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 77-year-old gentleman with an extensive history of coronary artery disease (status post multiple myocardial infarctions) who was transferred from an outside hospital for cardiac catheterization. the following history is per the patient's daughter; as the patient only speaks portuguese. she reports that the patient had increasing shortness of breath with exertion over the week prior to admission. at 1 o'clock a.m. on the morning of admission, the patient awoke from sleep with acute shortness of breath. he decided to present to an outside hospital. at approximately 7 o'clock a.m., while driving to the hospital, the patient developed chest pain. at the outside hospital, the patient was pain free after receiving oxygen. he was found to have a troponin of 76.3, a creatine kinase of 501, and a ck/mb of 20.8. the patient was given a heparin bolus, and the decision was made to transfer the patient to for cardiac catheterization. at that time, the heparin was discontinued and the patient was started on integrilin. other laboratories from the outside hospital included a potassium of 3.9, creatinine of 1.4, and a hematocrit of 39. his arterial blood gas at the outside hospital was 7.46/38/69 on 3 liters nasal cannula. electrocardiogram revealed sinus tachycardia at approximately 110 beats per minute. axis was approximately was 30 degrees. the patient had poor r wave progression. there were a few changes from previous studies. past medical history: 1. hypertension. 2. type 2 diabetes mellitus. 3. hypercholesterolemia. 4. status post myocardial infarction times two; (a) in , the patient had a posterior/inferior myocardial infarction with a cardiac catheterization showing 70% left anterior descending artery, 98% left circumflex, and diffuse right coronary artery disease. the patient had stenting of the left circumflex and the right coronary artery. (b) in , the patient had an inferoseptal myocardial infarction with cardiac catheterization showing 70% stenosis in the middle of the left anterior descending artery, 40% stenosis in the second diagonal, and 70% in-stent restenosis in the left circumflex which was intervened on. (c) a redo catheterization in showed diffuse proximal and mid disease in the left anterior descending artery which was stented. (d) the patient subsequently underwent redo catheterization in when he was found to have left anterior descending artery 50% narrowing prior to the stent, the left circumflex stent was widely patent, and the right coronary artery stent was widely patent. 5. peripheral vascular disease. allergies: no known drug allergies. medications on admission: 1. lopressor 50 mg by mouth twice per day. 2. pepcid 40 mg by mouth once per day. 3. neurontin 100 mg by mouth three times per day. 4. lasix 40 mg by mouth once per day. 5. lipitor 10 mg by mouth once per day. 6. moexipril 15 mg by mouth once per day 7. xanax 0.5 mg by mouth twice per day. 8. glyburide 5 mg by mouth twice per day. social history: the patient is a pleasant portuguese-speaking gentleman who is married and lives with his wife. is a retired box maker. the patient has an extensive tobacco history of one pack per day for approximately 60 years. he quit smoking in . no history of alcohol or drug abuse. physical examination on presentation: physical examination on admission revealed his temperature was 99 degrees fahrenheit, his blood pressure was 103/59, his heart rate was 78, his respiratory rate was 22, and his oxygen saturation was 96% on 4 liters nasal cannula. in general, the patient was a mildly obese male in no acute distress with labored breathing. head, eyes, ears, nose, and throat examination revealed pupils were equal, round, and reactive to light. extraocular movements were intact. the mucous membranes were moist. neck examination revealed increased jugular venous pulsation at approximately 12 mm to 14 cm at 30 degrees. positive right carotid bruit. cardiovascular examination revealed normal first heart sounds and second heart sounds. a regular rate. there was a crescendo-decrescendo murmur with radiation to the axilla. the lungs were clear to auscultation anteriorly. there were bibasilar crackles. no wheezes. the abdomen was soft, nontender, and nondistended. positive bowel sounds. no hepatosplenomegaly. extremity examination revealed 1 to 2+ pitting edema to the patellas bilaterally. dorsalis pedis pulses were 2+ bilaterally. pertinent laboratory values on presentation: laboratories on admission revealed his white blood cell count was 10.9, his hematocrit was 35.6, and his platelets were 197. his prothrombin time was 13.4, his partial thromboplastin time was 39.3, and his inr was 1.2. his sodium was 137, potassium was 4.3, chloride was 101, bicarbonate was 27, blood urea nitrogen was 22, creatinine was 1.4, and his blood glucose was 285. his calcium was 9, his magnesium was 1.5, and his phosphorous was 3.4. creatine kinase was 370. ck/mb