding of the pulmonary vascularity related to low lung volumes. mild atelectatic changes are observed in the right perihilar region, with otherwise grossly clear lungs. a small amount of fluid is seen in the minor fissure versus focal fissural thickening. , cardiac catheterization: 1. coronary angiography of this right dominant circulation showed single-vessel cad. the lmca was free of disease. the lac had mild diffuse disease. the lcx was occluded in the midvessels and fills the abridging collaterals. the rca had a widely patent stent. 2. resting hemodynamics showed normal central aortic pressure. 3. successful stenting of the lcx with a 2.5 mm cypher drug- alluding stent, post dilated to 2.75 mm. 4. the left cfa arteriotomy site was closed with a 6 french angio seal. laboratory data: cbc on , showed a wbc of 30.7, rbc 3.2, hemoglobin 10.8, hematocrit 32.1, mcv 100, mch 33.6, platelets 119. cbc on , showed a white count of 30.3, hematocrit 28.1, mcv 100, platelets 113. admission inr was 1.1. discharged inr on , was 1.1. cardiac enzymes starting on , showed a ck of 2153 at 5:40 p.m. on 11:13 p.m., , ck was 2259. on , 4:18 a.m., ck was 2295. on , 4:11 p.m., ck was 1817. on , 4:20 a.m., ck was 1158. on , 4:20 p.m., ck was 294. on , 5:40 p.m., ckmb was 264, mb index 12.3, troponin 12.03. on , 4:18 am, ckmb 153, mb index 6.7, troponin 9.28; same day 4:11 p.m., ckmb 79, mb index 4.3, troponin 6.20. on , 4:20 a.m., ckmb 31, mb index 2.7, troponin 4.8. on , 4:20 p.m., ckmb 6. , 5:22 a.m., ckmb 4, troponin 9.01. lfts on , showed an alt of 33, ast 41, alkaline phosphatase 44, total bilirubin 0.5. chemistries on discharge showed a sodium of 139, potassium 4.7, chloride 104, bicarb 27, bun 25, creatinine 1.5, glucose 154. hospital course: this is an 80-year-old male with diabetes and right ventricular inferior mi status post stent to the rca and chronic left circumflex occlusion status post cardiac catheterization with stenting to rca and left circumflex, status post intra-aortic balloon pump placed after hypotensive episode during first cardiac catheterization, on a dopamine drip, started on amiodarone for atrial fibrillation. 1. coronary artery disease, status post cypher stents to rca and left circumflex: on admission the patient was on heparin, integrilin, plavix, aspirin and statin. first cardiac catheterization was complicated by hypotension and atrial fibrillation. the patient was placed on a dopamine drip which was weaned by the following day. intra-aortic balloon pump remained in place as we planned for second cardiac catheterization for a left circumflex. the patient remained in atrial fibrillation for the entire time the intra-aortic balloon pump was in place. it was removed after the second cardiac catheterization at which time the atrial fibrillation resolved. the patient was started on coumadin for anticoagulation. he was also started on amiodarone for rate control. he was started on a beta-blockade and ace inhibitor after being weaned off the dopamine drip and tolerated this well. he will be continued on aspirin, plavix, lipitor 8 mg p.o. daily, metoprolol 25 mg p.o. daily, and lisinopril 10 mg p.o. daily. he will follow up with a cardiologist in weeks. 1. rhythm: the patient was in atrial fibrillation but converted to normal sinus rhythm after removal of intra- aortic balloon pump as mentioned above. he will continue on amiodarone 400 mg p.o. daily for 2 weeks and then 200 mg daily thereafter. he will follow up with a cardiologist as mentioned above. he will also continue on anticoagulation with coumadin and will have his inr monitored by his cardiologist. 1. diabetes: the patient was well controlled on insulin sliding scale during his admission; however, he was restarted on his oral medications as an outpatient. 1. chronic renal insufficiency: the patient's baseline creatinine is 1.5 per his primary care physician. remained stable during his admission. 1. increased white blood cell count: the patient has known cll per his primary care physician. baseline white blood cell count is in the 30s. currently he is not receiving any treatment, and his white count remained at his baseline in the low 30s throughout his admission. condition on discharge: chest-pain free, normal sinus rhythm, hemodynamically stable. discharge status: discharged to home. discharge diagnosis: myocardial infarction status post cypher stents to right coronary artery and left circumflex. discharge medications: aspirin 325 mg p.o. daily, atorvastatin 80 mg p.o. daily, plavix 75 mg p.o. daily, warfarin 5 mg p.o. q.h.s., pantoprazole 40 mg p.o. daily, metoprolol succinate 25 mg sustained release 1 tablet p.o. daily, lisinopril 10 mg p.o. daily, amiodarone 200 mg 2 tablets p.o. daily x 2 weeks, then 200 mg p.o. daily thereafter, glucotrol, avandia. discharge plans: please call your primary care physician immediately for follow up within 1 week. this follow up should include rechecking your thyroid function, inr and liver function tests. we will call you for a cardiology follow up. if you have any problems at all, please call the ccu at . if you do not hear from us regarding follow up cardiology appointment tomorrow, please call this number as well. , procedure: injection or infusion of platelet inhibitor left heart cardiac catheterization left heart cardiac catheterization coronary arteriography using a single catheter coronary arteriography using a single catheter implant of pulsation balloon angiocardiography of right heart structures angiocardiography of right heart structures insertion of drug-eluting coronary artery stent(s) insertion of drug-eluting coronary artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel procedure on single vessel diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation chronic kidney disease, unspecified 

Answer: The patient is high likely exposed to