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: stemi major surgical or invasive procedure: cardiac catheterization with bare metal stent to left anterior descending artery. history of present illness: 80-year-old male with history of hypertension, tia, etoh abuse presents from orthopedics preop for hip surgery with ekg changes concerning stemi. . the patient was in his usual state of health until a couple weeks prior to presentation. at that time he had intermittent "fleeting" upper chest burning, which radiation to the jaw, worse with exertion and quickly improved with rest. over the last 2 days the patient states the burning discofort has gotten worse. he attributed the pain to "heartburn" although denies prior symptoms of gerd and there was no relationship to eating. he took prilosec without relief. he also notes fatigue and insomnia. he denies nausea, vomiting, diaphoresis, or sob. he also notes some left scapular pain "twinges" associated with movement during these episodes. . in the ed a code stemi was called. the patient was given 600mg po plavix, heparin bolus and gtt, aspirin and atorvastatin. in the cath lab they found a chronically occluded rca, mid-lad lesion treated with bms, lcx with moderate disease. the patient was admitted to the ccu. . on review of systems: (-) chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope, presyncope, stroke, dvt, pe, myalgias, cough, hemoptysis, melena, hematochezia, fevers, chills. (+) tia, oa past medical history: 1. hypertension 2. tia - 22 years prior - slurred speech 3. bladder ca - s/p turp 4. renal mass - stable cyst 5. depression - 22 years, since wife died 6. macular degeneration 7. etoh abuse, distant past 8. xanax abuse, distant past 9. osteoarthritis - l hip pain, secondary to car accident 21 years ago . social history: lives alone, oldest daughter lives downstairs. formerly worked as mechanic for . -tobacco history: 50 pack year history, quit 30 days ago -etoh: denies, history of heavy drinking, last drink 10 years ago -illicit drugs: xanax abuse family history: mother: deceased liver cancer father: deceased mi - age - 60-years-old brother: deceased renal cell carcinoma children: x3, healthy physical exam: vs: t= 98.3...bp=142/77...hr=100...rr=15-25...o2 sat=100% on 3l general: wdwn in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of 10 cm. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, soft s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. anterior and axillary lung fields were ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. nml bs. extremities: no c/c/e. r fem insertion site without hematoma, minimal ecchymosis. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: 2+ popliteal 2+ dp 2+ pt 2+ left: popliteal 2+ dp 2+ pt 2+ neuro: cn ii-xii intact, motor/sensation grossly intact. discharge exam unchanged. pertinent results: cardiac catherization: 1. selective coronary angiography in this right dominant system demonstrated three vessel coronary artery disease. the lad was diffusely disease proximally wiht a 40% stenosis. the mid lad was 100% occluded just following a large first diagonal branch. the lcx had a 60% mid vessel and an 80% distal vessel stenosis. the rca had a 100% proximal stenosis and filled distally via left to right collaterals. 2. limited resting hemodynamics revealed mildly elevated left sided filling pressure wiht pcwp 21 mmhg and mild pulmonary systolic arterial hypertension pasp 38 mmhg. the cardiac index was mildly depressed at 2.0 l/min/m2. 3. left ventriculography was deferred. 4. successful pci of the mid-lad with a 2.5x18mm vision bare metal stent. 5. successful closure of the right femoral arteriotomy site with a perclose device. final diagnosis: 1. three vessel coronary artery disease. 2. mild pulmonary hypertension. 3. successful pci of the lad with bms. echo: the left atrium is normal in size. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is moderate regional left ventricular systolic dysfunction with focal hypokinesis to akinesis of the mid to distal septum, anterior wall, apex, and distal inferior wall. the remaining segments contract normally (lvef = 35-40 %). no masses or thrombi are seen in the left ventricle. