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: history of present illness: the patient is a 58-year-old white male with a history of coronary artery disease (status post recent percutaneous coronary intervention on with placement of two sirius moving stents in the mid left anterior descending artery) who presented with 10/10 substernal chest pain. the patient was sitting down this morning when he had the sudden onset of crushing chest pain. he took sublingual nitroglycerin times three without relief of the chest pain. he came to the hospital with electrocardiogram changes (specifically anterior t wave peaking) and was referred for catheterization. the patient was found to have a total occlusion of his mid left anterior descending artery and 90% stenosis of the second obtuse marginal. the mid left anterior descending artery stenosis was in the region of the recently placed stents. integrilin was initiated. angio-jet catheter was advanced to the distal which appeared to have a large dissection. two overlapping stents were placed in the mid left anterior descending artery. angiography demonstrated no residual stenosis or evidence of dissection. the patient was pain free after catheterization. the second obtuse marginal with the 90% lesion was noted to be stable from the prior catheterization. the left circumflex was patent. a right heart catheterization was not performed. the patient was currently without chest pain. he denied palpitations or shortness of breath and was resting comfortably. past medical history: 1. multiple percutaneous coronary interventions (15); (a) in mid left anterior descending artery stenting. (b) in - second obtuse marginal placed. (c) in - second obtuse marginal placed and proximal circumflex hepakote placed. (d) in - diagonal percutaneous transluminal coronary angioplasty. (e) in - diagonal rotablation and brachy therapy. (f) in - mid left anterior descending artery . (g) on - mid left anterior descending artery times two. 2. rheumatoid arthritis. 3. anemia. 4. coronary artery disease. 5. hypertension. 6. hypercholesterolemia. 7. type 2 diabetes. allergies: the patient has allergies to morphine. medications on admission: 1. aspirin 325 mg by mouth once per day. 2. plavix 75 mg by mouth every day. 3. atenolol 50 mg by mouth once per day 4. lisinopril 5 mg by mouth once per day. 5. hydroquinone 200 mg by mouth twice per day. 6. lipitor 20 mg by mouth once per day. 7. sulfasalazine 500 mg by mouth twice per day. 8. protonix 40 mg by mouth once per day. 9. vitamin e 400 units by mouth every day. 10. iron supplements 325 mg by mouth every day. 11. cardizem 120 mg by mouth once per day. 12. prednisone 7 mg by mouth once per day. 13. caltrate 600 mg by mouth once per day. 14. celebrex 200 mg by mouth twice per day. social history: the patient quit smoking approximately 20 years ago. no recent alcohol use. family history: family history is positive for coronary artery disease. hospital course: the patient was started on aspirin, lisinopril, pravachol, atenolol, plavix, and heparin status post catheterization. the patient denied any further chest pain. there was concern for hypercoagulability in the setting of in- thrombosis as evidenced on cardiac catheterization; however, a workup revealed normal levels of protein c and protein s. homocystine was within normal limits. the patient was noted to have a left femoral hematoma and left femoral bruit status post catheterization. the distal pulses remained intact. an ultrasound was performed showing evidence of an arteriovenous fistula in the left groin without pseudoaneurysm. the patient was seen by vascular surgery who advised to continue monitoring bruit and distal pulses. vascular surgery advised that surgery was not indicated at this time. the patient had an echocardiogram performed which revealed an ejection fraction of 25% to 30%. no left ventricular masses or thrombi were evident. however, left ventricular wall motion with evidence of dyskinesia and akinesia. the thought was to anticoagulate the patient; however, there was concern for a bleed in the setting of femoral hematoma and bruit. the patient's hematocrit decreased to 26. he was transfused 2 units of packed red blood cells with an evaluation of hematocrit to 30.6. the patient was transferred to the floor on . the patient was noted to have episodes of hypotension with blood pressures of 80s/40s. the patient remained asymptomatic. he denied any chest pain or shortness of breath. the patient was started on intravenous fluids and moved back to the coronary care unit for his episodes of hypotension. the patient continued to receive intravenous fluids. the concern was that the patient had been taking prednisone for the past 10 years and had recently self-weaned himself from steroids. however, in the setting of hypotension and decreased a.m. cortisol, concern for adrenal insufficiency, the patient received 4 mg of decadron with minor improvement in his blood pressure. a cosyntropin stimulation test was performed showing resultant cortisol of 22.6 after stimulation. therefore, the patient was likely to have secondary adrenal dysfunction. the patient was reinitiated on prednisone 20 mg and was to receive a slow taper. on discharge, the patient's hematocrit was 31.3. blood urea nitrogen was 16 and creatinine was 1.2. the patient was without any further chest pain. the electrocardiogram changes had resolved. the patient's femoral hematoma was resolving, and his blood pressures were stable. condition at discharge: condition on discharge was stable. primary discharge diagnoses: 1. anterior myocardial infarction. 2. status post percutaneous coronary intervention of the mid left anterior descending artery. 3. hypertension. 4. hypercholesterolemia. 5. coronary artery disease. 6. diabetes. 7. rheumatoid arthritis. 8. anemia. medications on discharge: 1. pravastatin 20 mg by mouth once per day. 2. sulfasalazine 500 mg by mouth twice per day. 3. iron supplements 325 mg by mouth once per day. 4. vitamin e 400 units by mouth once per day. 5. plavix 75 mg by mouth every day (times three months). 6. coumadin 5 mg by mouth q.h.s. 7. folic acid 1 mg by mouth once per day 8. aspirin 81 mg by mouth once per day. 9. lisinopril 5 mg by mouth once per day. 10. metoprolol 12.5 mg by mouth twice per day. 11. prednisone 20 mg by mouth times three days; then 10 mg by mouth times seven days; then 5 mg by mouth times two weeks; then stop. discharge instructions/followup: 1. the patient was requested to schedule a follow-up appointment with dr. one month from discharge. 2. the patient was also asked to a schedule an ultrasound to evaluate left groin arteriovenous fistula prior to appointment with dr. . 3. the patient was also to see dr. at for inr checks while on coumadin. , m.d. dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters injection or infusion of platelet inhibitor left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute myocardial infarction of other anterior wall, initial episode of care hematoma complicating a procedure other complications due to other cardiac device, implant, and graft acute systolic heart failure persistent postoperative fistula 

Answer: The patient is high likely exposed to