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: chest pain major surgical or invasive procedure: cardiac catheterization with cypher stents to proximal ramus, mid rca history of present illness: patient is a 64 yo m with cad s/p mi in , ', ' with stenting to his rca in ', ' and to his lad in , 2 vessel cad per cath in , as well as well controlled dm2, htn, hyperlipidemia who presents with chest pain. pt was in his usoh until this am doing yard work. the patient experienced sscp with extreme diaphoresis and mild nausea, similar to his previous heart attacks. the pain did not radiate. the pain was initially unrelieved by sl nitro x4. the pain resolved by the time the emts arrived, but returned in the ambulance. . in the ed, ekg demonstrated 2mm st elevations in ii, iii, avf as well as in v3-v6. pt was given asa, plavix, heparin gtt, integrillin gtt, nitro/morphine and taken to the cath lab urgently. . in the cath lab, the patient was found to have 40% mid lad stenosis, 90% ostial, 40% mid in-stent mild rca stenosis. cypher stent was placed to ostial rca requiring rotoblation with satisfactory result. patient was also found to have elevated pa, pcwp and was given lasix 20mg iv. . on arrival to the ccu, the patient did complain of chest pain, much improved from presentation. the patient otherwise felt well and denied any complaints. . on further ros, the patient had been otherwise well. his last episode of chest pain was one month ago while at work, relieved by sl nitro x2. he otherwise denied ha, lightheadedness, f/c, sob, pnd, orthopnea, red/black stool, easy bruising, bleeding, or sudden neurological changes. . cardiac review of systems is notable for 2/10 chest pain, no dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: 1. cad, status post mi in , , and . had a ptca and stenting of his rca in . he had stenting of his distal, middle, and proximal lad in . cathed in (see below) s/p cypher stents to prox ramus, mid rca. exercise mibi in demonstrated good exercise tolerance (9.5 min on ) w/o ischemic changes, and fixed inferior wall defect. 2. dyslipidemia: ldl 66, hdl 47, chol 148 3. hypertension. 4. type 2 diabetes mellitus: hgb a1c 6.4% 5. tinnitus. 6. anxiety. 7. nash (negative hepatitis a, b, and c; negative ). . cardiac risk factors: + diabetes, + dyslipidemia, + hypertension . cardiac history: cabg: n/a . percutaneous coronary intervention, in anatomy as follows: right dominant system. 2 vessel cad with the lmca with mild luminal irregularites. the lad had mild luminal irregularities with no flow limitation and a widely patent previously placed stent. there was a large caliber ramus vessel with a focal 80% stenosis. the lcx had mild luminal irregularities and no flow limitations. the rca had mild diffuse disease with a 40% ostial stenosis followed by a 50% mid stenosis and a 70% distal lesion just after the previously placed stent. ef 50% with mild inferior hypokinesis. . hemodynamic evaluation showed marked elevation of right and left heart filling pressures with a rvedp of 15mmhg and lvedp of 26mmhg. there was evidence of pumonary htn with a pap of 60/22mmhg. the cardiac index was preserved (3.1lt/min/m2). . s/p cypher stents to prox ramus, mid rca social history: patient lives at home with him wife. is a mechanical engineer. he has a 60 pack yr smoking history but quit over 25 yrs ago. he drinks occatinally. he denies recreational drugs. he is very active in his adls family history: positive for mi in his father. mother with end stage renal disease physical exam: vs: t 96.8, bp 130/42, hr 62, rr 11, o2 100% on 3l nc gen: pleasant, well appearing caucasian male in nad. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple with jvp of 10 cm. no bruits appreciated cv: rr, normal s1, s2. no s4, no s3. no m/r/g chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. clear ant/lat with faint bibasilar rales abd: soft, ntnd, no hsm or tenderness. no abdominial bruits. ext: no c/c/e. r groin with mild oozing but no masses or tenderness. ext otherwise warm skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ without bruit; femoral 2+ without bruit; 2+ dp left: carotid 2+ without bruit; femoral 2+ without bruit; 2+ dp pertinent results: ekg (in ccu): nsr at 60bpm, nl axis, 1.5mm st elevations in ii, iii, avf, twi in avl, and resolution of st elevations in v3-v6 2d-echocardiogram performed on demonstrated: mildly dilated left atrium. normal left ventricular wall thicknesses and cavity size. mild regional left ventricular systolic dysfunction with focal severe hypokinesis of the basal half of the inferior wall, remaining lv segments contract normally. normal rv chamber size and free wall motion. mildly thickened aortic valve leaflets without aortic stenosis. no ar. trivial mitral regurgitation is seen. anterior space most likely represents a fat pad. compared with , the inferior wall motion abnormality is more pronounced. cardiac cath performed on demonstrated: right dominant, 40% mid lad stenosis. patent ramus stent. 90% ostial rca stenosis also with 40% mid in-stent restenosis. hemodynamics: pcwp mean 26mmhg, ra mean 15 mmhg, pap 59/22/39 cxr no evidence of congestive heart failure. right lower lobe linear atelectasis most likely due to elevated right hemidiaphragm. 