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 57-year-old male with known cad, coronary artery disease who is status post ptca/mi in who was doing well until he presented to an outside hospital with substernal chest pain, which had awoken him from sleep. it was nonradiating. the patient complained of associated weakness, dizziness, diaphoresis and some shortness of breath. however, there was no nausea or vomiting. he also complained of a pain in his back. an ekg revealed st elevation in leads ii, iii and avf. the patient was started on heparin and a lidocaine drip, p and k at half the dose and a 2b3a inhibitor, a baby aspirin and lopressor 25 mg and was transferred to for cardiac catheterization. when he arrived at he did have a sudden onset of svt, supraventricular tachycardia, for which he was given lidocaine. the patient arrived to the catheterization laboratory at 6 in the morning. his chest pain had resolved and he was hemodynamically stable. medications on admission: he was on lopressor 25 mg p.o. b.i.d. he was started on lopressor on after the mi. on an ace inhibitor, lisinopril was added at 5 mg q.d. the dose was titrated up on the 2nd to 10 mg q.d. allergies: no known drug allergies. past medical history: cad status post mi in and hyperlipidemia. family history: not significant. social history: no alcohol. the patient reports having quit smoking and no iv or street drug abuse. physical examination on admission: blood pressure 110/60, heart rate 78, respiratory rate 16. general: alert and oriented, lying flat in bed, in no apparent distress. heent: sclerae were anicteric, mucous membranes were moist. there was no jvd or jvp appreciated. cardiovascular: regular rate and rhythm. normal s1 and s2. no murmurs, rubs or gallops. respiratory: clear to auscultation bilaterally without crackles. abdomen: soft. nontender. nondistended. extremities: warm. his hands were cool without edema. his pulses radial and dp were 2+ bilaterally. the right cardiac catheterization site, there was a small, soft hematoma. no bruit was heard. laboratory data: significant laboratory from the outside hospital revealed his hematocrit was 35.1. electrolytes were fine. cpk 176, mb 4.9, troponin i 0.37. the catheterization at on the first showed 60% mid lad lesion, 70% at the origin of lad. the left circumflex had mild, diffuse disease. the rca had 90% mid, 70% distal stenosis. hepacoat stents were placed in the proximal, mid and distal rca. wedge pressure was 16. his ra pressure was 12. an lv ventriculogram showed 60% with normal systolic function. hospital course: the patient was admitted to the ccu. cardiac wise he was continued on the aspirin, plavix, lopressor 25 b.i.d. cks were serially checked and they began to trend down. on the day of discharge his ck was 648. the patient had no further episodes of chest pain or ekg changes during his hospital course. he was on telemetry and throughout his hospital stay he was in normal sinus rhythm. there were no other ectopies. the patient's lv function was 60%. the lv had a 60% ejection fraction. he was continued on iv fluids at 150 cc per hour to maintain his preload, given his territory of his myocardial infarction. for his right groin hematoma, the integrilin was stopped at 1800 hours on . the patient showed no further signs of bleeding. the right groin hematoma was serially followed. it was stable throughout his hospital course and was beginning to decrease. there were no bruits auscultated throughout his hospital course. hyperlipidemia. he was started on lipitor 20 mg q.d. on discharge he was given a prescription for lescol xl 80 mg q.d. the patient was noted to have an elevated ldl during his hospital course. the patient was seen by physical therapy and they recommended that he have outpatient cardiac rehabilitation for a week post mi. discharge instructions: the patient was discharged home on with the following instructions. if you experience any chest pain, nausea, vomiting or shortness of breath, please m.d. or return to the er. take all medications as instructed. do not continue plavix unless instructed by a cardiologist. final diagnoses: 1. myocardial infarction, non st elevation myocardial infarction, status post cardiac catheterization. 2. coronary artery disease, status post myocardial infarction in and . 3. hyperlipidemia. recommended followup: he is to follow up with his pcp, . within the next week. he is to be referred to a cardiologist per dr. and he can schedule. if he does not follow up with his cardiologist, he should schedule an appointment with dr. , cardiology at as necessary. he is to follow up and have an outpatient pmibi to evaluate his 60% lad stenosis and see if there is reversible ischemia. major surgical or invasive procedures during the hospital course: cardiac catheterization. discharge condition: stable. discharge medications: aspirin 325 mg p.o. q.d., clopidagrel 75 mg p.o. q.d., metoprolol 25 mg p.o. b.i.d., lescol xl 80 mg p.o. q.d., lisinopril 10 mg p.o. q.d. the patient is also to follow up with physical therapy for outpatient cardiac rehabilitation in four weeks. , m.d. dictated by: medquist36 d: 12:30 t: 11:36 job#: procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension hematoma complicating a procedure percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia acute myocardial infarction of other inferior wall, initial episode of care old myocardial infarction 

Answer: The patient is high likely exposed to