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: allergies: patient recorded as having no known allergies to drugs attending: chief complaint: anterior stemi major surgical or invasive procedure: cardiac catheterization: severe single-vessel coronary disease. the lmca had a mild 20% ostial stenosis. the lad had mild luminal irregularities but no angiographically apparent flow-limiting stenoses. the lcx had a 90% stenosis just proximal to the bifurcation of the om1 and om2 branches involving the origin of these branches. there was diffuse om2 spasm with slow flow. the rca had mild disease and no angiographically apparent flow-limiting stenoses. limited resting hemodynamics performed after angiography and intervention revealed normal right- and mildly elevated left-sided filling pressures (mean ra 5 mmhg, mean pcw 19 mmhg). the pulmonary artery pressure was mildly elevated at 23 mmhg. the cardiac index was normal at 2.5 l/min/m2. --stenting of the lcx into the om1 with a 2.5 x 18 mm cypher with a 3.5 mm balloon and finally with a 3.0 mm balloon. final angiography demonstrated no residual stenosis, no angiographically apparent dissection, and normal flow ---successful balloon rescue of the jailed om2 branch with a 2.5 mm balloon. final angiography demonstrated a residual 60% ostial stenosis, no angiographically apparent dissection, and normal flow history of present illness: this is a 53 year-old man with history of hyperlipidemia and current tobacco use. he developed acute-onset chest pain at midnight on the day of transfer. at 4am, the pain became unremitting and he presented to hospital. initial ecg showed anterior st-elevations in leads v1-3 and he was treated with thrombolysis with tenecteplase at 10am. his symptoms resolved but his st-elevations only decreased by approximately , and he was transferred for pci. he was transferred to for emergent catheterization for management of failed thrombolysis of an acute anterior st-elevation mi. osh ck 1107. ekg here: nsr @ 80, 1.5 mm ste v1-v3, depression v5-6, ii past medical history: tobacco use dyslipidemia social history: mr.b is married 27 yrs and lives with his wife. has 3 children. he is a floor layer by trade. he admits to tobacco use x45 pack years (30yrs @1.5 ppd); occasional etoh; no illicits. family history: no family history of cad. physical exam: afeb 140/80 81 20 99%4l gen: pt in nad, lying comfortably in bed. heent: mmm, perrl neck: no jvd, no lad cvs: rrr, s1/s2 nl, no m/g/r chest: ctab abd: soft, nt/nd ext: no c/c/e; 2+ dp pulses; r groin with no hematoma/ooze/bruit neuro: aaox3; cnii-xii grossly intact; strength 5/5 u/l ext b pertinent results: studies: ekg ():sinus rhythm left atrial abnormality right ventricular conduction delay left axis deviation lateral st-t changes offer evidence of possible ischemia no previous tracing cath (): 1. selective coronary angiography revealed a right-dominant system with severe single-vessel coronary disease. the lmca had a mild 20% ostial stenosis. the lad had mild luminal irregularities but no angiographically apparent flow-limiting stenoses. the lcx had a 90% stenosis just proximal to the bifurcation of the om1 and om2 branches involving the origin of these branches. there was diffuse om2 spasm with slow flow. the rca had mild disease and no angiographically apparent flow-limiting stenoses.2. limited resting hemodynamics performed after angiography and intervention revealed normal right- and mildly elevated left-sided filling pressures (mean ra 5 mmhg, mean pcw 19 mmhg). the pulmonary artery pressure was mildly elevated at 23 mmhg. the cardiac index was normal at 2.5 l/min/m2. 3. left ventriculography was deferred due to contrast load during pci. 4. successful stenting of the lcx into the om1 with a 2.5 x 18 mm cypher with a 3.5 mm balloon and finally with a 3.0 mm balloon. final angiography demonstrated no residual stenosis, no angiographically apparent dissection, and normal flow. 5. successful balloon rescue of the jailed om2 branch with a 2.5 mm balloon. final angiography demonstrated a residual 60% ostial stenosis, no angiographically apparent dissection, and normal flow final diagnosis: 1. one vessel coronary artery disease. 2. mild diastolic ventricular dysfunction. 3. successful stenting of the lcx vessel with a drug-eluting stent and rescue of the jailed om2 branch with 60% residual stenosis. echo (): 1.the left atrium is mildly dilated. 2.there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is moderately depressedl (lvef 30-35%). resting regional wall motion abnormalities include hypokinesis of the inferior wall and akinesis of the inferolateral and lateral walls.. 3.right ventricular chamber size and free wall motion are normal. 4.the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. no aortic regurgitation is seen. 5.the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. 