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: fatigue major surgical or invasive procedure: cardiac catheterization and bare metal stent placement to right coronary artery. history of present illness: 70m h/o dm2, hyperlipid, traumatic brain injury, c/b mental retardation, asthma, hypothyroidism, doing well until just before , when noted to have increased non-productive cough, progressively worse until , when pt was started on 9d course of prednisone(60x3d, 40x3d, 20x3d) for presumed asthma flare. he was doing well until when sister notes markedly increased fatigue ("in bed all day") and decreased appetite. one episode of ?vomit vs cough on . pt denied cp/sob/palp/diaphrosis. on sister was concerned about persistent fatigue, and noted worsening sob when pt climbed flight of , pt was brought to osh (). while in car pt complained of sob. . on arrival to 13:45pm , vs=97.5 138/76 61bpm 99%2l, pt noted to be in junctional rythym in 60s, with ste in ii, iii, avf. given 1l ns, asa 325, plavix 600, ativan 0.5mg iv, heparin gtt + bolus, integrellin + bolus, lipitor 80. lopressor held bradycardia. pt transferred to for urgent lhc. . lhc at revealed 80% prox om1, 100% prca. pt underwent attempted clot removal, then succesfully recieved 2 bms to rca with residual clot which cleared with balloon dilation. . 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, 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: niddm x 11y hyperlipidemia - no meds "muscle aches" after lipitor 10 qd asthma gerd hiatal hernia traumatic brain injury @ birth forceps delivery, c/b epilepsy x 10yrs, none since age 10, c/b mental retardation. epididymitis - s/p right testicle removal. ?hematuria - attributed to utis. ?schizophrenia - on psych meds for "hallucinations" - denies h/o htn, dvt/pe, cva, ckd, cad. social history: social history is significant for the absence of current tobacco use. there is no history of alcohol abuse. family history: there is no family history of premature coronary artery disease or sudden death. mother with mi age 73, ovarian ca, father with cancer in his 70s. physical exam: vs: af 150/67 62 100% on 2l nc. gen: wdwn middle aged male in nad, resp or otherwise. oriented x1. mood, affect appropriate. pleasant. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple with jvp of 8cm. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. +s4, no s3. hsm @ lsb. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. no crackles, wheeze, rhonchi. abd: obese, soft, ntnd, no hsm or tenderness. no abdominial bruits. ext: no c/c/e. no femoral bruits. extremities cool with ecchymoses on 2nd right toe skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ without bruit; femoral 2+ without bruit; + dp left: carotid 2+ without bruit; femoral 2+ without bruit; + dp pertinent results: 05:48pm ck-mb-22* mb indx-5.6 ctropnt-2.62* 05:48pm alt(sgpt)-70* ast(sgot)-97* ck(cpk)-391* alk phos-47 tot bili-0.6 05:48pm glucose-198* urea n-16 creat-0.7 sodium-130* potassium-4.0 chloride-98 total co2-21* anion gap-15 07:54pm plt count-180 07:54pm wbc-10.6 rbc-3.31* hgb-10.3* hct-29.2* mcv-88 mch-31.0 mchc-35.1* rdw-13.1 . cardiac cath: comments: 1. selective coronary angiography of this right dominant system revealed two vessel coronary artery disease. the lmca had no angiographically apparent flow-limiting stenoses. the lad had no angiographically apparent epicardial lesions. the lcx had an 80% distal lesion in om1. the rca was totally occluded proximally with heavy clot burden. 2. limited resting hemodynamics revealed moderate systemic arterial hypertension of 165/76 mm hg. 3. left ventriculography was deferred. 4. successful thrombectomy and stentinf of the rca with 3.0 x 23 mm and 2.5 x 12 mm vision bare metal stents in an overlapping fashion without residual stenosis (see ptca comments for detail). final diagnosis: 1. two vessel coronary artery disease. 2. acute myocardial infarction with proximal rca thrombus. 3. moderate systemic arterial hypertension. 4. successful stenting of the rca with bare metal stents. . echo the left atrium is mildly dilated. the interatrial septum is aneurysmal. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is mild regional left ventricular systolic dysfunction with mild hypokinesis of the basal inferior and inferolateral segments. tissue doppler imaging suggests an increased left ventricular filling pressure (pcwp>18mmhg). the right ventricular cavity is dilated with depressed free wall contractility. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. the mitral valve leaflets are myxomatous. there is moderate/severe mitral valve prolapse. moderate (2+) mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. impression: myxomatous mitral valve leaflets. mild prolapse of the anterior mitral leaflet, moderate to severe prolapse of the posterior mitral valve leaflet. moderate mr. lv systolic dysfunction. dilated and hypokinetic right ventricle. brief hospital course: . . assessment and plan, to be reviewed and discussed in multidisciplinary rounds: . 