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: aspirin / penicillins attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization with angioplasty and stenting history of present illness: 74 yo male with past medical history significant for coronary artery disease s/p mi and cabg in (at ), hypertension, hyperlipidemia, and tobacco abuse presents to ccu for aspirin desensitization in preparation for cardiac catheterization. . patient began having chest pressure while eating breakfast approximately 5am on . throughout the day patient had continued chest pain that began radiating to his left arm and right jaw. took 2 slng without relief and then went to osh at approximately 4pm for further evaluation. additional symptoms include shortness of breath and diaphoresis. at osh ed, patient required 3 slng, ntp 1, lovenox x 1, and 12mg iv morphine for chest pain relief. patient's initial ecg demonstrated 2mm std in v3-v6, i, and ii with ste in avr. his first troponin was 1.2 and then increased to 7.1, he was started on aggrenox and lovenox. . patient reports some baseline shortness of breath which he attributes to his tobacco use; can walk 3 flights of stairs before becoming short of breath. . ros: +chest pain. +shortness of breath. -doe/pnd/orthopnea/edema/palpitations/ syncope/pre-syncope past medical history: cad (s/p cabg; s/p mi ') - bypasses to lad, om1, om2, and pda; lima to lad, rima to om2, short saphenous veins to pda and om1 diabetes mellitus hypertension hyperlipidemia obesity tobacco abuse - 50 ppy history - continues to smoke cig/day history of colon cancer with in-situ polyp s/p resection in social history: lives with his wife in tobacco - cig/day - 50-60 ppy history denies etoh and drug use retired family history: son (59 yo) - mi at age 40yo mother - lung cancer physical exam: upon arrival to ccu: t 99.9 / hr 84 / bp 116/71 / rr 21 / po2 96% on 3l gen: lying comfortably in bed, no acute distress heent: normocephalic, atraumatic, clear op, mmm neck: supple, obese neck, no lad, no jvd cv: rrr with normal s1/s2. no murmurs, rubs or gallops lungs: cta, bs bl, no w/r/c abd: obese, soft, nt, nd. nl bs ext: no edema. 1+ dp/pt pulses bl skin: no lesions neuro: a&ox3. appropriate. cn 2-12 grossly intact. normal coordination. gait assessment deferred psych: listens and responds to questions appropriately, pleasant pertinent results: 02:14pm wbc-13.1* rbc-5.44 hgb-15.4 hct-44.9 mcv-83 mch-28.3 mchc-34.3 rdw-13.5 plt count-226 02:14pm glucose-138* urea n-15 creat-0.8 sodium-138 potassium-4.0 chloride-101 total co2-29 anion gap-12 : cpk peak 3541 : tnt peak 13.05 : cardiac catheterization - initial diagnostic angiography revealed severe 3 vessel disease with a normal lmca, a 90% proximal lad stenosis followed by a 100% mid lad stenosis, a 100% mid cx occlusion after a small om1, and a 100% mid rca occlusion. the lima-lad was widely patent with mild luminal irregularities of the mid and distal lad. the svg-pda was widely patent with mild diffuse disease. there was a y graft of the rima-om3 and svg-om2 that had a 90% bifurcation stenosis with 80% extending into the proximal svg graft. the rima-om3 limb of the y graft supplied a larger territory including om4 which had a 90% ostial stenosis. 2) successful ptca and stenting of the y graft (rima-om3, svg-om3) bifurcation stenosis was performed with distal protection. a 4.0 mm bare metal stent was placed across the y bifurcation and into the rima limb (as this supplied the largest territory) a jailing the svg-om2, which was then rescued with bifurcation kissing 3.5 and 4.0 mm kissing balloons. final angiography revealed 0% residual stenosis, no dissection, and normal flow. (see ptca comments) 3) successful ptca of om4 was performed through the rima-om3 with a 3.0 mm balloon. final angiography revealed 30-40% residual stenosis, no dissection, and normal flow. (see ptca comments) final diagnosis: 1. three vessel coronary artery disease. 2. severe stenosis of the y bifurcation of the rima-om3 and svg-om2. 3. widely patent lima-lad and svg-pda. 4. severe om4 ostial stenosis. 5. successful ptca and stenting of the y bifurcation stenosis of the rima-om3 and svg-om2 with a bare metal stent. 6. successful ptca of om4. 7. severely elevated left sided filling pressures. 8. consider pci of the proximal lad and large septals if evidence of ischemia. echo - the left atrium is mildly dilated. the left ventricular cavity is severely dilated. no masses or thrombi are seen in the left ventricle (definity given to evaluate for this). lv systolic function appears depressed. lvef 40-45%. resting regional wall motion abnormalities include basal inferoseptal/inferior/inferolateral akinesis. right ventricular chamber size and free wall motion are normal. the aortic root is moderately dilated. