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: chest pain major surgical or invasive procedure: cardiac catheterization with one stent placed. history of present illness: 43 y/o male with h/o htn who developed sscp nonradiating associated with arm/feet tingling around 12:30pm. he felt a similar pain 1 month ago after being involved in a fight and being punched in the chest. no past history of doe, orthopnea, or pnd. the patient states that he was driving and developed sscp and he pulled over and called the ambulance. he was taken to and his ekg revealed ste in anterolateral leads. he was given asa, nitro gtt, morphine, heparin, iv lopressor 10 mg, ns, plavix 600, lipitor 80, and kcl 40. cxr normal. he was transferred urgently to for cath. . cath revealed normal hemodynamics, 99% lad lesion with thrombus s/p thrombectomy. no distal embolization. normal flow. . the patient came to the ccu on nitro gtt. he still c/o cp with no improvement after cath. no sob or diapharesis. past medical history: pmh: htn . psh: none social history: the patient is currently on parole for unclear reasons. he is currently unemployed. he lives at home with his mom and sister. admits to recent (~1 month) tobacco use. he admits to occasional etoh use. he denies any ivdu. family history: unknown physical exam: pe: vitals: 98.9 113/76 85 100% 2l nc general: a/o x 3. nad. heent: perrla, eomi. nc/at. op clear. neck: jvp 6 cm. cv: normal s1, s2 without m/r/g. pulm: ctab, no wheezes or crackles abd: soft, nt/nd with normoactive bs. ext: no c/c/e. 2+ dp b/l. . ekg: nsr at 77, left axis deviation, normal interval, 1 mm ste i, avl, 1-2 mm ste v2-6, twi v2-v6, avf, poor r wave progression pertinent results: wbc-8.0 rbc-3.78* hgb-12.5* hct-33.1* mcv-88 mch-33.0* mchc-37.7* rdw-18.2* plt ct-337 glucose-110* urean-10 creat-0.9 na-142 k-3.4 cl-106 hco3-24 angap-15 caltibc-263 ferritn-308 trf-202 . wbc-5.5 rbc-3.87* hgb-12.2* hct-35.9* mcv-93 mch-31.6 mchc-34.1 rdw-18.9* plt ct-312 glucose-93 urean-11 creat-0.9 na-141 k-3.9 cl-105 hco3-31 angap-9 calcium-8.8 phos-3.3 mg-2.1 cholest-124 . 12:04am blood ck(cpk)-* 06:00am blood ck(cpk)-* 02:40pm blood ck(cpk)-1584* 12:04am blood ck-mb-154* mb indx-8.1* 06:00am blood ck-mb-158* mb indx-8.1* ctropnt-6.21* 02:40pm blood ck-mb-89* mb indx-5.6 . 06:15am blood triglyc-78 hdl-70 chol/hd-1.8 ldlcalc-38 04:00pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg . reports: 1. cardiac cath selective coronary angiography of this right dominant system revealed single vessel cad. the lmca had no angiographic evidence of flow limiting stenosis. the lad had a 99% proximal occlusion with freshthrombus which was excised with an exciser and export catheter.the lcxhadnoangiographic evidence of flow limiting stenosis. the rca was a dominant vessel and had no angiographic evidence of flow limiting stenosis. resting hemodynamics revealed normal left and right sided filling pressures. left ventriculography was deferred. successful thrombectomy was performed with an exciser and export catheters in the proximal lad. successful ptca and stenting of the proximal lad was performed with a 3.5x18mm cypher stent postdilated to 4.0 mm. residual distal lad thrombus partially lysed with manual manipulation. final diagnosis: 1. single vessel coronary artery disease. 2. normal left and right sided filling pressures. 3. acute anterior myocardial infarction, managed by acute ptca/stenting and thrombectomy of the lad. . 2. echo the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is moderate regional left ventricular systolic dysfunction with focal severe hypokinesis of the distal half of the anterior septum and anterior walls and distal inferior wall. the apex is mildly anerysmal and mildly dyskinetic. no masses or thrombi are seen in the left ventricle. the remaining left ventricular segments contract normally. 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. the mitral valve leaflets are structurally normal. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. lv wall motion: regional lv wall motion abnormalities include: mid anterior - hypo; mid anteroseptal - hypo; anterior apex - akinetic; septal apex- akinetic; inferior apex - akinetic; apex - dyskinetic; remaining lv segments contract normally. impression: mild symmetric left ventricular hypertrophy with moderate regional systolic dysfunction c/w cad (mid-lad lesion). mild mitral regurgitation. ef 35% brief hospital course: 43 y/o male with h/o htn who presented to osh with stemi and was transferred to for cardiac catheterization and management. the following issues were addressed during this hospitalization. . 