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 54 year old man who presents with two days of intermittent chest pain from an outside hospital. the patient states that he developed chest pain at rest approximately two days ago with some shortness of breath and diaphoresis. the patient took aspirin and maalox without relief. the chest pain continued intermittently for two days. on the day prior to admission, the patient had chest pain throughout the night. he came to on sunday morning complaining of chest pain, four out of ten. electrocardiogram showed minimal st elevations in leads v1 through v3 with q waves in leads ii, iii and avf. the patient was given aspirin and plavix and put on nitroglycerin and heparin drips. he was also started on integrilin and transferred to for cardiac catheterization. upon arrival to the emergency department, the patient was chest pain free and was taken to the cardiac catheterization laboratory. catheterization showed a totally occluded right coronary artery, which was not able to be opened up. during the procedure, the patient developed a dissection of the coronary artery. an echocardiogram did not show any evidence of tamponade or effusion. right heart catheterization showed normal filling pressures. the patient was transferred to ccu for further observation given the coronary artery dissection. upon arrival to the ccu, the patient denied any chest pain, shortness of breath, nausea, back pain or groin pain. past medical history: 1. asthma. 2. hypertension. 3. hyperlipidemia. 4. gastroesophageal reflux disease. medications at home: 1. ventolin meter dose inhaler two puffs three times a day. 2. theophylline. 3. advair one puff once daily. 4. folic acid. 5. aspirin. allergies: no known drug allergies. social history: the patient denies any tobacco or illicit drug use. he is a social alcohol drinker. he lives with his wife and two daughters. family history: there is no family history of early heart disease. physical examination: on admission, vital signs revealed the patient is afebrile with a blood pressure of 120/70, pulse 80, respiratory rate 12 and oxygen saturation 95% on two liters. in general, the patient is well appearing and in no apparent distress. pulsus was measured at 8 mmhg. head, eyes, ears, nose and throat examination is unremarkable. neck examination showed jugular venous distention at 6.0 centimeters. the chest is clear to auscultation. cardiovascular examination shows no murmurs or rubs. the abdomen is benign. extremities show right groin catheterization site which is clean, dry and intact with no hematoma and no bruit. the patient has 1+ dorsalis pedis pulses on the right and 2+ on the left. laboratory data: on admission, complete blood count was unremarkable. chem7 is remarkable for a blood urea nitrogen of 17, creatinine 1.5. initial ck was 717 with a mb of 81 and mb index of 11.3 and troponin t of 0.66. electrocardiogram showed normal sinus rhythm at 68 beats per minute with a normal axis and normal intervals. there are st elevations of 2.0 millimeters in leads v1 through v3 with q waves in leads ii, iii and avf and biphasic t waves in leads v3 and v4. hospital course: 1. inferior myocardial infarction - the patient had a totally occluded right coronary artery which was not able to be intervened. after the cardiac catheterization, the patient was continued on aspirin. he was also started on lipitor at 80 mg once daily. the patient was also started on ace inhibitor which was titrated up for blood pressure control. initially, he was not started on a beta blocker due to concern for cardiac tamponade and masking of tachycardia as well as due to his asthma. however, after initial 24 hours without any evidence of cardiac tamponade from his coronary artery dissection and significant hypertension, the patient was started on beta blocker. this was gradually titrated up. the patient actually became mildly hypotensive on lopressor 50 mg twice a day and zestril 20 mg once daily. therefore upon discharge, the doses of these two antihypertensive medications were reduced. the patient's ck enzymes were followed and continued to trend down after the cardiac catheterization. the patient did not have any further chest pain. 2. coronary artery dissection - the patient was monitored closely for sides of pericardial effusion and tamponade secondary to his coronary artery dissection. pulsus paradoxus was checked for periodically throughout the first 24 to 48 hours, however, this remained stable and there were no other signs of effusion or tamponade. 3. fever - approximately 48 hours after the cardiac catheterization, the patient developed a fever of 101.5. he was also complaining of myalgias. both the fever and the myalgias were relieved and there were no focal signs of infection. blood and urine cultures were obtained. a chest x-ray was also done. upon discharge, there was no evidence of infection from any of these. as the patient was afebrile, he was not started on any antibiotics and no further workup was done. the patient was discharged home with instruction that his blood cultures would be followed up upon by the ccu team after discharge and he would be contact if they were positive and required treatment. 4. asthma - the patient did not have any acute asthma exacerbations during his hospitalization despite the addition of beta blockade and he was maintained on his outpatient regimen of advair, flovent, theophylline and p.r.n. albuterol. 5. code status - the patient was full code on admission and at discharge. discharge status: the patient was discharged home. condition on discharge: the patient was stable. he was ambulating, chest pain free, with blood pressure well controlled. final diagnoses: 1. myocardial infarction. 2. hypertension. 3. hypercholesterolemia. 4. asthma. 5. coronary artery dissection. medications on discharge: 1. aspirin 325 mg p.o. once daily. 2. advair discus one puff twice a day. 3. flovent one puff twice a day. 4. albuterol as needed. 5. theophylline 300 mg q12hours. 6. folic acid one tablet once daily. 7. lipitor 80 mg once daily. 8. protonix 40 mg once daily. 9. toprol xl 75 mg once daily. 10. zestril 10 mg once daily. follow-up instructions and discharge plans: 1. the patient was asked to follow-up with his primary care physician, . , approximately one week after discharge. 2. the patient was also asked to follow-up with cardiologist, either dr. or dr. , from this hospital admission, approximately one week after discharge. 3. he was also asked to call his primary care physician if he had any further fevers, chills, chest pain or shortness of breath. , m.d. dictated by: medquist36 procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor angiocardiography of right heart structures diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension asthma, unspecified type, unspecified other and unspecified hyperlipidemia acute myocardial infarction of other inferior wall, initial episode of care cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure dissection of coronary artery 

Answer: The patient is high likely exposed to