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 58 year old gentleman with a history of hypertension and duodenal ulcer who presented at 9:00 a.m. the morning of admission with sudden onset of chest pain. the patient called 911 and in the field was noted to have st elevations in leads ii, iii and avf. on route to the hospital, the patient became unresponsive and was noted to be in ventricular fibrillation. he was converted to sinus brady rhythm. the patient was bag mask ventilated in the field and arrived at the emergency department of . at that time, he was again noted to have st elevations. he had a second ventricular fibrillation arrest and was defibrillated at 300 joules. lidocaine was started at this time. he was intubated for airway protection and transferred to the for cardiac catheterization. the cardiac catheterization revealed a normal left main coronary artery. the left anterior descending had mild luminal irregularities. d1 had an 80% stenosis. the circumflex was nondominant with serial 50% lesions in the abg portion. the dominant right coronary artery had a 99% mid stenosis. left ventriculogram showed an ejection fraction of 55%. there were mildly increased right and left sided filling pressures with a pulmonary capillary wedge pressure of 16. cardiac index was 5.0. the right ventricular end diastolic pressure was 10. the patient underwent stenting of the mid right coronary artery with a cypher stent and was noted to have timi-3 flow. the patient was transferred to the ccu intubated and sedated. past medical history: 1. hypertension. 2. duodenal ulcer. medications on admission: 1. atenolol 50 mg p.o. once daily. 2. mavik 4 mg p.o. twice a day. allergies: no known drug allergies. social history: the patient lives alone. he is a postal worker. he smokes approximately one cigar per month. family history: unknown. physical examination: upon admission, the patient was intubated and sedated. his heart rate was 50, blood pressure 106/61. ventilator settings were ac 700 x 10 with an fio2 of 100% and a peep of 5. head, eyes, ears, nose and throat - normocephalic and atraumatic, intubated. neck is supple. cardiovascular - bradycardic, normal s1 and s2, no murmurs, rubs or gallops. pulmonary is clear to auscultation bilaterally without crackles or wheezes. abdomen - bowel sounds are present. the abdomen is soft, nontender, nondistended, and there is no rebound or guarding. extremities - no cyanosis, clubbing or edema. arterial line and sheaths were in place in the right groin. laboratory data: white blood cell count was 10.0, hematocrit 32.9, platelet count 194,000, mcv 87. sodium 142, potassium 4.6, chloride 113, bicarbonate 21, blood urea nitrogen 19, creatinine 0.7, glucose 127. inr 1.2. ck 181, mb 22, troponin 0.29. arterial blood gases was ph 7.36, 43, 339. electrocardiogram showed a rate of 54, q waves in leads iii and avf with t wave inversions in iii, avf, v5 and v6. chest x-ray at the outside hospital showed no evidence of pneumonia or congestive heart failure. hospital course: the patient was admitted to the cardiac care unit. he was admitted on an integrilin drip, status post stenting of his right coronary artery. the patient was started on aspirin and plavix as well as a statin. initially, the patient was hypotensive requiring dopamine transiently. after fluid resuscitation, his blood pressure improved. he was then taken off dopamine and eventually transitioned onto a beta blocker and an ace inhibitor. the patient did well postprocedure. he was extubated on the morning of . the patient remained chest pain free throughout his stay in the hospital. he will be discharged home on an aspirin, plavix, statin, ace inhibitor and beta blocker. pump - the patient was noted to have an ejection fraction of 55%. he remained euvolemic after his fluid resuscitation. the patient was status post ventricular fibrillation arrest times two upon arrival to the ccu. he was maintained on telemetry in the hospital. he had no events on telemetry. the patient was in normal sinus rhythm at the time of discharge. the patient was also noted to be anemic in hospital. upon presentation, his hematocrit was 34.0. this decreased to 27.0 after his procedure. the patient was transfused one unit of packed red blood cells with an increase in his hematocrit to 29.8. iron studies were done which showed a borderline low iron level. the patient was guaiac negative throughout his stay in the hospital. the patient will follow-up with his primary care physician regarding the etiology of his normocytic anemia. the patient has a history of a duodenal ulcer. he was maintained on a proton pump inhibitor throughout his stay in the hospital. given that he will be taking aspirin and plavix as an outpatient, he was given a prescription for protonix at the time of discharge. medications on discharge: 1. atenolol 50 mg p.o. once daily. 2. mavik 4 mg p.o. twice a day. 3. aspirin 325 mg p.o. once daily. 4. plavix 75 mg p.o. once daily which should be continued for nine months. 5. lipitor 10 mg p.o. once daily. 6. protonix 40 mg p.o. once daily. discharge diagnoses: 1. acute inferior st elevation myocardial infarction, status post stenting to the right coronary artery. 2. ventricular fibrillation arrest. 3. hypertension. 4. anemia. 5. duodenal ulcer. discharge follow-up: the patient is being discharged home. he will follow-up with his primary care physician, . , on tuesday, , at 2:15 p.m. dr. will arrange for the patient to be seen by a cardiologist in his area. the patient will also require workup of his normocytic anemia. condition on discharge: good. , m.d. dictated by: medquist36 d: 10:42 t: 14:56 job#: procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor insertion of drug-eluting coronary artery stent(s) diagnoses: subendocardial infarction, initial episode of care anemia, unspecified coronary atherosclerosis of native coronary artery unspecified essential hypertension hypotension, unspecified cardiac arrest ventricular fibrillation duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 

Answer: The patient is high likely exposed to