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. brief hospital course: 74 yo male with pmhx significant for coronary artery disease s/p cabg and mi in , hypertension, hyperlipidemia, and diabetes mellitus now s/p cardiac cath with bms and kissing balloons at the y graft. with aspirin desensitization . plan: . # cardiac coronary artery disease patient admitted for aspirin desensitization prior to cath. initial symptoms and ecg concerning for ischemia in anterolateral leads. cath demonstrated lad with proximal lesion and 0-% after large diag. left circ occluded ; 90% lesion of ostia of om-4; y graft with rima-om3 and svg-omz with 90% lesion proximally and 80% ostial lesion at the svg. patient had kissing balloons placed at y graft with bms of rima to om3. now chest pain free. he was discharged on aspirin, plavix, beta blocker, acei, statin. he was instructed to continue his aspirin daily to avoid re-sensitization. . pump patient with akinetic apex and with ef initially of 35-40% and then increased to 40-45% prior to discharge. patient was fluid overloaded with evidence of chf on cxr and also with elevated jvd. patient was responsive to lasix and remained stable. . rhythm nsr . # diabetes mellitus patient's glucophage was held for 3 days post-cath and was restarted prior to admission. patient was additionally maintained with an insulin sliding scale. . # fever after cardiac catheterization, patient with several days of persistent low-grade fevers to 100.7 and rising wbc but without symptoms or complaints. ua suggestive of infection with 6-10 wbcs and occasional bacteria and patient was started on cipro, but urine and blood cultures were negative. patient's antibiotics were discontinued and his wbc was declining upon discharge. . # tobacco abuse patient continues to use cigarettes. spoke to patient regarding smoking cessation, patient is pre-contemplative regarding quitting but continued to recommend smoking cessation. patient also recommended to discuss his tobacco use with his primary care physician. . # prophylaxis patient was maintained with ppi, anticoagulated with aggrastat initially and then heparin sc, bowel regimen, and incentive spirometer. medications on admission: lipitor 40mg po daily toprol 100mg po daily lisinopril 10mg po daily glucophage 1000 mg po daily diovan discharge medications: 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 4. 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* 5. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 5 days. disp:*10 tablet(s)* refills:*0* 6. glucophage 1,000 mg tablet sig: one (1) tablet po once a day. 7. lisinopril 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 8. metoprolol succinate 100 mg tablet sustained release 24hr sig: two (2) tablet sustained release 24hr po daily (daily). disp:*60 tablet sustained release 24hr(s)* refills:*2* 9. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary: non-st elevation myocardial infarction pulmonary edema . secondary: congestive heart failure - systolic urinary tract infection discharge condition: good. ambulating unassisted. tolerating oral nutrition and medications. discharge instructions: - please take all your medications as prescribed. while all of your medications are important, it will be especially important for you to take plavix 75mg once a day for a year after your discharge from the hospital. it will also be important for you to take aspirin every day for the rest of your life. - we also started you on a water pill, furosemide, while you were hospitalized. please discuss with your primary care doctor and your cardiologist whether they would like you to continue taking this medication. - you were diagnosed with a urinary tract infection while you were here and we started you on an antibiotic, ciprofloxacin. please continue to take ciprofloxacin for 5 days upon discharge from the hospital. - please also go to the nearest emergency room if you begin to have new symptoms of chest pain, chest pressure, chest discomfort, shortness of breath, arm pain, or jaw pain. - please also seek medical attention if you have new fevers, chills, night sweats, or pain or burning with urination. followup instructions: - please follow-up with your primary care doctor, dr. , with your appointment on thursday, at 11:45am. his phone number is . - please call your cardiologist dr. at for an appointment within 1-2 weeks of your discharge from the hospital. 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 angiocardiography of right heart structures cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] destruction of cranial and peripheral nerves procedure on three vessels procedure on vessel bifurcation diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery tobacco use disorder urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other and unspecified hyperlipidemia acute systolic heart failure 

Answer: The patient is high likely exposed to