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: no known allergies / adverse drug reactions attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization with bare metal stents x2 to the left anterior descending artery and balloon procedure to the diagonal. history of present illness: mr. is an 85yom with a h/o cad, hld, and bladder cancer who is s/p cardiac cath last week showing 40% lad and 40% di who is now transferred from after an episode of substernal chest pain and ekg e/o anterior stemi. patient was admitted to after an episode of substernal chest pain and elevated troponin at osh of 0.54. he had a cardiac cath which showed 40% lad and 40% di. he was discharged with medical management (asa and atorvastatin). today at 8am developed substernal chest pain, called ems and was brought to , where ekg was c/f anterior stemi. he was transferred to and went to cardiac cath. he received 81 mg asa, 600mg plavix, 80mg lipitor, 3 sublinguals and 6 mg morphine. also received 4000 bolus of heparin followed by 840 units hr gtt. given 1 liter ns for bp running in the 90s' still with pain. currently, he reports 1/10 chest pain, much improved since cath. on review of systems, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, cough, hemoptysis, black stools or red stools. he denies recent fevers, chills or rigors. all of the other review of systems were negative. . cardiac review of systems is notable for absence of paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: 1. cardiac risk factors: +dyslipidemia 2. cardiac history: -percutaneous coronary interventions: -s/p cath : mid lad 40% lesion with an ostial d1 40% lesion, unchanged from elective cath in -s/p cath : mid lad 40% lesion with an ostial d1 40% lesion 3. other past medical history: - h/o bladder cancer, currently treated with chemo and radiation, in mid-cycle, s/p cystoscopic surgery - h/o herniated disc - s/p appendectomy - arthritis - s/p right rotator cuff surgery social history: -tobacco history: quit 28 y/a, smoked 1 ppd x 40 years -etoh: used to drink about drinks/day, stopped drinking one month ago when diagnosed with bladder cancer -illicit drugs: denies -ambulates independently, lives with wife who had a stroke three years ago family history: no family history of mi, stroke, congestive heart failure. father had stomach cancer physical exam: admission exam: vs: t=95.6 bp=124/55 hr=77 rr=15 o2 sat= 94% general: 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: no jvd cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal 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. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: +r femoral bruit (site of previous cath). no c/c/e. back: l flank ecchymoses, firm, non-tender, with six inch abrasion pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ . discharge exam: exam largely unchanged. afebrile, hemodynamically stable. cath sites without hematomas or bruits bilaterally. pertinent results: pertinent labs 06:20pm urea n-19 creat-0.7 sodium-139 potassium-3.7 chloride-105 06:20pm ck(cpk)-3853* 06:20pm ck-mb-210* mb indx-5.5 ctropnt-8.74* 06:20pm hct-28.3*# 06:20pm plt count-173 11:42am type-art o2-100 o2 flow-2 po2-184* pco2-38 ph-7.35 total co2-22 base xs--3 aado2-503 req o2-83 intubated-not intuba 05:14am ck-mb-14* mb indx-2.0 ctropnt-3.82* . studies ecg: study date of 8:18:16 am sinus rhythm. right bundle-branch block. non-specific st-t wave changes. compared to the previous tracing of there is no significant change . cardiac cath reports: 1. single vessel disease. proximal lad 40% stenosis, with ostial diagonal branch 40% disease. timi 3 flow. no significant stenosis. 2. findings compare with cardiac cath performed in in . essentially unchanged. . 1. limited coronary angiography in this right dominant system for stemi demonstrated total occlusion of the lad and d1. the lmca was patent. the lad had proximal calcification and diffuse 50-60% disease followed by a total occlusion. d1 also had 100% occlusion at its origin. the lcx had mild luminal irregularities but was otherwise patent. the rca was not injected due to recent angiography 7 days prior. 2. limited resting hemodynamics revealed mildly elevated systemic arterial systolic hypertension with an sbp of 131 mmhg. . echocardiogram : the left atrium is moderately dilated. left ventricular wall thicknesses and cavity size are normal. there is mild regional left ventricular systolic dysfunction with akinesis of the mid- and distal anterior, septal segments and apex. the remaining segments exhibit compensatory hyperkinesis and the overall lvef is only mildly reduced at 40%. right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. the estimated pulmonary artery systolic pressure is normal. there is a trivial/physiologic pericardial effusion. ct abdomen/pelvis w/o contrast : 1. no retroperitoneal bleeding/hematoma. 2. extensive fat stranding in the soft tissues of the left groin extending along the external iliac artery and vein without discrete hematoma. 3. cholelithiasis with no evidence of cholecystitis. 4. diverticulosis of the sigmoid colon with no diverticulitis. 