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: seroquel / valsartan attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization history of present illness: 66 yo hispanic male with history of htn, dm2 and cki and schizophrenia who has had 3-4weeks of intermittent chest pain presented to the ed via ambulance. at approximately 1pm, he was returning from the supermarket when he suddenly felt mild epigastric pain. this pain gradually became severe with radiation to the back. he then became dizzy and felt his legs were wobbly. he lost consciousness and fell to the ground on his left side. he did not hit his head. broke his fall with his left elbow but denies pain. bystanders called for an ambulance. ekg in the ed revealed inferior st elevations seemingly in the mid to distal rca. code stemi was called. he went directly to the cath labwhere catheterization revealed the right side was initially accessed and he was found to have 70% promixal stenosis 60% midstenosis and 90% distal stenosis with three overlapping des placed. next, the left side was accessed and had 80% distal left main without stent. there was thrombus present. cardiology consulted ct for cabg consult after one year. he is currently chest pain free after intervention. . of note, per last pcp pt had been c/o intermittent chest discomfort x several months. ekg revealed new precordial-lateral t wave invesions, and so his pcp advised nuclear stress test. there is no record that this was done. in addition, he has had an extensive history of palpitations which have been attributed to anxiety. his pcp personally took him to get a holter monitor on the , but he notes that he returned this early and was not wearing it today. . in the ed, v/s were 126/82 72 18 98% on ra. he was a&ox3 and able to report story. he was given aspirin 325mg, 4l of oxygen, plavix 600mg x1, heparin 5000 units iv, and integrillin 14.4mg iv. past medical history: -htn -dm2, last a1c 6.8, recent weight gain after abilify (a1c 11) - stopped it, now a1c as above -cki, baseline creatinine 1.5 -fatty liver/nash, concern for progression of disease -paranoid schizophrenia, not on any antipsychotics -anxiety -allergies (seen by ent and clinic) -headaches -dysphagia, s/p barium swallow social history: the patient quit smoking over 20 years ago. he quit drinking alcohol over 35 years ago. he denies the use of illicit drugs. compliant with medications at home, but anxious when talking about them. lives by himself. moving to a new facility family history: his mother died after a bypass operation in at age 65. physical exam: admission exam vs: afeb 121/65 78 gen: nad, supine after cath heent: perrla, eomi, anicteric, mmm neck: supple, no lad, no jvd, no bruits cv: rrr, nl s1, s2, no s3, s4 no m/r/g lungs: ctab no w/r/c anteriorally abd: +bs, soft, nt, mildly distended, no hsm appreciated ext: wwp, no le edema, dp 2+ intact bilaterally neuro: a&0x3, cn 2-12 intact, 5/5 strength throughout groin: hematoma, tenderness at site pertinent results: cxr: "impression: no evidence of acute cardiopulmonary abnormality." . echo: "conclusions: the left atrium and right atrium are normal in cavity size. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). the estimated cardiac index is normal (>=2.5l/min/m2). right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. the estimated pulmonary artery systolic pressure is normal. there is a trivial/physiologic pericardial effusion. impression: normal biventricular cavity sizes with preserved global and regional biventricular systolic function. compared with the prior study (images reviewed) of , the findings are similar." brief hospital course: 66 y/o spanish-speaking m w/ dm2, htn, cki, and prior tobacco abuse admitted for stemi s/p cardiac catheterization, found to have three-vessel disease. . #stemi/coronaries: history of htn, dm, and obesity presented with sudden onset chest pain, found to have stemi and three-vessel disease. three drug-eluting stents were placed in the rca. patient completed 18 hour course of integrillin and was started on daily plavix, aspirin, metoprolol and statin. ct surgery was consulted and recommended cabg; however, pt initially declined. because of some doubt as to whether patient has capacity, psychiatry was consulted. psychiatry did not believe that patient had capacity at that moment, however discussion with pt's pcp and family suggested patient does have capacity at baseline. a family meeting was then set up which further described the risks and benefits of the surgery. patient agreed to have a cabg. pt will follow up with cardiology and ct surgeons outpatient. . #htn: acei (captopril) and beta-blocker (metoprolol) therapy continued. #diabetes: last a1c 6.8. his oral hypoglycemics