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: this is a 59-year-old gentleman with no prior medical history presenting with severe substernal chest discomfort from an outside hospital which was described as acute in onset and began at 12 noon the day of admission. the patient notes that the pain was sudden and began while he was performing yard work lasting for approximately one hour in duration. the patient was brought to , and was noted to have a heart rate in the range of 29-32 with a blood pressure of 70/palpable. he was noted to be pale and diaphoretic with electrocardiogram changes significant for bradycardia with a heart rate of 43, elevations in leads ii, iii, avf, v4, and st depressions in leads i, avr, and avl. the patient received a heparin bolus of 5,000 units, two doses of retavase 10 units each, nitroglycerin drip, aspirin, morphine sulfate, and atropine. after administration of atropine, the patient's blood pressure and pulse responded with a blood pressure of 110 systolic and a pulse of 54. patient's chest pain improved from to , however, persisted and repeat electrocardiogram showed lower amplitude st elevations in the leads mentioned prior. because the patient's chest pain remained, he was transferred to for cardiac catheterization as well as temporary pacing wire placement given his persistent bradycardia. cardiac catheterization results are had a left heart catheterization, right dominant lmca was normal, lad showed mild proximal disease with mid segmentation with the d2 bifurcation of 60%, left circumflex was normal, the right coronary artery showed a large tubular 60% lesion with moderate thrombus burden, ptca was performed with stenting of the rca lesion with normal flow poststenting. right heart catheterization, showed normal filling pressures, a cardiac output of 3.98 with an index of 1.99. the patient was brought to the ccu with a temporary pacing wire for his ongoing bradycardia. the patient at the time of transfer to the ccu was reporting lingering chest discomfort, which was nonradiating and nonreproducible. the patient was given morphine sulfate for this pain which resolved within minutes. the patient denied shortness of breath, headache, dizziness, abdominal discomfort, nausea, vomiting, diarrhea, or any other acute complaints. past medical history: 1. history of viral spinal meningitis. 2. questionable history of hypertension. 3. questionable history of diabetes mellitus since the patient reports having an elevated blood sugar during one of his visits with his pcp. medications on admission: none. allergies: no known drug allergies. social history: the patient denies tobacco use, reports occasional alcohol use approximately 1-2 drinks a month. he works as a phone installer, maintenance, and lives with his wife in . family medical history: significant with a mother who is alive status post myocardial infarction with ptca. she was diagnosed with heart disease in her 60s. a father who is deceased status post myocardial infarction and cabg, who was diagnosed with heart disease in his 60s. parents were diagnosed with diabetes mellitus type 2. physical exam on admission: vital signs: 97.5, blood pressure systolic 166-175/diastolic 85-89, heart rate 47-52, respiratory rate 13, 99% on 4 liters nasal cannula. his weight was 190 pounds which is 86 kg. generally, the patient is alert and oriented, well-nourished in no acute distress. cardiovascular examination: sinus bradycardia, s1, s2, no murmurs, rubs, or gallops. neck examination: supple, no jugular venous pressure at 45 degrees, no carotid bruits. pulmonary examination: clear to auscultation anteriorly, faint bibasilar crackles laterally. abdominal examination: obese, nontender, and nondistended, active bowel sounds, no hepatosplenomegaly. extremities: right femoral line is intact with no bruits, no ecchymoses, no edema, 2+ dorsalis pedis bilaterally. foley draining clear yellow urine and two peripheral ivs. laboratory studies upon admission: complete blood count: white blood cell count 11.9, hematocrit 37.6, platelets 167 with a mcv of 81. differential: 90% neutrophils, 4 bands, 5 lymphocytes. albumin 3.8, calcium 8.7, phosphorus 3.9, magnesium 1.5. chemistries: sodium 137, potassium 4.3, bun 16, creatinine 0.8, and glucose of 330. ck on admission was 271 with a peak of 838 on hospital day two, which declined to 665 at the end of hospital day two. mb fraction was 72 on hospital day two. troponin-t 1.68. electrocardiogram: on admission status post , elevations less pronounced in leads ii, iii, avf, v4 and v5, reciprocal st depressions less pronounced in leads avl and i. hospital course by problem: 1. coronary artery disease: the patient is status post inferior myocardial infarction status post ptca with stenting of the right coronary artery which had evidence of 60-70% occlusion requiring a temporary pacing wire for persistent sinus bradycardia. the patient's pacing wire was removed on hospital day two as he was able to sustain a heart rate between 45-65, and was asymptomatically bradycardic. the etiology of this bradycardia was most likely secondary to increased vagal tone status post inferior myocardial infarction as the takeoff of the sa nodal artery was more proximal to the thrombus noted in the rca. the patient was maintained on heparin 1,000 units an hour for the first 24 hours of admission. the patient did not report any further chest discomfort and his electrocardiogram changes were consistent with resolving st elevations without any q waves present. the patient was maintained on plavix 75 mg q day, aspirin 325 mg, lipitor 20 mg q day, and was started on an ace inhibitor, captopril 12.5 mg tid, which was slowly titrated up throughout the hospital course to 25 mg tid. beta blocker was held during this hospitalization in the setting of this ongoing sinus bradycardia. the patient had an echocardiogram performed on hospital day two, which was notable for an ejection fraction of greater than or equal to 55%, no valvular disease was noted. the left atrium and left ventricle were normal. there was mild left ventricular systolic dysfunction, but no resting left ventricular outflow tract obstruction. there was mid inferior left ventricular wall akinesis, the right ventricular chamber size and free wall motion were normal. the patient remained asymptomatic throughout the remainder of his hospital course and was transferred to the regular medical floor on hospital day two. the patient's rhythm remained in sinus bradycardia for the course of his hospital stay, however, by discharge date, his heart rate was well into the 50s and 60s, and the patient remained asymptomatic. 2. diabetes mellitus type 2: given the patient's rising blood sugars throughout his hospital course, the diagnosis of diabetes mellitus was made. the patient had a history of fluctuating sugars in the past, however, he recalls not having been given any formal diagnosis of diabetes. hemoglobin a1c was 11.4%. the patient was seen by clinic, and both nph and sliding scale insulin regimen were initiated on hospital day two. the patient's blood sugars remained within the low 100s, and an oral hypoglycemic actos was initiated on hospital day two as well. the patient received formal diabetic teaching on hospital days two and three, and was instructed to administer his own insulin while at home, and was additionally instructed to followup with the clinic as an outpatient. condition on discharge: stable to home. discharge diagnoses: 1. inferior myocardial infarction status post percutaneous transluminal angioplasty with stenting of the right coronary artery. 2. hypertension. 3. new onset diabetes mellitus type 2. discharge medications: 1. aspirin 325 mg po q day. 2. lipitor 10 mg po q day. 3. plavix 75 mg po q day. 4. actos 30 mg po q day. 5. zestril 10 mg po bid. 6. nph and humalog insulin-sliding scale per insulin flow sheet fellow's recommendations. follow-up instructions: the patient is instructed to followup with dr. in cardiology on at 3 pm. he was additionally instructed to followup at the clinic for ongoing diabetic teaching and glucose management. , 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 angiocardiography of right heart structures diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute myocardial infarction of other inferior wall, initial episode of care 

Answer: The patient is high likely exposed to