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: substernal chest pain, diaphoresis major surgical or invasive procedure: cardiac catheterization and stent placement-- history of present illness: 60 year old male with dmii and no past cardiac history who experienced a sudden sscp (), a lightheaded feeling, and diaphoresis while talking on the phone. no shortness of breath or radiation to his back. he went to the ed and was found to have st elev in ii, iii, avf of mm with reciprocal st dep in i and avl. given tnk 45 iv at 9 pm, started on heparin drip, asa, and morphine without total resolution of st changes. he was then sent to for pci. he was bradycardic on arrival. in the lab here, he was found to have a left dominant system with lcx having a hazy 60-90% lesion stented with cypher des with timi 3 result. had pacing wire during cath, but removed now. now cp free, no sob, comfortable. r heart cath: ra=15, pa=45/28, pcw=23, pa sat 67%, ci=1.89 past medical history: 1.dmii social history: he lives alone. denies tobacco. rare etoh use. no ivda. he drives a forklift and does some heavy lifting at work. family history: his mother and brother have dm. no cardiac disease history. physical exam: vitals: hr=54, bp=125/62, rr=16, pa=33/11 gen: a&o, lying flat. nad heent: eomi, perrla,anicteric sclera, mmm, no lad, no thyromegaly chest: cta anteriorly and laterally cardiac: rr, brady, s1,s2, iii/vi sem at 2nd l intercostal space. abd: obese, nt/nd, +bs ext: right femoral art/venous sheaths. no hematoma, dp 2+ bilat, no c/c/e neuro: cn ii-xii intact. no focal deficits. pertinent results: 02:05am blood wbc-10.6 rbc-4.55* hgb-13.6* hct-38.8* mcv-85 mch-29.8 mchc-35.0 rdw-12.7 plt ct-201 06:14am blood wbc-9.8 rbc-4.36* hgb-13.0* hct-37.3* mcv-86 mch-29.8 mchc-34.9 rdw-12.9 plt ct-183 04:00am blood wbc-8.8 rbc-4.22* hgb-12.5* hct-36.2* mcv-86 mch-29.6 mchc-34.5 rdw-12.9 plt ct-135* 05:30am blood wbc-8.3 rbc-4.05* hgb-11.9* hct-35.6* mcv-88 mch-29.4 mchc-33.5 rdw-12.7 plt ct-157 05:30am blood plt ct-157 12:29am blood glucose-270* urean-22* creat-0.8 na-141 k-4.1 cl-110* hco3-22 angap-13 02:05am blood glucose-283* urean-22* creat-0.8 na-140 k-4.0 cl-110* hco3-20* angap-14 06:14am blood glucose-264* urean-20 creat-0.8 na-140 k-4.1 cl-111* hco3-19* angap-14 04:00am blood glucose-185* urean-19 creat-0.7 na-140 k-3.9 cl-111* hco3-23 angap-10 05:30am blood glucose-136* urean-18 creat-0.7 na-140 k-4.0 cl-105 hco3-28 angap-11 02:05am blood alt-88* ast-511* ck(cpk)-6162* alkphos-50 totbili-1.2 08:51am blood ck(cpk)-4442* 05:13pm blood ck(cpk)-2490* 04:00am blood ck(cpk)-1325* 02:05am blood ck-mb-463* mb indx-7.5* ctropnt-20.07* 08:51am blood ck-mb-373* mb indx-8.4* 05:13pm blood ck-mb-173* mb indx-6.9* ctropnt-12.48* 04:00am blood ck-mb-64* mb indx-4.8 ctropnt-8.43* 04:00am blood calcium-8.0* phos-1.7* mg-1.8 06:14am blood triglyc-102 hdl-42 chol/hd-3.4 ldlcalc-79 brief hospital course: pt was admitted to the ccu after his catheterization and stent placement. he was bradycardic and relatively hypotensive on admission. 1.cad: he had an inferior stemi and a des was placed in his rca. we started asa, plavix, and a high dose statin (atorvastatin 80). a beta-blocker and ace-i were initially held due to his bradycardia and hypotension. we checked baseline lfts due to starting a statin. also cycled his enzymes and checked his cholesterol. his ck was initially over 6000, and this was thought to be early washout after revascularization. however, repeat numbers trended down from here for several readings, with his last value=1325. troponin initially was 20. he remained mildly bradycardic and hypotensive throughout much of the admission, and this limited our ability to add an ace-i and b-blocker. eventually, he was given lisinopril at 5 mg and tolerated this well. he had some minor chest discomfort one day after mi, but no ekg changes were seen. it quickly faded on its own. he was cp free from then on. 2.pump: initially, he had an elevated pcwp and decreased co(fick=1.89). only overt symptom was mild pulmonary edema on chest x-ray. we gave him a small dose of lasix with good diuresis. he had a fairly loud murmur, so we got an echo the day after mi. he was found to have an ef of 30-35%. he was compensating well for this, but he did maintain a relatively low bp. his hr remained slow for several days. this is likely due to increased vagal tone