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 59-year-old male with a history of hypertension and question of an mi per the patient in the past, who underwent a stress test in with borderline ekg changes, no chest pain and achieved 84% maximal heart rate. he was in his usual state of health until trying to lift a heavy object on the day of admission when he developed sudden substernal chest pain, epigastric pain with radiation, diaphoresis, nausea, no vomiting, palpitations, shortness of breath or lightheadedness. he went to hospital emergency room where he was found to have an inferior myocardial infarction with sinus bradycardia to the 50's and inferior st elevations. there he was given aspirin, iv nitroglycerin, heparin and streptokinase and aggrastat. his pain initially resolved but then increased with worsening of st elevations inferiorly. also noted was a run of idioventricular rhythm. the patient was transferred to for rescue angioplasty stent. he went directly to the cath lab on arriving at where he was hemodynamically stable, found to have total occlusion of the mid right coronary artery which was ptca'd. the patient developed v fib, was shocked and returned to sinus rhythm. he underwent stent placement and developed post dilatation of v tach, v fib, shocked times one. amiodarone was loaded and he was begun on a drip. right heart cath showed right atrial pressure of 12, right ventricular pressures of 40/10, pulmonary capillary wedge pressure of 18. procedure was complicated by rapid atrial fibrillation for which the patient received lopressor iv and decreased his rate from 130's to 90's. he continued to have residual chest pain on arrival to the ccu and heart rate of 90-110 atrial fibrillation, systolic blood pressure 130-140. he denied all other symptoms at that time including orthopnea, pnd, shortness of breath. review of systems: negative for lower extremity edema, decreased exercise tolerance, history of recurrent chest pain, melena, bright red blood per rectum. past medical history: significant for hypertension, asthma, question of an mi two years ago where the patient got chest pain, went to the er, was never cathed but was told he might have had a heart attack. high cholesterol and diabetes. allergies: no known drug allergies. medications: at home, accupril, zoloft and inhaler. he does not know the type. social history: the patient is retired, lives with his wife, smokes cigars every day, no alcohol. family history: negative for early coronary artery disease. laboratory data: on admission to the ccu the patient's hematocrit was 42, white count 8.6, platelet count 266,000, potassium 4.3, bun 19, creatinine 1.0, total cholesterol panel was checked which revealed total cholesterol of 213, hdl 51, ldl 145, cks on arrival were 54 with troponin less than 0.3. ekg after catheterization revealed atrial fibrillation at 114, st elevations 2-3 mm in f, 3 and 2, small q waves inferior depressions in v2 to v3, normal axis and intervals. physical examination: on admission the patient was in atrial fibrillation at a rate of 110-120's, blood pressure 140/90, satting 99% on two liters, respiratory rate 12. in general he was pleasant, in no apparent distress. heent: normal. mucus membranes were moist. neck revealed jvp to angle of the jaw at 15 degrees, carotids 2+ without bruits, trachea midline, chest was clear to auscultation without wheezes or rales. cardiovascular exam was irregularly irregular, tachycardic, no murmurs, rubs or gallops. abdominal exam was benign. groin had a right groin sheath in place, no bleeding or hematoma. lower extremities revealed no clubbing, cyanosis or erythema. neuro exam was grossly intact. hospital course: 1) coronary artery disease. the patient was transferred to the floor for vigilant monitoring in the ccu, status post his right coronary artery stent. aspirin was continued. plavix was started for 30 day course. aggrastat was continued for 18 hours. beta blocker and ace inhibitor therapy were initiated. lipitor was started 10 mg a day. nitroglycerin and morphine were given prn to keep the patient pain free. he remained hemodynamically stable over night. ccu day #2 he had no events overnight, no complaints. the patient was continued on all medications. the patient continued to have an idioventricular rhythm but was hemodynamically stable. this rhythm was believed to be a peri mi event and was monitored in tele. ep was not involved because the patient was not symptomatic. follow-up echocardiogram revealed an ejection fraction mildly depressed at 45-55%. also noted was severely depressed right ventricular systolic dysfunction. the right ventricle was moderately dilated and the patient had inferoseptal akinesis. the patient continued to do well and was transferred out of the ccu to the floor. he was monitored there on hospital day #3 where he continued to do well. at that time it was decided to take him back to the cath lab for stenting of his left circumflex lesion which had also been noted on initial cath although it had not been addressed due to his complications in the cath lab. the patient went to the cath lab, had his 90% left circumflex lesion stented with no significant complications. he was transferred back to the floor. at that time he developed a small left groin hematoma approximately 1 cm by 2 cm which remained stable overnight. his hematocrit remained stable, did not significantly drop. he was monitored until the morning following his second cath at which time he was hemodynamically stable and deemed safe for discharge home. he will follow-up with his primary care physician who will arrange for cardiology care for the patient. condition on discharge: stable. discharge status: to home. discharge diagnosis: 1. inferior myocardial infarction, status post right coronary artery and left circumflex stent. discharge medications: accupril, aspirin 325 mg q d, lopressor 50 mg , plavix 75 mg q d for 28 days, lipitor 10 mg q day. follow-up: with primary care physician. , m.d. dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization intraoperative cardiac pacemaker other electric countershock of heart injection or infusion of other therapeutic or prophylactic substance other conversion of cardiac rhythm diagnoses: coronary atherosclerosis of native coronary artery tobacco use disorder unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation asthma, unspecified type, unspecified cardiac arrest acute myocardial infarction of other inferior wall, initial episode of care 

Answer: The patient is high likely exposed to