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild to moderate (+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. impression: regional left ventricular systolic dysfunction c/w lad myocardial infarction. mild to moderate mitral regurgitation. compared with the prior study (images reviewed) of , regional ventricular dysfunction is new. estimated pulmonary artery pressures are lower. brief hospital course: 80-year-old male with history of hypertension, tia, etoh abuse presents with stemi s/p bms to mid-lad. . # stemi: the patient presented with diffuse coronary artery disease including a total occlusion of rca, which appeared chronic in nature, mid-lad lesion and diffuse lcx disease. the patient had a bms placed in mid-lad lesion without complications. ce were elevated with a ck 629, mb 44, tropt 2.40. peak ck was 629, peak troponin was 4.47. new wall motion abnormality consistent with lad disease, ef to 35%. a1c was normal. lipid panel with ldl 91. the patient was started on plavix, aspirin, atorvastatin, metoprolol and lisinopril. due to apical akinesis found on the echo, the patient was also started on coumadin with a lovenox bridge. . # hypertension: the patient's norvasc and doxazosin were discontinued. . # xanax abuse/distant etoh abuse: the patient was placed on a ciwa scale with valium as needed. he did not require any benzodiazepine coverage while in house. . # osteoarthritis: the patient had joint pain from osteoarthritis. he is being evaluated by orthopedics for surgery as outpatient. he was given morphine on arrival to the floor for pain control. this was changed to oxycodone as per his home regimen. medications on admission: 1. aspirin 81 mg tablet po daily 2. lasix 20 mg po daily(no swollen legs, sob, chf, per patient due to difficult to control blood pressure) 3. lisinopril 10 mg po bid 4. amlodipine 2.5 mg daily 5. oxycodone 10mg po q6h prn pain 6. ibuprofen unknown dose prn pain 7. remeron 45 mg q hs 8. flexaril 5mg 1-2 tabs at hs 9. trazadone 50 mg 1-2 tabs at hs 10. doxazosin 1mg at hs discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 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. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. metoprolol succinate 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* 6. enoxaparin 80 mg/0.8 ml syringe sig: one (1) syringe subcutaneous q12h (every 12 hours). disp:*8 syringe* refills:*2* 7. outpatient lab work please check inr on saturday and call results to pager # 8. warfarin 2.5 mg tablet sig: two (2) tablet po once a day: take at 4pm. disp:*60 tablet(s)* refills:*2* 9. oxycodone 5 mg tablet sig: 1-2 tablets po every six (6) hours as needed for pain. disp:*30 tablet(s)* refills:*0* 10. furosemide 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 11. flexeril 5 mg tablet sig: 1-2 tablets po at bedtime. 12. trazodone 50 mg tablet sig: 1-2 tablets po at bedtime. discharge disposition: home with service facility: homecare discharge diagnosis: st elevation myocardial infarction acute systolic dysfunction ef 35% hypertension left hip osteoarthritis discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - independent discharge instructions: you had a heart attack that was caused by a blockage in the left anterior descending artery. this blockage was fixed and a bare metal stent was placed to prevent the artery from clotting off again. you will need to take plavix every day for at least one month. do not miss or stop taking plavix unless dr. tells you to. you will also need to start warfarin (coumadin) because your heart function is now weak and you are at risk for blood clots and strokes. you will take a lovenox injection every day until your coumadin level is therapeutic. because your heart function is weak, you will need to watch for fluid retention. weigh yourself every morning, md if weight goes up more than 3 lbs in 1 day or 6 pounds in 3 days. . medication changes: 1. stop taking norvasc and doxazosin 2. increase aspirin to 325 mg 3. start taking atrovastatin (lipitor) to lower your cholesterol 4. start taking clopidogrel (plavix) to keep the stent open 5. decrease lisinopril to 2.5 mg daily 6. start taking warfarin (coumadin) to prevent blood clots. you will need to check your coumadin level (inr) frequently. 7. start metoprolol to prevent another heart attack and lower your heart rate. 8. start taking lovenox to prevent blood clots until the warfarin starts to work. you can stop taking this when your inr is > 2.0. followup instructions: primary care: , a. phone: date/time: wednesday at 9:00am. . cardiology: phone: date/time: . mark phone: date/time: at 4:40pm at site procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor angiocardiography of right heart structures 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 congestive heart failure, unspecified unspecified essential hypertension other chronic pulmonary heart diseases depressive disorder, not elsewhere classified acute myocardial infarction of anterolateral wall, initial episode of care personal history of malignant neoplasm of bladder personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits acute combined systolic and diastolic heart failure osteoarthrosis, localized, not specified whether primary or secondary, pelvic region and thigh chronic total occlusion of coronary artery 

Answer: The patient is high likely exposed to