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: service: ccu history of present illness: this is a 48 year old male transferred from with inferior myocardial infarction on integrelin for evaluation and possible catheterization. history is limited by the fact that the patient is heavily sedated and somnolent. the patient presented to with complaints of chest pain and weakness. electrocardiogram was with 2. elevations in leads iii and avf. cardiac enzymes were elevated and, at that time, his vital signs were pulse 140, blood pressure 160/100, respiratory rate 20 and 99% oxygen saturation in room air. he was started on lovenox, nitroglycerin drip, lopressor 5 mg started on integrelin, however, inadvertently put on supratherapeutic dose. he was chest pain free subsequently and transferred to . upon arrival at 2:30 a.m., the patient had vital signs of heart rate 118, blood pressure 154/100. he had received 1 mg of ativan and 50 mg of fentanyl in route. additional lopressor 5 mg intravenous times four with little change in his blood pressure. on examination, the patient was currently chest pain free although he was unable to answer questions well due to his somnolent nature, but he was easily arousible. past medical history: 1. lung cancer diagnosed , oncologist, dr. , at cape code hospital. status post recent chemotherapy four days prior to admission and recently completed a course of radiation therapy. 2. renal agenesis of one kidney. 3. status post back surgery. 4. gastroesophageal reflux disease. 5. motorcycle accident in . 6. history of sinus tachycardia of unknown etiology. medications on admission: 1. prilosec. 2. tylenol. 3. flexeril. allergies: no known drug allergies. social history: the patient has heavy tobacco use and currently drinks six to twelve beers per week. he lives with his wife and is currently employed. physical examination: in general, the patient is resting in bed, lethargic but easily arousible. vital signs revealed heart rate 112, blood pressure 160/76, 100% in room air. head, eyes, ears, nose and throat - the pupils are equal, round, and reactive to light and accommodation. extraocular movements are intact. mucous membranes are dry. the lungs are clear to auscultation bilaterally. bronchial breath sounds noted in the right lung. chest examination revealed a well healed scar on the left side. cardiovascular - tachycardic at approximately 120 beats per minute with normal s1 and s2, no s3 or s4, no murmurs noted. carotids showed normal volume and upstroke. the abdomen was soft, nontender, nondistended with normoactive bowel sounds. guaiac examination revealed soft brown stool that occult blood positive. extremity examination revealed no cyanosis, clubbing or edema, dorsalis pedis and posterior tibialis pulses 2+ bilaterally and symmetric. laboratory data: at , white blood count 6.2, hematocrit 27.4, platelets 151,000. coagulation studies were normal. sodium was 139, potassium 4.3, chloride 107, bicarbonate 20, blood urea nitrogen 15, creatinine 0.6, glucose 110. ck 356, troponin 21.4. toxicology screen was negative for any substances including ethanol. head ct was negative for intracranial bleed. chest x-ray at the outside hospital revealed a right upper lobe opacity and no effusions. electrocardiogram at revealed sinus tachycardia 121 beats per minute, axis 39, intervals 0.132, 0.96, 0.401, no st elevations or depressions, no t wave inversions. hospital course: the patient was admitted to the coronary care unit for evaluation and treatment of an acute inferior myocardial infarction. he was admitted to the coronary care unit for further observation overnight. the morning after arrival he was taken to the cardiac catheterization laboratory which revealed a left ventricular ejection fraction of 45%, left dominant system with a normal left main artery, minimal disease in the left anterior descending, 80% stenosis in the mid left circumflex artery, total occlusion of small right coronary artery branch that was percutaneous transluminal coronary angioplastied. the patient subsequently became bradycardic and hypotension which required atropine and temporary wire and resolved well. prior to the cardiac catheterization, the patient's hematocrit fell to 26.7. he was transfused two units of packed red blood cells with subsequent rebound of his hematocrit to 31.7. after cardiac catheterization, the patient was brought back to the coronary care unit and followed postoperatively. he was started on lopressor and captopril which were rapidly titrated. the patient remained tachycardic after his myocardial infarction with heart rates approximately 120. on hospital day three, the patient was tachycardic to approximately 130 to 140s and was noted to be diaphoretic. he denied any chest pain or shortness of breath at that time. electrocardiogram was taken without changes except for persistent sinus tachycardia. however, he responded to intravenous lopressor. it was felt his symptoms of persistent sinus tachycardia was either one of alcohol withdrawal or signs of heart failure following a myocardial infarction. however, in speaking with the patient and his wife, it has been noted in the past that he has been tachycardic in doctors' offices with unknown etiology. by hospital day four, the patient was chest pain free, was without chest pain, shortness of breath, nausea or vomiting. he continued to be slightly tachycardic but experienced no palpitations and vital signs were completely stable. at the time of hospital discharge, he was ambulating well without difficulty and was ready to be discharged to home with follow-up with his outpatient physician. condition on discharge: stable. discharge status: the patient was discharged to home in good condition after an acute inferior myocardial infarction. follow-up: he is asked to follow-up with his outpatient physician, . , within one week. discharge diagnosis: acute inferior myocardial infarction. discharge medications: 1. mavik 2 mg p.o. q.d. 2. lipitor 10 mg p.o. q.d. 3. aspirin 325 mg p.o. q.d. 4. atenolol 100 mg p.o. q.d. , m.d. dictated by: medquist36 d: 14:17 t: 09:04 job#: procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures insertion of temporary transvenous pacemaker system diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery unspecified essential hypertension alcohol abuse, unspecified other specified cardiac dysrhythmias acute myocardial infarction of other inferior wall, initial episode of care malignant neoplasm of other parts of bronchus or lung nonspecific low blood pressure reading renal agenesis and dysgenesis 

Answer: The patient is high likely exposed to