70 m h/o dm, hyperlipid, traumatic brain injury, asthma, transferred from osh after 3d fatigue, decreased appetite, with new inferior ste, junctional rythym, found to have to prca at cath, s/p bms x 2 to rca. . # cad/ischemia: presented with inferior mi s/p 2 bms to rca. also noted to have 80% occlusions of proximal om1. initially treated with heparin gtt and integrilin (18hours post cath). started on high dose aspirin, plavix, and ace inhibitor. treated for short period of time with high dose statin as history of myositis. bblocker held initially in setting of bradycardia and prolonged pr interval. patient will need follow up stress testing vs cardiac catheterization to evaluate lesion in om1. beta blocker not started as patient's blood pressure was borderline low. . # pump: echo completed which revealed ef of 50-55% with a dilated and hypokinetic right ventrilcle mild lv systolic dysfunction. started on an ace for afterload reduction. did not require preload reduction with lasix as there was no evidence of heart failure, either acute or chronic. . # rhythm: initially noted to be in junctional rhythm prior to stent placement. following revascularization, patient converted back to sinus rhythm with borderline prolonged pr interval. beta blocker held initially as he was bradycardic. however it was not started as blood pressure was borderline and would not tolerate addition of another . . # valves: noted to have myxomatous mitral valve leaflets, mild prolapse of the anterior mitral leaflet, moderate to severe prolapse of the posterior mitral valve leaflet. moderate mr. should be monitored with serial echos as outpatient. . # htn: treated with single ace inhibitor. . # dm: 11 yr history of dm type ii. restarted on home regimen of glyburide. . # dyslipidemia: treated with short duration of high dose statin. discontinued prior to discharge. . # cough/asthma: hx of nonproductive cough for several weeks; afebrile, slightly elevated wbc count at osh; no smoking history with recent steroid taper for presumed asthma exacerbation. also with no exposures or travel history. continued on accolate, pulmicort, atrovent nebs prn, fexofenadine. remained afebrile with normal white count. . # gerd: continued ppi . # hypothyroid: continued synthroid . # hyponatremia: minimal po intake in the last several days prior to admission. likely hypovolemic hyponatremia, improved with iv fluids. . . # code: dnr/dni, confirmed with sister (health care proxy) . # communication: sister ( cell: ; husband cell ( medications on admission: accolate 20mg po qdaily claritin 10 mg po qdaily glyburide 3mg po bid levothyroxine 50mg po qdaily lexapro 10mg po qdaily perphenazine 2mg qdaily protonix 40mg po qdaily pulmicort 1mg/2ml qdaily xopenex 1.25mg/3ml 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:*2* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. fexofenadine 60 mg tablet sig: one (1) tablet po bid (2 times a day). 4. escitalopram 10 mg tablet sig: one (1) tablet po daily (daily). 5. perphenazine 2 mg tablet sig: one (1) tablet po qdaily (). 6. zafirlukast 20 mg tablet sig: one (1) tablet po bid (2 times a day) for 7 days. 7. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). 8. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary: inferior myocardial infarction secondary: type ii diabetes mellitus discharge condition: good, chest pain free, vital signs stable. discharge instructions: you were admitted to the hospital because you had a heart attack. this was due to a blockage in your coronary artery and a stent was placed to open the artery. . you were started on new medications which you should continue unless otherwise directed by your cardiologist. these include: aspirin 325mg daily plavix 75mg daily lisinopril 10mg daily . we discontinued your glyburide, a medication for your diabetes as your blood sugars were difficult to control. you should follow up with your primary doctor to manage your diabetes. do not take your glyburide unless directed to do so by your primary doctor. . please contact your doctor or return to the emergency room if you develop worrisome symptoms such as chest pain, shortness of breath, weakness, lightheadedness, palpitations (fluttering in your chest), etc. followup instructions: , : tuesday at 2pm. 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 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 esophageal reflux mitral valve disorders unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hyposmolality and/or hyponatremia unspecified acquired hypothyroidism asthma, unspecified type, unspecified atrial flutter unspecified schizophrenia, unspecified diaphragmatic hernia without mention of obstruction or gangrene other and unspecified hyperlipidemia other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure other specified cardiac dysrhythmias acute myocardial infarction of other inferior wall, initial episode of care personal history of malignant neoplasm of large intestine hypovolemia unspecified intellectual disabilities hallucinations spontaneous ecchymoses late effect of intracranial injury without mention of skull fracture 

Answer: The patient is high likely exposed to