1. cardiac/ischemia/pump the patient was found to have an stemi at osh and was transferred to for cardiac catheterization and management. he was found to have a large proximal lad lesion which was stented with a cypher stent x 1 and underwent thrombectomy. he was transferred to the ccu post-cath on a nitro gtt for further monitoring and management. he still c/o chest pain post-cath but resolved within several hours. nitro gtt was weaned and he was started on oral bp agents. he was maintained on asa 325 mg po daily and plavix 75 mg po daily. he was on an integrillin gtt post cath which remained for 48 hours post-cath secondary to large thrombus componenet to lad lesion. he was started on a bb and acei. he was continuously monitored on telemetry. he had an echo performed the next day after cath which revealed apical akinesis and he was started on a heparin gtt for prevention of thrombus formation. once he was clinically improved, he was transferred to the floor. he was started on coumadin and was discharged on lovenox for bridging. he will need to have his inr followed as an outpatient by his pcp. will continue lovenox until inr is in target range. he will need another echo for evaluation of cardiac function in approximately 6 months. he was started on atorvastatin 80 mg daily and that will be managed as an outpatiet by pcp and cardiology follow up. cholesterol levels were sent and the results are above. due to patient's age and relative lack of risk factors, a urine tox screen was sent and was negative for cocaine. it should be noted that the patient was a very poor historian. further risk stratification will be performed as an outpatient. pt evaluated the patient and cleared him to return home. he will need outpatient cardiac rehab coordinated by his pcp. . 2. anemia the patient was found to be anemic on admission. his hct remained stable throughout admission and started to trend upward. the patient came with no outside records and was a poor historian. iron studies revealed normal iron level, tibc of 263, ferritin 308. the pattern is consistent with anemia of chronic disease but unclear etiology. further workup of patient's anemia will need to be done by his pcp as an outpatient. medications on admission: hctz 25 mg po daily 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 hs (at bedtime). disp:*30 tablet(s)* refills:*2* 3. aspirin 81 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* 4. warfarin 5 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). disp:*30 tablet(s)* refills:*2* 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. lovenox 60 mg/0.6 ml syringe sig: one (1) subcutaneous twice a day for 7 days. disp:*14 14* refills:*0* 8. outpatient lab work inr check on please go to your primary care doctor's office or a local laboratory to get your blood drawn. discharge disposition: home discharge diagnosis: primary: st elevation myocardial infarction with placement of stent congestive heart failure apical akinesis started on coumadin . secondary: hypertension discharge condition: the patient was discharged hemodynamically stable, afebrile with appropriate follow up. discharge instructions: 1. please take all medications as prescribed. the following is your list of new medications: metoprolol 25 mg po twice a day plavix 75 mg po daily asa 81 mg po daily lisinopril 5 mg po daily atorvastatin 80 mg po daily lovenox 70 mg twice a day coumadin 5 mg po once at night you can stop taking your home medication of hctz. . 2. please keep all follow up appointments. see below for details. 3. please call your pcp or seek medical attention in the ed if you experience worsening shortness of breath, chest pain, nausea, vomiting, diarrhea, abdominal pain, or any other concerning symptom. followup instructions: please follow up with your pcp . on at 2:00pm. . please follow up with dr. on at 10:00am at the center, floor 7. md, procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters insertion of drug-eluting coronary artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: subendocardial infarction, initial episode of care anemia, unspecified coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension 

Answer: The patient is high likely exposed to