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 47-year-old male with a history of coronary artery disease, status post acute myocardial infarction 20 years ago, status post 4-vessel coronary artery bypass graft in , status post myocardial infarction in (with an right coronary artery to saphenous vein graft stent), status post myocardial infarction in (with an saphenous vein graft to left anterior descending artery percutaneous transluminal coronary angioplasty; at that time had an ejection fraction of 40%), history of diabetes, and hypertension who was admitted to after surviving a ventricular fibrillation arrest on a flight from to venezuelae. the plane landed in . per nephew, the patient had four to five weeks of progressive chest pressure with exertion with increased use of nitroglycerin. he refused to seek medical advice at that time. per wife, the patient has had angina for several years but was told in there was no more they could do. on flight from to venezuelae, the patient had a ventricular fibrillation arrest on thursday evening, automatic external defibrillator was used and with two to three shocks was delivered from ventricular fibrillation. no available strips at this time. the plane was diverted to where his nephew met him. the patient was intubated on the airstrip, but answering questions appropriately at that time. he was transferred to a second hospital in and started on amiodarone drip, heparin drip, and nitroglycerin drip. there, revealed an ejection fraction of 30%. it was reported that a maximum troponin of greater than 500 with a maximum creatine kinase of greater than 16,000. the patient was subsequently transferred to from . at , the patient was lightly sedated, on a propofol drip. he recognized his wife and nephew and answered all questions appropriately. he denied any chest pain. past medical history: 1. coronary artery disease; status post myocardial infarction 20 years ago; status post 4-vessel coronary artery bypass graft in (saphenous vein graft to first obtuse marginal, saphenous vein graft to circumflex, saphenous vein graft to left anterior descending artery, saphenous vein graft to right coronary artery); status post myocardial infarction in and . 2. diabetes. 3. hypertension. medications on admission: medications on arrival included atenolol 50 mg p.o. q.d., vascor 200 mg p.o. q.d., imdur 20 mg p.o. q.d., sublingual nitroglycerin p.r.n., aspirin 81 mg p.o. q.d., zantac 150 mg p.o. b.i.d., niacin 500 mg p.o. q.d., zocor 40 mg p.o. q.d. allergies: no known drug allergies. social history: the patient lives in . he is an emergency medical technician physician. use; quit 20 years ago. he is married with two children. physical examination on presentation: the patient was intubated, on assist control of 12, tidal volume of 900, fio2 of 40%, positive end-expiratory pressure of 5, temperature of 102.4, pulse of 69, blood pressure of 99/55, respiratory rate of 12, satting 95% to 99% on room air. in general, a middle-aged male, intubated, lightly sedated. head, eyes, ears, nose, and throat revealed pupils were equally round and reactive to light. the oropharynx was clear. endotracheal tube in place. mucous membranes were moist. jugular venous distention not visualized. chest was clear anteriorly. no wheezes or rales. cardiovascular examination revealed a regular rate. no murmur. first heart sound and second heart sound were normal. there was a third heart sound audible. abdomen revealed bowel sounds were positive, soft and nontender. no rebound or guarding. extremities revealed there was trace edema, cool extremities, good distal pulses bilaterally. no femoral bruits. there was a large left groin hematoma. on neurologic examination, the patient was lightly sedated. he opened his eyes to command, comprehended simple commands. skin revealed there was no rash. pertinent laboratory data on presentation: laboratories revealed a white blood cell count of 13.7 (78% polys and 16% lymphocytes), hematocrit of 41.2, platelets of 170. pt of 13.6, inr of 1.3, ptt of 37.2. sodium of 145, potassium of 3.5, chloride of 107, bicarbonate of 25, blood urea nitrogen of 18, creatinine of 1.2, glucose of 117. alt of 179, ast of 339, alkaline phosphatase of 58, total bilirubin of 0.8. creatine kinases on admission were 8585; mb of 14; with an index of 0.2, and a troponin of greater than of 50. radiology/imaging: chest x-ray revealed a right subclavian line in the right anterior inferior vena cava, endotracheal tube about 6 cm above the carina. there was evidence of cardiomegaly with pulmonary congestion. electrocardiogram on arrival revealed sinus rhythm at 72, with normal axis, q waves in v1 to v3, flat t waves throughout, biphasic d in first diagonal, tall p in lead ii. hospital