was 14. troponin was 3.72. concise summary of hospital course by issue/system: 1. cardiovascular issues: cardiac catheterization revealed two patent left anterior descending artery overlapping stents. the left circumflex was patent with very distal upper branch disease and a large first obtuse marginal. the right coronary artery and the av groove was patent including proximal stents. there was an eccentric 40% mid right coronary artery lesions. the left anterior descending artery was stented with a 3.25 x 18 cypher, and the right coronary artery was stented with a 3 x 13-mm hepacoat stent. the patient received 20 mg of intravenous lasix in the catheterization laboratory with approximately 700 cc of urine output. following the catheterization, the patient completed an 18-hour course of integrilin. throughout the admission, he was also continued on an aspirin, plavix, an ace inhibitor, a beta blocker, and a statin. (a) rhythm: the patient was in a sinus rhythm throughout the admission. he was monitored continuously on telemetry. (b) myocardium: the patient had a congestive heart failure exacerbation on admission to the hospital with increasing shortness of breath, lower extremity edema, and exercise intolerance over the week prior to admission. he had a good diuresis in the catheterization laboratory following 40 cc of intravenous lasix. the patient continued to have a good diuresis over the first one day of admission. his shortness of breath resolved, and he felt much better. the patient had previously had a poor left ventricular ejection fraction of 20% to 30% on previous echocardiograms. therefore, a repeat echocardiogram was performed on . this revealed a mildly dilated left atrium. the right atrium was normal in size. the left ventricular cavity was severely dilated. there were multiple left ventricular wall motion abnormalities including; mid anterior/akinetic, mid anterior septal/akinetic, mid inferoseptal/akinetic, mid inferior/akinetic, mid inferolateral/akinetic, anterior apex/akinetic, septal apex/akinetic, inferior apex/akinetic, lateral apex/akinetic, and apex/dyskinetic. the right ventricular chamber size and free wall motion were normal. the aortic root was mildly dilated as was the ascending aorta. there was no aortic valve stenosis. there was trace aortic regurgitation. mild-to-moderate 1 to 2+ mitral regurgitation was seen. there was borderline pulmonary artery systolic hypertension. the estimated left ventricular ejection fraction was less than 20%. given the patient's history of multiple myocardial infarctions and very decreased left ventricular ejection fraction, pacemaker placement was discussed. it was determined that this would not be done as an inpatient, but the patient was to follow up with electrophysiology. 2. type 2 diabetes mellitus issues: the patient was continued on an insulin sliding-scale throughout his admission with good blood sugar control. 3. renal issues: the patient's creatinine was slightly elevated at 1.4 prior to catheterization. following catheterization, he received intravenous hydration and mucomyst times two. subsequently, his creatinine decreased and was 1.3 at the time of discharge. 4. hypercholesterolemia issues: the patient was continued on a statin throughout his admission. 5. hypertension issues: the patient was continued on his ace inhibitor and beta blocker. he had good blood pressure control throughout the admission. 6. pulmonary issues: following diuresis on admission, the patient's shortness of breath greatly improved. on the day of discharge, he was saturating in the mid 90% range on room air. in addition, he was able to walk around the unit without becoming short of breath. condition at discharge: condition on discharge was stable. discharge status: the patient was discharged to home. discharge diagnoses: 1. type 2 diabetes mellitus. 2. hypercholesterolemia. 3. hypertension. 4. peptic ulcer disease. medications on discharge: 1. aspirin 325 mg by mouth once per day. 2. plavix 75 mg by mouth once per day. 3. famotidine 40 mg by mouth once per day. 4. gabapentin 100 mg by mouth three times per day. 5. atorvastatin 10 mg by mouth once per day. 6. alprazolam 0.5 mg by mouth twice per day. 7. moexipril 15 mg by mouth once per day 8. toprol-xl 50 mg by mouth once per day. 9. glyburide 5 mg by mouth twice per day. 10. lasix 40 mg by mouth once per day. 11. nitroglycerin 0.3 mg sublingually one tablet as needed (for chest pain). discharge instructions/followup: 1. the patient was instructed to follow up with primary care physician (dr. who also manages the patient's cardiac issues in approximately one week. 2. the patient was instructed to follow up dr. on at 1 o'clock p.m. , m.d. dictated by: medquist36 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 pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled systolic heart failure, unspecified chronic obstructive asthma, unspecified 

Answer: The patient is high likely exposed to