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 patient was admitted to the ccu under the care of dr. . he is a 60-year-old gentleman with history of rheumatic arthritis and hypercholesterolemia who is a transfer from an outside hospital with an acute anterior mi. the patient had several episodes of chest tightness without exertion over the last week prior to admission. the night prior to admission at 9:30 p.m., he had 9 out of 10 chest pain, shortness of breath, and nausea. ems arrived and took patient to where anterolateral hyperacute t waves were noted and st elevations in i, avl, and v1 through v5. aspirin, plavix, heparin, and integrilin were started. the patient was brought to the where catheterization revealed a thrombotic lad occlusion and the patient underwent cypher stent placement. allergies: erythromycin, which causes a rash. medications: medications on admission included, 1. methotrexate. 2. celebrex. 3. enbrel. 4. lipitor. past medical history: the patient's past medical history, otherwise, is significant for rheumatoid arthritis and hypercholesterolemia. social history: he can do all his adls. no etoh, occasional tobacco, no other drugs. family history: noncontributory per the patient. physical examination: on admission, the patient's temperature is 97.8 degrees, blood pressure is 130/60, heart rate is in the 70s. generally, the patient is a very pleasant male, in no acute distress. heent: normocephalic, atraumatic. extraocular movements are intact. oropharynx is clear. jvp is 7. no bruits are noted. heart: regular rate and rhythm with no murmurs. lungs: clear to auscultation bilaterally. abdomen: soft, nontender, and nondistended with no hepatosplenomegaly palpated. extremities: free of any clubbing, cyanosis, or edema; 2 plus dorsalis pedis pulses are palpated. ekg on admission, normal sinus rhythm at 53, st elevations in i, avl, and v1 through v5. after catheterization, the patient had persistent st elevations. echocardiogram, none to date. cardiac catheterization: lmca, okay; lad, thrombotic proximal lesion; d1 60 percent ostial; left circumflex, diffuse small, av good, ra pressure 3; rv 40/12; cardiac index 1.8; pulmonary capillary wedge pressure of 12. other labs pending at the time of admission. telemetry, aivr. official catheterization report revealed the following: cardiac output 3.35, index 1.80, pa mean 24, ra 3, pulmonary capillary wedge pressure is 12, lmca normal. right dominant system, lad 95 percent proximal with thrombus 60 percent, origin of bifurcating d1 diffusely diseased beyond left circumflex, mid lumen irregularities throughout proximal left circumflex and large om1, om2 normal, distal left circumflex 70 percent before small om3; rca, mild lumen irregularities and ectasia throughout. minimal stenosis of 30 percent. interventional details include the following: lad culprit lesion crossed with a 0.14 pt wire and angiojet performed x2 passes with good thrombus removal. then, proximal lad was stented with 3.0 x 30 mm cypher drug- eluting stent and post dilated with proximal two-third of stent with 3.9 x 9 mm nc ranger at 16 atm. mild no flow treated with ic diltiazem and with good response. final result is zero percent residual in-stent, no compromise to first septal or origins, normal flow noted. hospital course: acute anterior mi was managed successfully with primary angioplasty and drug-eluting stent placement. the patient was maintained on aspirin, plavix, integrilin, and iv heparin was started after integrilin finished. the patient was maintained on beta-blocker and high-dose statin. the patient underwent tee on , which revealed an ef of 40 to 45 percent. left atrium was normal in size, but mildly elongated. mild symmetric lvh with following wall motion abnormalities noted: anterior apex, akinetic; septal apex, akinetic; apex akinetic. right ventricle, chamber size and free wall motion were normal. by the time of discharge, the patient was maintained on aspirin, plavix, coumadin for apical akinesis, lopressor, and lisinopril. for rheumatoid arthritis, the patient's medications were discontinued secondary to his mi. in the past, the patient did respond to ibuprofen. the case was discussed with his primary rheumatologist and he advised that the patient should be kept off medication for approximately one month. fen. the patient was maintained on cardiac diet. electrolytes were repleted. prophylaxis. the patient was on heparin, coumadin, and bowel regimen. discharge diagnoses: myocardial infarction status post stent to lad. hypertension. coronary artery disease. rheumatoid arthritis. follow up: he is to set up a followup with his primary care physician on the morning of discharge. the patient is also to see his cardiologist within one week of discharge. the patient is to remain on coumadin due to akinesis of his heart apex and will need to do the inr checked regularly. he will also need to remain on coumadin for four to six months. the patient is status post cardiac catheterization with ptca and stent to proximal lad. discharge condition: stable. he is oxygenating on room air. he has had no further episodes of chest pain, no active pain in telemetry, and is hemodynamically stable. discharge status: he will be discharged to home. discharge medications: 1. plavix 75 mg 1 p.o. q.d. 2. atorvastatin 80 mg 1 p.o. q.d. 3. metoprolol tartrate 25 mg 1 p.o. t.i.d 4. coumadin 5 mg 1 p.o. q.h.s. 5. aspirin 325 mg 1 p.o. q.d. 6. lisinopril 10 mg 1 p.o. q.d. 7. oxycodone/acetaminophen 5/325 1 to 2 tablets q. h. p.r.n. pain. outpatient lab work on includes pt/inr and results are to be called in to dr. office at and chem-10 and pt/inr are to be checked on and again results to be called in to dr. office at . additionally, the patient received lovenox 80 mg subcutaneous injection 1 p.o. b.i.d. for 2 days till inr is therapeutic. , md dictated by: medquist36 d: 13:21:55 t: 15:50:44 job#: procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor angiocardiography of right heart structures insertion of drug-eluting coronary artery stent(s) diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension acute myocardial infarction of inferolateral wall, initial episode of care rheumatoid arthritis 

Answer: The patient is high likely exposed to