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: aspirin / penicillins attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catherization history of present illness: 63 yo male with pmhx of htn initially presented to on at 2:45am with chest heaviness. pt describes the heaviness as starting 2-3 days prior to admission, lasting 10-15 minutes, occurring 2-3x / day, and associated with symptoms of feeling exhausted and jaw discomfort. of note, pain is not associated with exertion, nausea, diaphoresis, palpitations, or pleuritic characteristics. then one night ago, patient had difficulty lying flat, felt increasing discomfort, and presented to osh ed. at osh ed, initial vital signs were bp 190/93, hr 77, rr 20, t 97.5, sat 100 ra. he was given nitroglycerine paste, then switched to nitro drip, receivd 5mg iv metoprolol x 3, and was then transferred to for further evaluation. initial ecg (2:55am on ) at osh demonstrated hr 74, sinus rhythm, lvh, left anterior hemi fascicular block, st depression <1mm v4-v5-v6-i-avl, no t wave inversion. another ecg during transport at 7:51 am has new t wave inversions on iii-avf. patient was then admitted to the ccu where he underwent aspirin desensitization due to an aspirin allergy and was then transferred to the floor. . at baseline, patient is very active in his work as a carpenter and he uses an exercise bike for 20 minutes several times a week. he can go up 3-4 flight of stairs or walk more than blocks without discomfort. . cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. . cardiac risk factors: dyslipidemia, hypertension past medical history: hypertension hyperlipidemia heart murmur social history: social history is significant for the absence of current tobacco use. he gave up smoking about 25 years ago. smoked pipe or chew tobacco for 10-15 years. there is no history of alcohol abuse. he works as a carpenter. he lives with his wife and 3 kids in . he rarely eat red meed and no dairy products. family history: there is no family history of premature coronary artery disease or sudden death. father cancer, grand mother stomach cancer, physical exam: bp 154/50, hr 82 rr 16 sats 99 % ra general: patient well developed, well nourished, oriented x 3 heent: pupils equal and reactive to light. dry oral mycose neck: no jvd, no lad. no thyromegaly appreciated. neck supple. lungs: clear to ausculation bilaterally. cardiac: regular rate and rhythm, s1-s2 normal. holosytolic murmur iii/vi in the apex., no rubs, gallops appreciated. abdomen: bs+, soft, non tender, non distended. no hepatomegaly. extremities: no edema, pallor or cyanosis. right groin: no bruit, no hematoma pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ pertinent results: 09:32am blood wbc-6.6 rbc-4.55* hgb-13.7* hct-39.1* mcv-86 mch-30.1 mchc-35.0 rdw-13.1 plt ct-344 06:05am blood wbc-8.6 rbc-4.61 hgb-13.9* hct-39.8* mcv-86 mch-30.1 mchc-34.9 rdw-13.2 plt ct-293 06:05am blood pt-12.4 ptt-22.6 inr(pt)-1.1 09:32am blood glucose-133* urean-11 creat-0.8 na-140 k-4.1 cl-105 hco3-27 angap-12 06:05am blood glucose-94 creat-0.7 na-140 k-3.8 cl-105 hco3-26 angap-13 09:32am blood ck(cpk)-165 07:30pm blood ck(cpk)-147 05:30am blood ck(cpk)-136 09:32am blood ck-mb-8 ctropnt-0.11* 07:30pm blood ck-mb-6 ctropnt-0.19* 05:30am blood ck-mb-5 ctropnt-0.18* 09:32am blood triglyc-104 hdl-52 chol/hd-5.7 ldlcalc-224* ldlmeas-232* 09:32am blood calcium-9.2 phos-3.4 mg-2.3 cholest-297* ptca comments: initial angiography revealed a 100% thrombotic occlusion of proximal rca with collaterals from left system. we planned to treat this stenosis with ptca/stenting. we commenced heparin and integrilin prophylactically. a 6f ar-2 guide enagaged the rca providing adequate support. a whisper wire crossed proximal rca occlusion without complication and the lesion was then predilated with a 2.5x9mm balloon. there was no flow after the predilatation. we then used a quickcat thrombectomy catheter resulting in removal of thrombus but no antegrade flow. we then further predilated with a 3.5x15mm balloon with restoration of normal flow. we then stented the lesion with a 3.5x18mm vision stent deployed to 14atms. excellent result with normal antegrade flow and no residual stenosis. patient remained painfree throughout procedure. comments: 1. selective coronary angiography of this right dominant system revealed two vessel disease. the lmca and lcx had no angiographically-apparent disease. the lad had a mild, tapering 50% lesion in the proximal vessel. the rca was occluded proximally with visible thrombus. 