were held and he was placed in iss. #cki: stable, with creatinine at baseline 1.5 or lower. . #schizophrenia: stable, appropriate affect, mildly anxious, not currently on any antipsychotics. per pcp, has tried abilify in the past, which did not help his psychiatric state but did result in insulin resistance and increased his weight. abilify was stopped. patient's psychiatric provider also and reported that patient was non-compliant with his psychiatric regimen. . #nash: the patient's outside providers are concerned about cirrhosis, given elevated inr and thrombocytopenia. the patient has not had the appropriate work-up and does not currently have a transaminitis. hepatitis serologies were negative. . #depression: continued on home celexa. psychiatry recc discontinuing the benzodiazepine (clonazepam). medications on admission: atenolol - 25 mg tablet - 1 tablet(s) by mouth daily citalopram - 40 mg tablet - 1 tablet(s) by mouth once a day clonazepam - (prescribed by other provider) - 1 mg tablet - 1.5 tablet(s) by mouth twice a day as needed for anxiety fluticasone - 50 mcg spray, suspension - 2 sprays each nostril once a day glipizide - 5 mg tablet - 1 tablet(s) by mouth daily omeprazole - 40 mg capsule, delayed release(e.c.) - 1 capsule(s) by mouth daily pioglitazone - 45 mg tablet - 1 tablet(s) by mouth daily simvastatin - 10 mg tablet - 1 tablet(s) by mouth once a day medications - otc acetaminophen - (otc) - 325 mg tablet - tablet(s) by mouth every six (6) hours as needed for pain aspirin - 81 mg tablet, delayed release (e.c.) - 1 tablet(s) by mouth once a day blood sugar diagnostic - strip - use as directed for daily home glucose testing docusate sodium - 250 mg capsule - 1 capsule(s) by mouth twice a day lancets - misc - use as directed for blood sugar monitoring up to once to twice daily as needed one touch ultra system - kit - for twice a day home glucose testing simethicone - 80 mg tablet, chewable - 1 tablet(s) by mouth three times a day as needed for gastric discomfort simethicone - 180 mg capsule - 1 capsule(s) by mouth twice a day discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. simethicone 80 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day) as needed for abd discomfort. 6. citalopram 40 mg tablet sig: one (1) tablet po once a day. 7. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*2* 9. clonazepam 1 mg tablet sig: 1.5 tablets po twice a day as needed for anxiety. 10. fluticasone 50 mcg/actuation spray, suspension sig: two (2) sprays nasal once a day. 11. glipizide 5 mg tablet extended rel 24 hr sig: one (1) tablet extended rel 24 hr po once a day. 12. tylenol 325 mg tablet sig: 1-2 tablets po four times a day as needed for pain. 13. docusate sodium 250 mg capsule sig: one (1) capsule po twice a day. discharge disposition: home with service facility: homecare discharge diagnosis: st elevation myocardial infarction diabetes mellitus chronic kidney disease hypertension discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you had a heart attack that was caused by blockages in your coronary arteries. one of the arteries was cleared and opened with 3 drug eluting stents. the other 2 arteries still have blockages and we have recommended bypass surgery for this. a family meeting has been held and it was decided you would go home today and return for the surgery. . medication changes: 1. stop taking atenolol, omeprazole, and pioglitazone (actos) 2. start taking aspirin (increase to 325mg) and plavix 75 mg every day for at least one year. do not stop taking plavix and aspirin together or miss unless dr. tells you to. this is extremely important to prevent another heart attack. 3. start taking metoprolol succinate to control your heart rate 4. start taking ranitidine to prevent heartburn 5. start taking lisinopril to lower your blood pressure 6. increase the simvastatin to 40 mg daily followup instructions: department: when: friday at 2:10 pm with: , md building: sc clinical ctr campus: east best parking: garage . department: cardiac services when: friday at 9:00 am with: , m.d. building: campus: east best parking: garage please call dr. office after you get home to schedule a date for surgery procedure: 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) excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel insertion of three vascular stents diagnoses: thrombocytopenia, unspecified subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acquired coagulation factor deficiency hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified other and unspecified hyperlipidemia other constipation syncope and collapse other chronic nonalcoholic liver disease paranoid type schizophrenia, unspecified 

Answer: The patient is high likely exposed to