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: transfer for stemi major surgical or invasive procedure: caridac catheterizations on and history of present illness: hpi: 69 year old man with a pmh of stemi w/ stents to the lad in presents today after transfer via from where he came this am with chest pain determined via ecg to be an anterior mi. his pain was relieved by nitroglycerin. in the cath lab at , he had a cypher stent placed to the lad where the previous stent had re-stenosed. the right side was also found to be stenotic approx. 90% but this was not stented today. the pt. denies sob, cp, doe, pnd, orthopnea, cough, nausea, vomiting. plan is to return to cath lab in 2 days for stenting of the right sided lesion(s). the patient is now resting comfortably in nad and no cp. past medical history: s/p stemi in with stent to the lad htn s/p broken ribs (l) former alcoholic s/p macular repair alcohol withdrawl syndrome gi bleeding social history: golf course attendant; married; current smoker 1ppd x >30 pack years. 1 glasses of red wine per day (but prior hx of heavy drinking) family history: father had mi age 89 brother with lymphoma sister with leukemia macular degeneration physical exam: vitals- 102/65 56 14 t 99.4 heent- perrl, eomi, mmm cv- rrr, no m/r/g s1, s2, s3 present; 2+ puluses dp, pt, radial, carotid; no carotid bruits. lung- cta bilat. abd- nt, nd, bsna, no hsm, no masses ext- no c/c/e neuro- a and o x 3, cn ii-xii intact pertinent results: 11:16pm potassium-4.2 11:16pm ck(cpk)-803* 11:16pm ck-mb-87* mb indx-10.8* ctropnt-4.38* 11:16pm plt count-135* 01:32pm type-art o2 flow-2 po2-70* pco2-40 ph-7.37 total co2-24 base xs--1 intubated-not intuba 01:32pm glucose-142* k+-3.7 01:32pm hgb-14.1 calchct-42 o2 sat-90 01:30pm glucose-150* urea n-16 creat-1.3* sodium-141 potassium-3.8 chloride-109* total co2-22 anion gap-14 01:30pm alt(sgpt)-22 ast(sgot)-21 ck(cpk)-63 alk phos-88 amylase-94 tot bili-0.4 01:30pm ck-mb-notdone ctropnt-<0.01 01:30pm albumin-3.9 cholest-142 01:30pm %hba1c-5.6 -done -done 01:30pm triglycer-53 hdl chol-54 chol/hdl-2.6 ldl(calc)-77 ldl()-85 01:30pm wbc-14.9*# rbc-4.87# hgb-14.9# hct-43.9# mcv-90 mch-30.6 mchc-34.0 rdw-13.0 01:30pm neuts-84.3* lymphs-12.0* monos-3.4 eos-0.3 basos-0.1 01:30pm plt count-147* 01:30pm pt-14.7* ptt->150* inr(pt)-1.4 brief hospital course: assessment: 69 year old man with a pmh of stemi w/ stents to the lad presents today with stemi requiring stents to lad and plan to re-cath with right sided stents in 2 days. . plan: 1) cad. stemi on ekg done at . enzymes as follows: 1st set (osh), ck 53 trpo <0.04; 2nd set () ck 63 trop <0.01; 3rd set ck 803 mb 87 trop 4.38; 4th set ck 478 mb 50 trop 2.42 . cardiac catheterization revealed the following on : 1. selective coronary angiography of this right dominany system revealed two vessel coronary artery disease. the left main coronary artery was without angiographyically apparent flow limiting stenosis. the left anterior descending coronary artery had stent in the proximal segment. the proximal portion of the stent was patent, but there was a 99% in-stent restenosis in the distal portion of the stent beyond the origin of d1. there was timi i flow beyond the lesion. the left circumflex coronary artery was patent in the proximal, mid, and distal segments. the right coronary artery was the dominant vessel and had a focal 90% stenosis in the proximal segment. the mid and distal rca were without angiographically apparent flow limiting stenoses. 2. right heart catheterization revealed mildly elevated right sided pressures. the pulmonary capillary wedge pressures mean was 20 mmgh. 3. there was a preserved cardiac output and index. 4. successful stent was placed to the lad on with a 3.0 x 23 mm cypher drug-eluting stent . cardiac catheterization revealed the following on : 1. coronary angiography of this right-dominat circulation showed single-vessel cad. the lmca, lad and lcx were free of flow-limiting disease. the lad stent was widely patent. the rca had an 80% proximal and a 30% mid vessel stenosis. 2. resting hemodynamics showed normal central aortic pressures. 3. successful stenting of the rca with a 3.5 mm cypher drug-eluting stent, which was post-dilated to 4.0 mm. final angiography showed no residual stenosis, no dissection and normal flow (see ptca comments). . pt is doing well s/p stent placement to l and r sided lesion. - , , atorvastatin, tirofiban - will restart beta blocker once hr increases a bit - cp free for now. all cardiac enzymes negative. . echo done revealed the following: the left atrium is normal in size. left ventricular wall thicknesses are normal. the left ventricular cavity is mildly dilated. overall left ventricular systolic function is mildly depressed with severe hypokinesis of the mid to distal septum and apex. ef 45%. 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) appear structurally normal with good leaflet excursion and no aortic regurgitation. there is no aortic valve stenosis. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. trivial mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. . 2) decreased k+ - repleated throughout visit for k <4.0. can follow electrolytes with dr. . . 3) pump - ef 45% on (35% in ). hr low in 40s-50s. held beta blocker for low hr on days . restarted day 3. discharged on toprol xl 50mg daily. also added lisinopril at 2.5mg daily. can titrate up at visit with dr. at lgh. . 4) fen - cardiac diet; checked and repleated electrolytes as needed . 5) code status: full code medications on admission: atenolol 25, lipitor 10 daily, norvasc 5 4x/day, 325, vit b1, occuvite 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:*5* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*5* 3. atorvastatin calcium 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*5* 4. multivitamin capsule sig: one (1) cap po daily (daily). disp:*30 cap(s)* refills:*2* 5. b-complex with vitamin c tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. toprol xl 50 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day. disp:*30 tablet sustained release 24hr(s)* refills:*5* 7. lisinopril 2.5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*5* discharge disposition: home discharge diagnosis: stemi with cath and stent placement discharge condition: good discharge instructions: take all meds as prescribed. please call dr. office if any new symptoms arise including chest pain, fevers, shortness of breath, arm or jaw pain, etc. if pain in groin, swelling or bruising persists, please call your physician and seek medical attention immediately. followup instructions: dr. (cardiologist in ) on monday at 2:30pm procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor injection or infusion of platelet inhibitor left heart cardiac catheterization coronary arteriography using a single catheter angiocardiography of right heart structures angiocardiography of right heart structures insertion of drug-eluting coronary artery stent(s) insertion of drug-eluting coronary artery stent(s) diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension other and unspecified alcohol dependence, in remission acute myocardial infarction of other anterior wall, initial episode of care other complications due to other cardiac device, implant, and graft 

Answer: The patient is high likely exposed to