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 discomfort major surgical or invasive procedure: 1. cardiac catheterization history of present illness: mr. is a 56 yo smoker and recovering alcoholic who presented to the ed with chest discomfort. he felt well until returning home from dinner. while watching tv, he developed l sided chest "tightness" that was in intensity, nonradiating, constant, and not pleuritic or positional in quality. he initially ascribed the sensation to "indigestion." he did not have any associated dyspnea, lightheadedness/dizziness, palpitations, diaphoresis. he did subsequently have nausea without vomiting. after the chest discomfort persisted for approximately 20 minutes, he called ems and was brought to the ed. . he has had very infrequent similar episodes of left chest discomfort in the past (a few times a year) that were less intense and not activity-related. he does not regularly use aspirin. . in the ed, his initial vital signs were pulse of 83, blood pressure 140/80, respiratory rate 14, oxygen saturation 98% on room air. his ekg revealed st-segment elevations in leads ii, iii and avf inferiorly and v4-6 anterolaterally with depressions in i, avl, v1-v3. he was administered aspirin 325 mg po, clopidogrel 600 mg po, heparin and eptifibatide intravenously and transferred emergently to the cath lab. angiography revealed a mid-rca lesion. he had 2 bare metal stents implanted. . on review of symptoms, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. he denies recent fevers, chills or rigors. he denies exertional buttock or calf pain. all of the other review of systems were negative. . cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: former alcoholic, no drinks in 12 years social history: social history is significant for approximately 20 pack year history of tobacco use. he is a former alcoholic, with no drinks in 12 years. family history: his father had a stroke in his 80's. physical exam: ccu exam t afebrile p 89 bp 122/77 rr 18 o2 98% on ra general: lying in bed, no acute distress heent: no jvd pulm: lungs clear anteriorly without rales or wheezes cv: regular rate s1 s2 no m/r/g abd: soft, nontender, +bs groin: sheath in place l side, no active bleeding extrem: warm, well perfused, no edema 2+ distal pulses neuro: alert and interactive pertinent results: 09:50pm wbc-10.2 rbc-4.58* hgb-15.0 hct-43.1 mcv-94 mch-32.6* mchc-34.7 rdw-13.8 09:50pm plt count-232 09:50pm neuts-67.3 lymphs-25.9 monos-4.2 eos-1.6 basos-1.0 09:50pm pt-10.7 ptt-24.2 inr(pt)-0.9 09:50pm albumin-4.3 calcium-9.3 phosphate-4.1 magnesium-2.2 09:50pm ck-mb-7 09:50pm ctropnt-<0.01 09:50pm alt(sgpt)-10 ck(cpk)-194* alk phos-82 amylase-43 tot bili-0.2 09:50pm lipase-31 09:50pm glucose-134* urea n-20 creat-1.0 sodium-140 potassium-3.8 chloride-103 total co2-26 anion gap-15 11:53pm ck(cpk)-2112* 11:53pm ck-mb-144* mb indx-6.8* ctropnt-3.90* ck 2564, ckmb 162, mbindex 6.3, tropn 8.82 (peak values . tchol 165, hdl 51, tg 82, ldlcalculated 98. hba1c 5.7 . ekg demonstrated sinus rhythm at ~66 bpm, normal axis, normal intervals, no laa, no raa, no lvh, no rvh, st-segment elevations in ii/iii and avf inferiorly (iii>ii) and v4-v6 anterolaterally with depressions in i avl and v1-v3, normal rwp. . cardiac cath 1. coronary angiography in this right dominant system demostrated one vessel disease. the lmca had a distal 40% stenosis. the lad was calcified with a 50% ostial stenosis of the d1. the lcx had mild luminal irregularities. the rca had a mid vessel 70% stenosis and distal total occlusion with moderate calcification. 2. resting hemodynamics revealed elevated right and elevated left sided filling pressures with rvedp of 27 mmhg and mean pcw of 31 mmhg.there was moderate pulmonary arterial systolic hypertension with pasp of 40 mmhg. the cardiac index was depressed at 1.8 l/min/m2. there was moderate systemic arterial systolic hypertension with sbp of 170 mmhg. 3. left ventriculography was not performed. 4. successful ptca and stenting of the distal rca with a minivision (3.5x18 mm) bare metal stent. final angiography demonstrated no residual stenosis, no angiographically apparent dissection and timi iii flow throughout. 5. successful stenting of the proximal rca with a minivision (3.5x12mm) bare metal stent. final angiography demonstrated no residual stenosis, no angiographically apparent dissection and timi iii flow throughout. final diagnosis: 1. one vessel coronary artery disease. 2. moderate pulmonary arterial systolic hypertension. 3. successful pci of the proximal and distal rca with bare metal stents. . tte the left atrium is normal in size. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is mild regional left ventricular systolic dysfunction with focal hypokinesis of the basal half of the inferior wall. the remaining segments contract normally (lvef = 45-50 %). