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 a 45 year old man without significant medical history except for smoking, who presents to the emergency department complaining of chest tightness. his recent history includes initiating a new exercise regimen for his low back pain. he reports finishing one hour aerobic course and then proceeded to use an arm bike when he developed chest tightness at about 10:45 a.m. he denied radiation but other associated signs and symptoms include nausea, diaphoresis and dizziness. he rested for about thirty minutes without resolution and so emt was called. he was given 81 mg aspirin but did not receive sublingual nitroglycerin by report secondary to low blood pressure. he reports having had a similar chest tightness about one year ago while he was at work for which he had an electrocardiogram done which was normal; he has not had any other episode until today. cardiac risk factors include active smoking, but the patient does not have high blood pressure, diabetes mellitus, hypercholesterolemia or family history. in the emergency department, the patient was found to have an inferior st segment elevation myocardial infarction with q waves and st elevation in leads ii, iii and avf. he was sent to the cardiac catheterization laboratory where catheterization revealed 100% occlusion of the mid right coronary artery which was successfully dilated and stented with reestablishment of timi free flow and improvement of st segment elevation postprocedure. while in the laboratory, he did have two episodes of ventricular fibrillation which was successfully terminated with defibrillation at 200 joules twice. on review of systems, the patient reports some upper respiratory infection like symptoms of sore throat, occasional cough productive of brown sputum, with chills and night sweats for the past two nights. otherwise, he denies any chest pain, shortness of breath, gastrointestinal or genitourinary symptoms currently. past medical history: 1. chronic low back pain. 2. degenerative disc disease for two years. 3. tobacco abuse for twenty-five years. medications on admission: ibuprofen p.r.n. pain. allergies: shrimp and likely iodine causes rash. social history: the patient is a district fire chief. he lives with his wife of twenty-five years and children. he smokes one pack per day for twenty-five years. he reports heavy alcohol use in the past but has quit for the last sixteen and one half years. he also has used cocaine for about two years, but has quit for over seventeen years. family history: there is no coronary artery disease, diabetes mellitus or hypertension in the family. his mother died of cancer at the age of 62. his father is 77 years old and healthy. he has three healthy brothers. physical examination: temperature is 98.7, blood pressure 107/52, heart rate 77, oxygen saturation 99% on two liters of oxygen per nasal cannula. general - a middle age man in no acute distress. head and neck normocephalic, supple. the oropharynx is clear. there is posterior cervical lymphadenopathy which is old. cardiovascular - regular rate and rhythm. pulmonary - the lungs are clear to auscultation bilaterally. abdomen is soft, nontender, nondistended, positive bowel sounds. groin - right femoral site intact without bruit, small hematoma present. extremities - positive pulses, no edema. neurologically, the patient is awake, alert and oriented times three. language and comprehension intact. extraocular movements are full. the pupils are equal, round, and reactive to light and accommodation. face - palate moves symmetrically. tongue protrudes midline. strength is throughout. deep tendon reflexes are intact. light touch sensation is intact. toes are downgoing. laboratory data: white count 9.5, hematocrit 41.6, platelet count 281,000, pmns 67, lymphocytes 26. prothrombin time 12, inr 1.0, partial thromboplastin time 29.0. sodium 140, potassium 4.4, chloride 103, bicarbonate 27, blood urea nitrogen 14, creatinine 1.0, glucose 115. ck 135, mb 1.0, troponin less than 0.3. electrocardiogram in the emergency department revealed normal sinus rhythm in the 60s, st segment elevation about 3.0 millimeters with q waves in leads ii, iii and avf with lead iii greater than ii, st segment depression in avl, v2 through v3 and minimally in lead i. all of these are suggestive of a proximal or mid right coronary artery occlusion. cardiac catheterization revealed one vessel coronary artery disease (a mid right coronary artery with 100% occlusion), mildly elevated right and left heart filling pressures, acute inferior st elevation infarction, successful primary percutaneous transluminal coronary angioplasty of the right coronary artery resulting in normal flow, no dissection, no residual stenosis. electrocardiogram after the procedure revealed normal sinus rhythm at 99 beats per minute with improvement of st segment elevation in leads ii, iii and avf as well as resolution of the st segment depression in avl, v2, v3. q waves remained. hospital course: the patient has suffered an inferior myocardial infarction with st segment elevation which has been successfully intervened upon with percutaneous transluminal coronary angioplasty and stenting. given his episode of cardiac dysrhythmia, he was admitted to the coronary care unit for further monitoring. during his stay in the ccu, he did not have any other episodes of cardiac dysrhythmia. he was started on full dose aspirin a day along with plavix 75 mg a day for thirty days. he also was started on a low dose beta blocker and at the time of discharge, he was on atenolol 25 mg once daily. cholesterol panel at this time revealed a total cholesterol of 127, ldl 81 and hdl 26. however, in the acute setting, these values may be misleading and therefore, a decision was made to empirically start the patient on low dose lipitor with follow-up in cardiology clinic where lipids will be rechecked at that time. cardiac catheterization during this hospitalization also revealed an ejection fraction which is mildly depressed at 40 to 45% with akinesis of the inferior wall. at the time of discharge, the patient was clinically stable and is tolerating aspirin, plavix and atenolol without complications. he will follow-up with dr. in cardiology clinic where his lipid panel will be rechecked and lipitor adjusted appropriately. dr. may also consider the initiation of warfarin therapy given the cardiac echocardiogram results which reveal some akinesis of the inferior wall. condition on discharge: improved. discharge status: discharged to home with follow-up. discharge diagnoses: 1. inferior st segment elevation myocardial infarction. 2. successful percutaneous transluminal coronary angioplasty and stenting of the right coronary artery. 3. chronic low back pain. 4. tobacco abuse. medications on discharge: 1. enteric coated aspirin 325 mg p.o. once daily. 2. atenolol 25 mg p.o. once daily. 3. plavix 75 mg p.o. once daily times thirty days. 4. folate 1 mg p.o. once daily. follow-up: the patient will follow-up on , with dr. in cardiology clinic. note: the patient has been encouraged to stop smoking as this will be a significant factor in his cardiac recovery. , m.d. dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery tobacco use disorder cardiac complications, not elsewhere classified acute myocardial infarction of anterolateral wall, initial episode of care cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure ventricular fibrillation 

Answer: The patient is high likely exposed to