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 the present illness: the patient is a 49-year-old male with a past medical history of diabetes, hypertension, angina, who presents to via an ambulance. the patient experienced the sudden onset of substernal chest pain while making dinner. he had just sat down to watch some t.v. when he had his usual angina but much more severe with shortness of breath. the pain was not relieved with one sublingual nitroglycerin. he took a second one and called 9-1-1. in the ed, the patient was given nitroglycerin, heparin, integrilin, and transferred directly to the catheterization lab which revealed left main and three vessel disease with a pcwp of 14, 70% proximal rca stenosis, 80% lmca stenosis, 99% mid lad stenosis, 90% om2 stenosis. ct surgery was offered but would have delayed revascularization so it was decided to perform ptca with stent. a cipher stent was placed in the lmca and a hepacoat stent was placed in the lad with plans for rca and circumflex revascularization as well as reassessment of lmca in several months. the patient was sent to the ccu, chest pain-free without shortness of breath. past medical history: 1. diabetes, insulin-dependent. 2. hypertension. 3. angina. 4. migraine headaches. 5. hypotestosteronism. 6. per patient, was catheterized ten years ago which revealed clean vessels. allergies: the patient has no known drug allergies. admission medications: 1. atenolol 50 mg p.o. q.d. 2. nph 54 units q.a.m., 34 units q.p.m. 3. androderm 5 mg per 24 hour patch. 4. bactroban 2% cream. 5. fioricet 325/40/50 q. six hours. 6. humalog insulin sliding scale. 7. motrin 600 mg p.o. t.i.d. p.r.n. 8. zantac 150 mg p.o. b.i.d. 9. rhinocort per nostril b.i.d. social history: the patient has a 34 pack year history. the patient continues to smoke a half a pack per day. no alcohol. the patient is married. family history: positive for diabetes on the maternal side. father with an mi at the age of 55-years-old. physical examination on admission: vital signs: afebrile, 96.5, blood pressure 108/56, map 74, rate 55, respirations 12, 100% on fi02 2 liters nasal cannula. general: the patient was a comfortable, well-developed, well-nourished, mildly obese male, alert and oriented times three in no acute distress. heent: perrla, eomi, moist mucous membranes. neck: supple. the patient's supine jvp could not be assessed. cardiovascular: s1, s2 normal without murmurs, rubs, or gallops. respirations were clear to auscultation anteriorly and laterally. abdomen: soft, nontender, nondistended, no hepatosplenomegaly. extremities: no edema. groin: status post removal of femoral artery catheter, clean, dry, and intact. no evidence of hematoma, no bruit. neurologic: nonfocal. laboratory/radiologic data: on admission, white count 9.9, hematocrit 42.6, platelets 321,000. inr 1.0, ptt 23.5. sodium 144, k 3.9, chloride 107, bicarbonate 30, bun 15, creatinine 1.1, glucose 86. troponin times two less than 0.01. ck peak 248. abgs on 2 liters nasal cannula 7.30/47/80. the ekg revealed sinus rhythm, 76 beats per minute with normal axis and intervals, elevations in v2 and v3. hospital course: the patient was with type 1 diabetes, hypertension, history of stable angina on admission with anterior mi, status post stent to the lmca and lad. 1. cardiovascular: pump: started ace and titrated up for afterload reduction and prevention of remottling. an echocardiogram was obtained on hospital day number one which revealed a normal ef greater than 55% with distal septal hypokinesis. the decision to hold on anticoagulation was made. cad: finish 18 hours of integrilin, continued with aspirin, plavix. in regards to placement of lmca, the patient will likely need a prolonged course of plavix, checking a lipid profile for the hypertriglyceridemia, elevated cholesterol, elevation of a statin with normal lfts was begun, lipitor 10 mg p.o. b.i.d. beta blocker was titrated via hemodynamics. the patient was counseled on numerous occasions for risk factor modification, discussed proper cardiac diet as well as nutrition consult and in addition smoking cessation. it was felt that vna would be beneficial to the patient to go over compliance of medication, especially aspirin and plavix as well as smoking cessation and healthy diet choices. the patient was instructed to follow-up with dr. in two weeks. the patient will likely be recatheterized in one month to assess lmca stent as well as nonintervened vessels. the patient was also given a new prescription for nitroglycerin. rhythm: the patient remained on telemetry throughout, initially sinus brady and titrated up beta blocker as tolerated. no events on telemetry. ekgs unchanged. 2. diabetes: the patient was not initiated on an insulin drip due to normal levels of glucose. resumed nph and humalog sliding scale with adequate blood sugars throughout admission. consult was also obtained in regards of the patient's lack of compliance at home. given his severity of his cardiac disease, tight glycemic control was paramount to his well being. the patient is scheduled to follow-up with the center as well as instructed to monitor daily blood sugars and to bring them to his appointment. 3. hypotestosteronism: literature search did not reveal contraindication to androgen patch but in regards to severity of disease, the patient was instructed not to use androgen patch until reassessed by dr. in one month. the patient will follow-up in two weeks with dr. as well as follow-up in two weeks with the clinic. the patient was instructed to bring a record of his blood sugars to this appointment. the patient has a follow-up appointment with pcp, . . the patient will need thyroid function tests to be done at this time. tsh at this admission revealed low-normal free t4 0.8. will need to be reassessed out of the acute setting. discharge medications: 1. aspirin 325 mg p.o. q.d. 2. plavix 75 mg p.o. q.d. 3. zestril 5 mg p.o. q.d. 4. ranitidine 150 mg p.o. b.i.d. 5. atorvastatin 10 mg p.o. q.d. 6. atenolol 50 mg p.o. q.d. 7. nitroglycerin 0.3 mg tablets sublingual q. five minutes times three p.r.n. chest pain. 8. insulin, lyspro 34 units q.a.m., 20 units q.p.m. with sliding scale coverage. disposition: the patient is to go home with vna nursing to review medications as well as diet modifications. condition on discharge: the patient was discharged to home chest pain-free without shortness of breath in stable condition. , m.d. dictated by: medquist36 procedure: 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 drug-eluting coronary artery stent(s) diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension acute myocardial infarction of other anterior wall, initial episode of care diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled 

Answer: The patient is high likely exposed to