from his imi. he also had minimal as and mild mr. this is the source of his murmur. as far as wall movement, "there is moderate regional left ventricular systolic dysfunction with near akinesis of the basal half of the inferolateral wall and severe hypokinesis of the inferior wall.". on d/c, he was still mildly hypotensive, but was able to tolerate lisinopril 5 mg qd. a beta-blocker was not started due to his vitals. will need to be reassessed as an outpt and these added on if he can tolerate them. 3.rhythm: as above, his bradycardia is sinus and probably due to high vagal tone. he was on tele and daily ekgs. he did have several episodes of junctional rhythms to the 40s initially, but was in sinus for the rest of the stay. by discharge, his hr was in the low 60s, but he was totally asymptomatic throughout. again, he was not orthostatic from this. 4.dm: he was initially started on riss, then, when his control wasn't great, he was put on an insulin drip. his home oral med, glucovance, was restarted with good benefit. his control was fairly adequate the rest of his stay, with some high values, but the majority were within acceptable ranges. 5.fen: he quickly began eating and drinking, and his iv fluids were stopped. his electrolytes were monitored and repleted as needed. 6.access: he initially had a femoral and arterial sheath in his femoral vein/artery. this was left overnight due to his recent lysis and the need to allow some of the effect of the tnk to subside. he was kept on low dose heparin drip while they were in to prevent thrombosis. they were removed in the morning without trouble. 7.he was seen by pt in the hospital, and was able to walk in the halls on his own without oxygen. 8.he is worried about returning to work, as he does a fairly physical job, running a forklift and lifting boxes. we will give him permission to stay out of work for 2 weeks, and then light duty for another 2 weeks and he will talk to his employer about short term disability. after this time, he will be seen again by a cardiologist who can reevaluate his work status and repeat an echocardiogram to check his current lv function. 9.we arranged a vna to visit his home for several days due to his need to start a large number of new medicines. he will need help understanding when and how to take these. medications on admission: glyburide-metformin 5-500 mg discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po qd (once a day). 2. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po qd (once a day). :*30 tablet(s)* refills:*2* 3. atorvastatin calcium 40 mg tablet sig: two (2) tablet po qd (once a day). :*60 tablet(s)* refills:*2* 4. glyburide-metformin 5-500 mg tablet sig: one (1) tablet po bid (2 times a day). 5. activity no heavy lifting over 30 lbs. no snow shoveling. 6. lisinopril 5 mg tablet sig: one (1) tablet po qd (once a day). :*30 tablet(s)* refills:*2* 7. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet sublingual as directed as needed for chest pain: if you have chest pain, take 1 tab. if pain doesn't improve, take one every 5 minutes. max 3 tabs/15 minutes. if pain still there after 3 tablets, come to the ed or call your doctor. :*30 tabs* refills:*0* discharge disposition: home with service facility: discharge diagnosis: 1.inferior myocardial infarction 2.diabetes mellitus type ii discharge condition: pt was stable.he was able to ambulate well on his own.his bp and hr were slightly low, but he was totally asymptomatic and not at all orthostatic.he is chest pain free and is not short of breath on room air. discharge instructions: please call your doctor or return to the hospital if you experience new chest pain or shortness of breath. you must take the plavix medication that you were prescribed. do not stop this for any reason unless your cardiologist tells you it is okay. no heavy lifting for 2-3 weeks. no lifting of anything over 30 lbs until you see your cardiologist and get permission for this. no driving for 1 week. followup instructions: 1.please make an appointment to see your pcp 1 week. 2.please make a cardiology appointment with dr in 1 month for follow-up. md, procedure: angiocardiography of left heart structures left heart cardiac catheterization insertion of drug-eluting coronary artery stent(s) diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled 

Answer: The patient is high likely exposed to