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are structurally normal. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. there is borderline pulmonary artery systolic hypertension. there is an anterior fat pad. impression: mild symmetric left ventricular hypertrophy with regional systolic dysfunction c/w cad. mild mitral regurgitation most likely due to papillary muscle dysfunction. brief hospital course: 1. stemi - the patient experienced a strong vagal reaction after his left groin sheath was pulled, necessitating ivfs and dopamine briefly for blood pressure support. he had no further significant hemodynamic instability. he did have persistent bradycardia in 40's and 50's (sinus with occasional junctional escape with hr in 40's at night) that was asymptomatic. moreover, his heart rate improved during the daytime with ambulation. he did have nsvt on telemetry >48 hours post-mi, with some symptomatic palpitations, so was started on carvedilol with resolution of palpitations and significantly less ectopy on telemetry by the day of discharge. he will continue on aspirin, plavix, high dose statin, carvedilol, and an ace inhibitor as well as nicotine patches. given his nsvt, he will undergo outpatient monitoring with of hearts monitor. he will follow up in cardiology clinic in two weeks. a followup echocardiogram in 4 weeks is recommended to reassess his cardiac pump function. he also should undergo an exercise stress test in 4 weeks time, as cardiac catheterization also showed distal 40% lmca and 40% diagonal ostial lesions in addition to his rca stenosis. his lipid panel should be repeated as an outpatient. medications on admission: chondroitin discharge medications: 1. aspirin ec 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 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. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. nicotine 21 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily) for 3 days. disp:*3 patch 24 hr(s)* refills:*0* 5. nicotine 14 mg/24 hr patch 24 hr sig: one (1) patch transdermal once a day for 14 days: start after completing 21mg patch. disp:*14 patches* refills:*0* 6. nicotine 7 mg/24 hr patch 24 hr sig: one (1) patch transdermal once a day for 14 days: start after completing 14mg patches. disp:*14 patches* refills:*0* 7. carvedilol 6.25 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 8. nicotine (polacrilex) 2 mg lozenge sig: one (1) lozenge mucous membrane q4h (every 4 hours) as needed. disp:*50 lozenge(s)* refills:*3* 9. lisinopril 2.5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: 1. acute myocardial infarction discharge condition: good, free of chest discomfort or recent significant arrhythmia on telemetry discharge instructions: you came in to the hospital with chest discomfort. your symptoms were due to a heart attack. you had a stent placed in your right coronary artery. following the heart attack you had episodes of an irregular heartbeat (non-sustained ventricular tachycardia) that improved with medicines. you will need a heart monitor ( of heart monitor) to evaluate your heart rhythm once you leave the hospital. it is very important that you continue to take your aspirin and plavix every day as directed. please do not stop taking aspirin or plavix without consulting your cardiologist. please keep your follow up cardiology and primary care appointments. in the hospital, you were started on a nicotine patch, and we strongly encourage you to abstain from smoking. if you need help with the quitting process, please talk to your primary care doctor. please call your doctor and seek medical attention at once if you develop: ** chest discomfort, shortness of breath, lightheadedness or dizziness, blood in your stools, black stools or other bleeding problems, or any other symptoms that worry you followup instructions: please follow up with dr. at 2:20pm ( 7, ) from cardiology. we recommend that you have an exercise stress test and repeat echocardiogram in one month. please follow up with your primary care physician, . tuesday at 2:30pm. you started lisinopril, a medicine to protect your heart, in the hospital. please have your potassium and kidney function tests (bun and creatinine) measured in the next week. procedure: insertion of non-drug-eluting coronary artery stent(s) left heart cardiac catheterization coronary arteriography using a single catheter angiocardiography of right heart structures transposition of cranial and peripheral nerves insertion of two vascular stents excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery paroxysmal ventricular tachycardia other and unspecified hyperlipidemia acute myocardial infarction of inferoposterior wall, initial episode of care 

Answer: The patient is high likely exposed to