5. trace amount of bilateral pleural effusion. brief hospital course: primary reason for admission mr. is an 85 y.o. man with a h/o known cad, hld, and bladder cancer who presented with chest pain and was found to have an anterior stemi with cardiac catheterization showed complete occlusion of the proximal lad. pt is now s/p placement of bare metal sents x 2 to the proximal lad. . active issues # anterior stemi: patient presented to after an episode of substernal chest pain. ekg at showed an anterior stemi and he was transferred to where he underwent cardiac catheterization which showed a complete occlusion of the proximal lad. two bare metal stent were placed with good restoration of flow.he was placed on an integrelin drip for 18 hr post cath. the patient was continued on aspirin, and atorvastatin. he was also started on plavix. patient was initially hypotensive, and so home antihypertensives were held, however, at the time of discharge his bp was stable on lisinopril 2.5mg daily and metoprolol 12.5 mg . cardiac enzymes trended down to 2100, peaking at 3853. echo hd # 1 showed mild regional left ventricular systolic dysfunction with akinesis of the mid- and distal anterior, septal segments and apex. overall lvef is only mildly reduced at 40%. given apical akinesis, coumadin was considered but ultimately not given due to his high risk of bleeding complication with triple anticoagulation therapy and his recent falls. # r femoral bruit: of note, the patient had a right femoral bruit at the site of his catheterization from . arterial doppler did not show any evidence of an avm, fistula or aneurysm. bruit was no longer audible at the time of discharge. . #anemia: patient reported a fall the day of his cardiac event in which he fell into . on physical exam on hd1, patient had ecchymosis on bilateral posterior hips without complaints of tenderness. his hematocrit dropped from 42.0 prior to admission to 28.3 and then 25.9. patient was hemodynamically stable and asymptomatic. he was transfused 1u prbc and his hematocrit responded to 29. ct abdomen showed no retroperitoneal bleed or hematoma. his hct remained stable and on discharge was 30.7. # hld: patient was continued on high dose atorvastatin during admission and will continue this medication after discharge. # bladder cancer: stable. pt receiving chemo/radiation for localized bladder cancer at osh. chronic issues # h/o herniated disc: his home dose oxycodone was continued as needed for back pain. transitional issues -patient maintained full code status throughout hospitalization. -he will need to follow up with his cardiologist and oncologist. -he should continue asa 325mg daily indefinitely, and clopidogrel 75mg daily for at least one year for his bms -he should continue atorvastatin, lisinopril, and metoprolol for post-stemi -pt/ot recommended discharge to rehab. medications on admission: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. atorvastatin 80 mg tablet sig: one (1) tablet po once a day. 3. oxycodone 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 4. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) sublingual prn for chest pain as needed for chest pain: if you take three and chest pain still has not resolved, please md. 5. prochlorperazine maleate 10 mg tablet sig: one (1) tablet po q6h prn as needed for nausea. discharge medications: 1. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 2. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet sublingual as directed. 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 4. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 5. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 6. oxycodone 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 7. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 8. metoprolol succinate 25 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po daily (daily). 9. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). discharge disposition: extended care facility: house rehab & nursing center - discharge diagnosis: st elevation myocardial infarction bladder cancer dyslipidemia acute sytolic dysfunction discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you had a heart attack and needed to have stents placed in your heart arteries to keep the arteries open. you have done well since the heart attack and your heart seems to be functioning well. you will need to take clopidogrel (plavix) and aspirin for at least one month and possibly longer. do not miss or stop taking clopidogrel or aspirin unless dr. . tells you to. you risk having another heart attack if you do because the stent may clot off. please weigh yourself every day and call dr. if you notice your weight increases more than 3 pounds in 1 day or 5 pounds in 3 days. . we made the following changes to your medicines: 1. start aspirin 325 mg and clopidogrel 75 mg daily to keep the stents open 2. start metoprolol to lower your heart rate and help prevent another heart attack 3. start lisinopril to lower your blood pressure and help your heart recover 4. start tylenol to use for the pain in your back 5. start famotidine to protect your stomach from irritation followup instructions: cardiology appointment: wednesday, at 1:30pm with: , md location: internal medicine associates address: , , , phone: hematology/oncology appointment: , at 12pm with: , md location: hematology oncology address: , , phone: procedure: insertion of non-drug-eluting coronary artery stent(s) injection or infusion of platelet inhibitor left heart cardiac catheterization coronary arteriography using a single catheter transposition of cranial and peripheral nerves insertion of two vascular stents excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on two vessels diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery acute myocardial infarction of other anterior wall, initial episode of care unspecified fall personal history of tobacco use other and unspecified hyperlipidemia hypotension, unspecified long-term (current) use of other medications personal history of irradiation, presenting hazards to health home accidents chronic total occlusion of coronary artery malignant neoplasm of bladder, part unspecified contusion of abdominal wall 

Answer: The patient is high likely exposed to