10:45am blood ck(cpk)-147 ck-mb-4 ctropnt-<0.01 10:09pm blood ck(cpk)-814* ck-mb-76* mb indx-9.3 ctropnt-0.85* 02:35am blood ck(cpk)-694* ck-mb-46* mb indx-6.6* 03:31am blood ck(cpk)-909* ck-mb-84* mb indx-9.2* ctropnt-1.03* 03:31am blood alt-50* ast-127* ld(ldh)-353* alkphos-62 totbili-0.8 glucose-276* urean-22* creat-0.9 na-143 k-4.1 cl-109* hco3-20* glucose-152* urean-16 creat-0.9 na-137 k-4.8 cl-102 hco3-28 pt-12.2 ptt-23.6 inr(pt)-1.0 wbc-9.3# rbc-3.95* hgb-12.6* hct-36.1* mcv-91 mch-32.0 mchc-35.0 rdw-12.5 plt ct-246 wbc-8.9 rbc-4.02* hgb-12.6* hct-37.4* mcv-93 mch-31.4 mchc-33.8 rdw-12.9 plt ct-244 brief hospital course: 64 yo m with cad s/p multiple mis, s/p multiple stents to rca, lad, ramus, dm2, htn, hyperlipidemia presents with chest pain and stemi, s/p cardiac cath and further stenting to ostial rca. stemi: pt with known cad with multiple interventions in the past. pt found to have 40% mid lad stenosis, and 90% ostial, 40% mid in-stent mild rca stenosis. ostial rca required rotoblation then cypher stent was placed. the rest of his stents were patent. patient's chest pain resolved. still with residual stes inferiorly. ces peaked at ck = 909. he was treated medically with asa 325mg daily, plavix 75mg daily, beta blocker and acei as tolerated, and high dose statin. he is to continue plavix for at least one year and instructed on the importance of this. he is not to stop this medication without first talking to his cardiologist. pump: echo done post-mi and ef currently depressed at 45% in setting of stemi. he had high pa pressures and pcwp in cath lab and likely ventricular dysfunction. he was diuresed until euvolemic. he was continued on acei. rhythm: patient remained in normal sinus rhythm. . type 2 diabetes: last a1c in 6.4% and relatively controlled blood glucose. continued on aggressive hiss while in house. restarted glucotrol and januvia on discharge. htn: switched outpatient bb (carvedilol) to lopressor and acei (lisinopril) and increased doses as tolerated. held diltiazem. will discharge on metoprolol er 150mg daily and lisinopril 2.5mg daily. would like to increase lisinopril as outpatient if blood pressure can tolerate it. dyslipidemia: per lipid panel in , was adequately controlled on current regimen (tc 148 ldl 66 hdl 47). however, in setting of acute mi, started high-dose crestor (40mg). anxiety: currently stable. contined on lexapro 10mg daily. patient was discharge home in stable condition without complaints of sob, cp, or palpitations. vitals on discharge bp 102/56 hr 75 rr 18 pox 97% on ra. physical exam on discharge revealed moist mucous membranes, heart regular rate and rhythm, lungs clear and extremities warm, without edema. right groin site with minimal ecchymosis without bruit. he was instructed to follow-up with his pcp and his outpatient cardiologist, dr. within one month. medications on admission: coreg 25 mg cartia 120 mg qday, lisinopril 2.5 mg qday aspirin 325 mg qday crestor 10 mg qday januvia 5mg daily glucotrol 2.5mg discharge medications: 1. metoprolol succinate 50 mg tablet sustained release 24 hr sig: three (3) tablet sustained release 24 hr po daily (daily). disp:*90 tablet sustained release 24 hr(s)* refills:*2* 2. 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* 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). 5. glipizide 5 mg tablet sig: 0.5 tablet po bid (2 times a day). 6. escitalopram 10 mg tablet sig: one (1) tablet po daily (daily). 7. januvia oral 8. crestor 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: st elevation myocardial infarction dyslipidemia hypertension diabetes discharge condition: ambulating, afebrile, comfortable on room air discharge instructions: you have been evaluated for your chest pain; you were found to have a heart attack. you had a stent placed in one of the arteries to your heart. you need to take your aspirin and plavix every day. you will be on aspirin therapy for life. you should not discontinue your plavix without discussing with your cardiologist first. you should take it easy for 1-2 weeks. please take your medications as prescribed. please contact your primary physician or return to the emergency room should you develop any of the following symptoms: chest pain, difficulty breathing, pain in your groin, numbness or tingling in either leg, back pain, fever > 101, chills, dizziness or lightheadedness or any other concerns. followup instructions: please contact your primary care physician for an appointment within 1-2 weeks. you can contact dr. at . please follow up with your cardiologist, dr. , within 2-4 weeks. dr. office will contact you with an appointment time. if you have not heard from them by the end of the week, please call to make an appointment. procedure: coronary arteriography using two catheters right heart cardiac catheterization insertion of drug-eluting coronary artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel 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 percutaneous transluminal coronary angioplasty status pulmonary collapse other and unspecified hyperlipidemia anxiety state, unspecified primary pulmonary hypertension acute myocardial infarction of inferolateral wall, initial episode of care 

Answer: The patient is high likely exposed to