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: past medical history: 1. coronary artery disease. 2. hypertension. 3. hypercholesterolemia. 4. non-q-wave mi. 5. peripheral vascular disease status post right femoral bypass in . 6. degenerative disk disease l1, l4, l5. 7. transient ischemic attack. 8. panic disorder. allergies: the patient is allergic to penicillin, causing nausea and vomiting. outpatient medications: 1. aspirin. 2. imdur 60 q.d. 3. atenolol 50 b.i.d. 4. paxil 40 q.d. 5. prilosec 20 q.d. 6. zocor 20 q.d. 7. nitroglycerin sublingual p.r.n. 8. ativan 1 mg p.r.n. 9. trazodone 50 mg q.h.s. social history: the patient is an occasional pipe smoker. the patient denies alcohol use. family history: history revealed the patient's brother died of a myocardial infarction at the age of 47. father died of a myocardial infarction at the age of 65. hospital course: the patient was admitted to for catheterization. catheterization findings were normal left main, lad with 50% mid, 60% ostial diagonal 1, left circumflex 50% lower pole of obtuse marginal 1, 70% upper pole, rca with occluded pda with left to right collaterals, 90% stenosis in plv stent. interventions were angiojet thrombectomy, only modest improvement; balloon angioplasty with pda stent to rca beyond pda culprit lesion. during the procedure, the patient was noted to have wenckebach a-v block of varying degrees, temporary transvenous pacing wire was left in place. post dilation, the ekg revealed first degree av block. after catheterization he was started on integrilin for 18 hours and also aspirin and plavix. plavix 75 mg for 30 days. physical examination: examination revealed the following: temperature 97.4, blood pressure 109/41, pulse 66, normal sinus rhythm, respiratory rate 14, pulse oximetry 95% on room air. this is a middle-aged man lying in bed in no acute distress. pupils equal, round, and reactive to light. extraocular muscles are intact. sclerae were nonicteric. moist mucous membranes. neck: neck was remarkable for no jvd, but right carotid bruit. he had regular rate and rhythm, s1 and s2, holosystolic low pitched murmur at the apex and the left lower sternal border without radiation to the axilla. lungs: lungs were clear to auscultation bilaterally. abdomen: soft, positive bowel sounds, nontender. femoral line showed no bleeding and no bruit. extremities: no edema, 2+ radial pulses, no dp or pt palpable. neurological: the patient was alert and oriented times three. cranial nerves ii through xii grossly intact. the motor was in all extremities except for the proximal left lower extremity secondary to femoral sheath. he had decreased sensation on the dorsum of both feet bilaterally and the medial aspect of his right thigh. deep tendon reflexes were 1+. cerebellar function was grossly intact. laboratory data: initial labs showed the following: hematocrit of 35.1 down from 40.7 in the morning with platelet count 238,000. pt was 12.9, inr 1.2, potassium 3.6. hospital course: the patient was kept on integrilin for 18 hours without any events. platelet count did not fall substantially until the next morning. the patient also was continued on aspirin and plavix without any bleeding. he was started on his outpatient medications including zocor 20, atenolol 50 b.i.d., imdur 30 b.i.d. he was also started on paxil 40. the patient had no ectopy, but occasional bradycardia overnight, but transvenous pacer never paced. by morning, the first degree heart block, which was observed after catheterization was gone and the patient had normal pr intervals. neurological: the patient had no episodes of syncope or vasovagal events. he had no signs of arrhythmias, while ischemic-induced arrhythmias are a possible cause for the syncopal event. the patient did not show any signs of ectopy or arrhythmias during the hospital course that would suggest such an etiology. further workup for syncope, such as mri and mra should be done with the primary care physician on an outpatient basis. the patient had no pulmonary issues. he had no active renal issues. the bun and creatinine were stable. potassium was repleted as necessary and he was advanced to a regular diet. the hematocrit remained stable initially following from 40 to 35.1, but stabilizing at 33. the platelets stabilized at 201. he had no signs of bleeding. the transvenous pacer was pulled and the femoral line remained without signs of oozing, hematoma, or bruit. the patient had no infectious disease issues or gi issues. condition on discharge: good. discharge status: the patient is to go home without services. the patient is to followup with his primary care physician in one to two weeks and with his cardiologist. the patient may benefit from cardiac rehabilitation in four to six weeks. discharge diagnoses: 1. coronary artery disease, status post catheterization. 2. syncope. discharge medications: 1. aspirin 325 mg q.d. 2. plavix 75 mg q.d. times 30 days. 3. imdur 30 mg q.d. 4. atenolol 50 mg b.i.d. 5. paxil 40 mg q.d. 6. prilosec 20 mg q.d. 7. zocor 20 mg q.d. 8. sublingual nitroglycerin p.r.n. 9. ativan 1 mg p.r.n. 10. trazodone 50 mg q.h.s. dr., 12-463 dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters injection or infusion of platelet inhibitor left heart cardiac catheterization insertion of temporary transvenous pacemaker system diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension personal history of tobacco use percutaneous transluminal coronary angioplasty status other and unspecified angina pectoris other complications due to other cardiac device, implant, and graft other second degree atrioventricular block 

Answer: The patient is high likely exposed to