6.there is no pericardial effusion. labs: 01:14pm blood type-art po2-136* pco2-50* ph-7.31* calhco3-26 base xs--1 intubat-not intuba 05:40am blood triglyc-263* hdl-42 chol/hd-5.5 ldlcalc-135* 05:40am blood mg-1.8 cholest-230* 06:40am blood calcium-9.4 phos-3.2 mg-1.9 03:25pm blood ck-mb-greater th ctropnt-14.03* 09:00pm blood ck-mb-292* mb indx-10.1* 05:40am blood ck-mb-99* mb indx-7.3* ctropnt-4.06* 06:40am blood ck-mb-12* mb indx-3.1 03:25pm blood ck(cpk)-4651* 09:00pm blood ck(cpk)-2899* 05:40am blood alt-50* ast-195* ck(cpk)-1365* 06:40am blood ck(cpk)-390* 03:25pm blood glucose-114* urean-10 creat-0.6 na-138 k-3.8 cl-99 hco3-26 angap-17 06:40am blood glucose-96 urean-10 creat-0.7 na-138 k-4.0 cl-100 hco3-26 angap-16 03:25pm blood pt-13.2 ptt-30.5 inr(pt)-1.1 06:40am blood pt-13.2 ptt-58.8* inr(pt)-1.1 03:25pm blood neuts-88.9* lymphs-7.8* monos-3.0 eos-0.2 baso-0.3 03:25pm blood wbc-19.9* rbc-4.69 hgb-14.2 hct-41.0 mcv-87 mch-30.2 mchc-34.6 rdw-12.4 plt ct-255 06:40am blood wbc-10.2 rbc-4.55* hgb-13.7* hct-39.9* mcv-88 mch-30.0 mchc-34.2 rdw-12.8 plt ct-215 brief hospital course: 53m w/hyperlipidemia and tob abuse p/w acute anterior stemi s/p thrombolysis at hospital and subsequent transfer to for cath for persistent st elevations. 1) anterior stemi: mr.b presented with persistent st elevations after thrombolysis; his peak ck was 4651 and mb>500. cath revealed one vessel coronary artery disease and mild diastolic ventricular dysfunction. he underwent successful stenting of the lcx vessel with a drug-eluting stent and rescue of the jailed om2 branch with 60% residual stenosis. because mr.b had initially received thrombolytic treatment, he was at risk for becoming hypercoagulable. he was kept on a heparin drip for 48 hrs post-cath with goal ptt 50-70. he was transferred to the ccu on the night of for close monitoring. serial ekgs showed no signnificant change and cardiac enzymes trended down, so he was transferred back to the floor . post-mi echo showed a mildly dilated la, mild symmetric left ventricular hypertrophy with lvef of 30-35%. resting regional wall motion abnormalities include hypokinesis of the inferior wall and akinesis of the inferolateral and lateral walls. because these wall motion abnormalities put him at risk for thrombus formation, he was started on coumadin 5mg qd with a goal inr of . he is to follow-up with his pcp on the after discharge to check his inr and adjust coumadin dosing as needed. as well, he is to undergo ett with t wave alternans and echo, a signal average ekg, and a holter monitor for risk stratification to determine whether he would benefit from an icd. this testing will be done on an outpatient basis, approximately one month after discharge. he will follow-up with dr. and will continue plavix for 9 months after discharge. he will also continue to take aspirin 325mg daily, lipitor 80mg daily, atenolol 50mg daily and lisinopril 2.5 mg daily. 2) cad--mr.b's has the following risk factors for cad: tobacco use, dyslipidemia, htn and being overweight. while in house, he was counselled on the need for tobacco cessation and was started on bupropion 150mg qam. he understood the risk that smoking posed and agreed to continue to take the appropriate measures to remain tobacco free on discharge. he was kept on a low sodium, heart healthy diet. lipitor 80 mg daily was started and bp was well controlled on metoprolol 50mg and lisinopril 2.5mg daily. he was discharged on aspirin, lipitor, atenolol, and lisinopril. medications on admission: calcium discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 2. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*2* 3. atorvastatin calcium 40 mg tablet sig: two (2) tablet po qd (once a day). disp:*60 tablet(s)* refills:*2* 4. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 5. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual prn (as needed). disp:*30 tablet, sublingual(s)* refills:*2* 6. bupropion hcl 150 mg tablet sustained release sig: one (1) tablet sustained release po qam (once a day (in the morning)) as needed for smoking cessation. disp:*30 tablet sustained release(s)* refills:*0* 7. warfarin sodium 5 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*2* 8. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 9. lisinopril 5 mg tablet sig: 0.5 tablet po qd (once a day). disp:*15 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: anterior st elevation mi discharge condition: stable. discharge instructions: please call your doctor and return to the hospital for any chest pain, shortness of breath, diaphoresis, palpitations, or any other questions/concerns you may have. please continue to take all of your medications as directed. please follow up with dr. on friday for labwork and titration of your coumadin dose. please return to the hospital in one month for echocardiogram and stress test (you will be contact with your appointment date and time). followup instructions: please follow up with d. on friday, . please call for appointment . please follow up with dr. after you have completed the studies. please call ( for appointment. please return to the hospital for follow-up studies: ett with t wave alternans and echo, signal averagibg ekg, and holter monitor. you will be called with the appointment dates and times. md, procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters insertion of drug-eluting coronary artery stent(s) diagnoses: coronary atherosclerosis of native coronary artery tobacco use disorder unspecified essential hypertension acute myocardial infarction of other anterior wall, initial episode of care other and unspecified hyperlipidemia obesity, unspecified 

Answer: The patient is high likely exposed to