course: 1. cardiovascular: the patient was admitted with ventricular fibrillation arrest, likely in the setting of an acute coronary syndrome given the fact that his troponins and creatine kinases were elevated. however, the patient presented chest pain free. his aspirin, lopressor, lipitor, heparin drip, nitroglycerin drip were continued. the patient's creatine kinases were cycled; however, they continued to remain elevated with a negative index. the patient's statin was held secondary to elevated creatine kinases. the patient was extubated on the following morning and was stable. the patient was sent for cardiac catheterization. cardiac catheterization revealed an occlusion of the left anterior descending artery at the site of the saphenous vein graft to left anterior descending artery graft. the patient also had two grafts that were occluded. the native left anterior descending artery was stented successfully, and the patient was returned to the coronary care unit. the patient was continued on plavix status post catheterization and integrilin. the patient also had an echocardiogram which showed an ejection fraction of 15% to 20% with inferobasal aneurysm. the patient was started on anticoagulation for a low ejection fraction and a question of an aneurysm; initial on heparin and then converted to coumadin. given the patient's ventricular fibrillation arrest, the patient was taken for an electrophysiology study which revealed fossae of ventricular tachycardia, and the patient was taken the following day for implantable cardioverter-defibrillator placement. status post defibrillator placement, the patient's chest x-ray was okay. interrogation revealed that the defibrillator was working, and the patient was discharged with implantable cardioverter-defibrillator in place, off amiodarone. 2. pulmonary: the patient was admitted intubated on arrival. however, the following morning the patient was successfully extubated and had stable room air saturations. on hospital day two, after extubation, the patient developed flash pulmonary edema and was treated with intravenous lasix, morphine, and nitrates. the patient continued to be diuresed aggressively (1 liter to 2 liters per day). the patient eventually regained stable saturations and was discharged on a low dose of lasix 20 mg p.o. q.d. 3. infectious disease: the patient was admitted with a question of pneumonia given a temperature of 102.4 and question of a retrocardiac density on chest x-ray. the patient also with a question of dirty urine, consistent with a urinary tract infection. the patient was placed on levaquin and will be treated with a 14-day course. the patient remained afebrile during the rest of his hospitalization. 4. endocrine: the patient with a history of diabetes and was treated initially with an insulin drip and was switched over to a regular insulin sliding-scale. 5. rheumatology: the patient was admitted with increased creatine kinases, although negative index, question of a myopathy versus myositis. the patient was on niacin and a statin as an outpatient which were discontinued upon arrival, and the patient creatine kinases continued to trend down with a maximum of 9000, trending down to 1700 upon discharge. discharge diagnoses: 1. acute myocardial infarction; status post ventricular fibrillation arrest; status post implantable cardioverter-defibrillator placement. 2. congestive heart failure with inferobasal aneurysm; on anticoagulation. 3. pneumonia. 4. elevated creatine kinases secondary to statin/niacin. 5. diabetes. 6. hypertension. medications on discharge: (discharge medications included) 1. atenolol 25 mg p.o. q.d. 2. zestril 10 mg p.o. q.d. 3. coumadin 5 mg p.o. q.h.s. (to be adjusted at the clinic). 4. lasix 20 mg p.o. q.d. 5. aspirin 325 mg p.o. q.d. 6. plavix 75 mg p.o. q.d. 7. folate 1 mg p.o. q.d. 8. colace 100 mg p.o. b.i.d. 9. sublingual nitroglycerin p.r.n. 10. zyrtec 10 mg p.o. q.d. discharge followup: the patient was to follow up with the electrophysiology clinic on tuesday. the patient was also to follow up at the clinic for an inr check. the patient was also to follow up with dr. for follow up of his low ejection fraction and coronary artery disease. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor insertion of endotracheal tube catheter based invasive electrophysiologic testing implantation or replacement of automatic cardioverter/defibrillator, total system [aicd] diagnoses: congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled coronary atherosclerosis of autologous vein bypass graft aortocoronary bypass status acute myocardial infarction of anterolateral wall, initial episode of care cardiac arrest old myocardial infarction ventricular fibrillation 

Answer: The patient is high likely exposed to