2. left ventriculography revealed a normal ejection fraction with no mitral regurgitation or wall motion abnormalities. 3. lvedp was mildly elevated at 18mmhg. 4. successful pci/stent to proximal rca thrombotic occlusion with a 3.5x15mm vision bare metal stent. excellent result with normal antegrade flow and no residual stenosis. final diagnosis: 1. two vessel coronary artery disease. 2. normal ventricular function. 3. successful pci/stent to proximal rca. . ct abd/pelvis : 1. large amount of fat stranding within the right inguinal region extending along the right anterior medial thigh consistent with _____ blood products, but no focal fluid collections suggestive of an organizing hematoma are present. 2. no retroperitoneal hematoma identified. 3. enlarged prostate with peripheral calcification suggestive of chronic prostatitis. . echocardiogram : the left atrium is mildly dilated. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef 70%). there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated at the sinus level. there are three aortic valve leaflets. the aortic valve leaflets are moderately thickened. there is mild aortic valve stenosis (area 1.2-1.9cm2). the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. there is borderline pulmonary artery systolic hypertension. there is no pericardial effusion brief hospital course: 63 y/o m with h/o htn who presents with two days of chest discomfort who was found to have mild, tapering 50% lesion in the proximal lad and proximal rca occluded with visible thrombus. # acs: transfered from osh for asa desensitization and cardiac catherization. on arrival pt chest pain free. pt loaded with , heparin and integrillin started. pt tolerated asa desensitization without difficulty. remained chest pain free until cath which showed mild, tapering 50% lesion in the proximal lad and proximal rca occluded with visible thrombus for which he underwent ptca with placement of bms. after procedure, during sheath pull, patient became hypotensive briefly, likely vago-vagal response. he was given fluids and atropine and bp normalized. he was also noted to have a significant drop in hct, and received 2 units prbcs. ct abd/pelvis was negative for rp bleed. repeat hct after only 1 unit was back to baseline, indicating some degree of lab error. hct was checked q6h and remained stable. he received aspirin, , bb, statin, and acei. repeat echocardiogram without evidence of thrombus or depressed ef. the patient was discharged to home with post-mi instructions in addition to follow with pcp and new cardiologist. . # hyperlipidemia: the patient was continued on zetia and started on statin. . # htn: metoprolol and low dose lisinopril. . # fen: cardiac/heart healthy diet . # ppx: he was on heparin drip, and then was ambulatory. . full code medications on admission: atenolol 25 mg po daily omega-3 100 mg coq10 60 mg lecithin granules 1 tsp daily ? prostate support discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 2. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: nstemi discharge condition: afebrile, vital signs stable. discharge instructions: you were admitted with a heart attack and had a stent placed. it is very important that you take all your medications as directed, especially , your cardiologist. . call your pcp or return to the closest emergency department if you have: chest pain, shortness of breath, fainting spell, recurrent fevers, inability to keep down food or drink, or any other concerning symptoms. followup instructions: please call your pcp and make an appointment to be seen in 1 week. you need to start seeing a cardiologist. if you would like to be seen close to home ask your pcp for referral. otherwise please call the cardiology department at ( and make an appointment to be seen in 1 month by dr along with dr or dr. . procedure: insertion of non-drug-eluting coronary artery stent(s) angiocardiography of left heart structures injection or infusion of platelet inhibitor left heart cardiac catheterization coronary arteriography using a single catheter cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery unspecified essential hypertension other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to