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 79-year-old male patient with a history of hypertension and gastroesophageal reflux disease who presented with a 2-day history of back pain. the patient was in his usual state of good health until two days prior to admission when he developed interscapular back pain which a nonradiating. this back pain worsened over the day prior to admission and was associated with diaphoresis. the patient denied any shortness of breath, nausea, vomiting, or chest pain. he described his back pain as a dull/aching pain in the center of his back which increased to a . the patient presented to where he was noted to have electrocardiogram changes. he was started on aspirin, heparin, and metoprolol and transferred to for cardiac catheterization. on admission to , the patient was taken emergently to the cardiac catheterization laboratory. at that time he denied any chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, shortness of breath, edema, palpitations, syncope, or presyncope. the patient's back pain had resolved. past medical history: hypertension. gastroesophageal reflux disease. status post cholecystectomy. allergies: no known drug allergies. medications on admission: 1. procardia xl 60 mg by mouth once per day. 2. atenolol 50 mg by mouth once per day. 3. prevacid 30 mg by mouth once per day. 4. triamterine 37 mg by mouth once per day. 5. flax oil. 6. flonase. 7. . social history: the patient is currently retired but previously worked repairing bridges. the patient is married and has two sons. denies a history of tobacco use. he reports on occasional alcohol use. physical examination on presentation: the patient was afebrile, his blood pressure was 159/79, his heart rate was 68, his respiratory rate was 18, and his oxygen saturation was 96 percent on room air. in general, a well-appearing elderly male lying in bed after his cardiac catheterization in no acute distress. head, eyes, ears, nose, and throat examination revealed the pupils were equal, round, and reactive to light. the extraocular movements were intact. the patient had dry mucous membranes. the oropharynx was clear. neck revealed no jugular venous distention and no thyromegaly. the lungs were clear to auscultation bilaterally. cardiovascular examination revealed a regular rate and rhythm. normal first and second heart sounds. there were no murmurs, rubs, or gallops. the abdomen revealed there were normal active bowel sounds. soft, nontender, and nondistended. extremities revealed 2 plus dorsalis pedis and posterior tibial pulses bilaterally. there was no evidence of lower extremity edema. the patient had a sheath in place in his right groin. pertinent laboratory values on presentation: white blood cell count was 11.3, his hematocrit was 49.1, and his platelets were 316. his inr was 0.94. sodium was 136, potassium was 3.3, chloride was 94, bicarbonate was 32, blood urea nitrogen was 20, creatinine was 1.2, and his blood glucose was 226. his troponin was 0.05. pertinent radiology-imaging: an electrocardiogram initially revealed a normal sinus rhythm at 66 beats per minute with a left bundle branch block. subsequent electrocardiogram showed a normal sinus rhythm at 51 beats per minute with a left bundle branch block as well as 9-mm st elevations in v2 through v3 and 5-mm st elevations in v1 and v4. cardiac catheterization - on - revealed there was a 100 percent mid left anterior descending lesion after the second diagonal; status post three stents (two taxus/one pixel), dilated distal third diagonal with residual 60 percent stenosis. circumflex noted to come from the right coronary artery. hemodynamics were significant for a right atrial pressure of 9, right ventricular pressure of 40/4, pulmonary artery pressure of 40/18, pulmonary capillary wedge pressure of 18, cardiac output of 2.85, and a cardiac index of 1.57. summary of hospital course: 1. coronary artery disease issues: as noted previously, the patient was admitted to for as an outpatient for a diagnostic and therapeutic cardiac catheterization. the patient cardiac catheterization revealed a 100 percent mid left anterior descending lesion that was stented with three stents. the patient was continued on aspirin and plavix in addition to integrilin for 18 hours. the patient was also started on a beta blocker and ace inhibitor; the doses of which were titrated up as tolerated by his blood pressure and heart rate. the patient was evaluated with an echocardiogram on the day following admission which revealed an ejection fraction of 30 percent and apical akinesis. the patient was subsequently started on heparin and coumadin. it is anticipated that the patient will be evaluated by electrophysiology in one month after discharge given these findings. 1. congestive heart failure issues: as noted previously, the patient had an echocardiogram on hospital day two that revealed an ejection fraction of 30 percent with extensive apical akinesis. the patient was started on coumadin with his inr followed. the patient was bridged with a heparin drip. 1. rhythm issues: on the day prior to discharge, the patient was noted on telemetry to be tachycardic. an evaluation of the rhythm strip demonstrated atrial fibrillation alternating with atrial flutter. the patient self- converted back into a normal sinus rhythm. his beta blocker dose was increased for better rate control, and his coumadin was continued for his extensive apical akinesis as well as the demonstration of paroxysmal atrial fibrillation. it is anticipated that the patient will be evaluated by electrophysiology in one month after discharge for risk stratification. 1. diabetes mellitus issues: the patient has no history of diabetes mellitus but was noted to have somewhat elevated blood sugars throughout his hospitalization. it is anticipated that this will be followed by the patient's primary care physician once he is discharged, and is on his regular diet and performing his regular activities. 1. gastroesophageal reflux disease issues: the patient was continued on a proton pump inhibitor for his history of gastroesophageal reflux disease and had no complaints throughout his hospitalization. condition on discharge: good. discharge status: the patient was discharged to home. discharge diagnoses: coronary artery disease; status post percutaneous transluminal coronary angioplasty/stenting of the 100 percent mid left anterior descending lesion. paroxysmal atrial fibrillation/atrial flutter. ejection fraction of 30 percent with apical akinesis. hypertension. gastroesophageal reflux disease. medications on discharge: 1. plavix 75 mg by mouth once per day. 2. aspirin 81 mg by mouth once per day. 3. toprol-xl 200 mg by mouth once per day. 4. lisinopril 10 mg by mouth once per day. 5. atorvastatin 40 mg by mouth once per day. 6. coumadin 5 mg by mouth at hour of sleep. 7. pantoprazole 40 mg by mouth once per day. discharge instructions-followup: the patient was encouraged to follow up with his primary care physician . - within several days after his discharge. the patient was to have his blood drawn on the day after discharge - on - to check his inr. these results will be given or faxed to dr. office, and he will adjust his coumadin dose as necessary. the patient was encouraged to discuss his elevated blood sugars with his primary care physician, we recommend that his fasting blood sugar checked once he is discharged. the patient was also encouraged to follow up with his cardiologist - dr. - within one week after discharge. the patient will be called by dr. office in electrophysiology to schedule a follow-up appointment in one month after discharge. , md procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor insertion of drug-eluting coronary artery stent(s) diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation atrial flutter 

Answer: The patient is high likely exposed to