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: acute mycardial infarction major surgical or invasive procedure: right and left heart catheterization, coronary angioplasty/stent,placement of intraaortic balloon pump emergent coronary artery artey bypass graft x2(svg-lad,svg-dg),closure of ventricular septal defect, resection of right ventricular aneurysm right and left heart catheterization,placement of intraaortic balloon pump history of present illness: this 71 year old white male presents with a one week history of chest burning and reflux like symptoms. he states that approximately one week ago he noticed that he had more symptoms of acid reflux. he also stated that he had a burning chest discomfort while at rest and occasionally with exertion. on the night of , the patient stated that his heartburn became unbearable and he decided to seek treatment at neeham. records are not available from his presentation, but he reportedly was found to have st elevation inferiorly. he was given asa 325mg, a heparin bolus and drip, high dose statin, iv lopressor, and plavix 600mg and transferred to for catheterization. hisvital signs were reportedly stable, with bp in low 100s systolic. on transfer, he was found to have a systolic bp in 70s and was started on dopamine. at catheterization he was found to have an occluded proximal rca and recieved three drug eluting stents. 70% lad and 60% diag lesions were not intervened upon. he was found to have elevated right sided pressures with an elevated wedge pressure. on transfer to the ccu, he complained of persistent mid sternal chest pain. ekg showed inferior q waves and pain was resolved with morphine. past medical history: hypertension hyperlipidemia noninsulin dependent diabetes mellitus benign prostatic hypertrophy spinal stenosis social history: -tobacco history: denies -etoh: quit 30yrs ago, used to drink occasionally on weekends -illicit drugs: denies family history: no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. physical exam: admission: general: nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: unable to appropriately assess jvp as patient recumbent. cardiac: pmi located in 5th intercostal space, midclavicular line. rr. unable to assess for m/r/g as iabp in plae. lungs: cta anterolaterally abdomen: soft, ntnd. no hsm or tenderness. extremities: no c/c/e. no femoral bruits. skin: multiple tatoos on arms and chest pulses: right: carotid 2+ dp/pt dopplerable left: carotid 2+ dp/pt dopplerable pertinent results: cardiac catheterization : 1. two vessel coronary artery disease. 2. successful placement of an intra-aortic balloon pump. 3. successful suction thrombectomy, ptca, and stenting of the proximal rca. echo : the left atrium is mildly dilated. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal for the patient's body size. there is mild regional left ventricular systolic dysfunction with inferior, inferolateral and basal inferoseptal akinesis. the remaining segments contract normally (lvef = 40%). there is no ventricular septal defect. the right ventricular cavity is moderately dilated with severe global free wall hypokinesis. the aortic root is moderately dilated at the sinus level. the ascending aorta is mildly dilated. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. an eccentric, posteriorly-directed jet of moderate (2+) mitral regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. 03:05am blood wbc-10.6 rbc-3.85* hgb-11.4* hct-33.2* mcv-86 mch-29.7 mchc-34.4 rdw-14.2 plt ct-241 03:05am blood pt-13.2 ptt-46.8* inr(pt)-1.1 03:05am blood glucose-404* urean-17 creat-0.8 na-137 k-4.0 cl-107 hco3-20* angap-14 03:05am blood ck(cpk)-553* 11:13am blood ck(cpk)-805* 03:05am blood ck-mb-60* mb indx-10.8* ctropnt-2.46* 11:13am blood ck-mb-89* mb indx-11.1* 03:05am blood calcium-7.9* phos-3.5 mg-1.9 cholest-137 03:05am blood %hba1c-6.2* brief hospital course: following admission on the 28th dopamaine was begun and he went to the cath lab where stenting to the rca was performed with three stents and an intraaortic balloon pump was placed for hypotension. his hemodynamics stablized somewhat, however, he remained dopamine dependent. he continued to have stuttering angina treated with morphine. the balloon pump was removed on the 30th. an echo on the 31st demonstrated a vsd. he remained in cardiogenic-shock. he was hemodynamically unstable on pressors. he was acidotic with a ph 7.18 and lactate over 11. he went emergently to the cath lab again where another balloon pump was placed, then taken to the operating room. the ventricular septal defect was repaired, the right ventricular aneurysm was resected and two vein grafts were performed. he weaned from bypass on high dose pressors. the chest was left open. see operative note for details. he remained in cardiogenic shock after surgery on high dose epinephrine, levophed, neo-synephrine and vasopressin as well as the intraaortic balloon pump. he was paralyzed and sedated due to the open chest. lactates rose, fell and rose again. his extremeties were cold and mottled, he was profoundly acidotic, despite bicarbonate boluses, tham infusions. his lfts continued to rise and he was auto-anticoagulated with an inr of 4.6 and ptt in the 70s. the lactate rose to 15.2 with persistent lft increases by 0200 on . transplant surgery was consulted for the persisitent acidosis with elevated lfts and felt that there was no role for laparoscopy given his shock and the unlikelihood of finding a discreet reparable source. vascular surgery saw him for the cold extremeties. despite high dose pressors and other manipulations he remained hypotensive and in cardiogenic-shock. his son visited the bedside and he was aware of the grave nature of the patient's condition. after discussion with the family, it was decided to not initiate cpr. the patient did expire surrounded by family. medications on admission: - metformin (dose unknown) - glipizide (dose unknown) - finasteride (dose unknown) - lisinopril (dose unknown) - simvastatin (dose unknown) discharge disposition: expired discharge diagnosis: acute myocardial infarction with cardiogenic shock post infarct ventricular septal defect post infarct right ventricular aneurysm hypertension hyperlipidemia intraaortic balloon insertion x2 s/p emergent coronary artery bypass graft x 2,closure of ventricular septal defect, resection right ventricular aneurysm s/p coronary angioplasty and stent noninsulin dependent diabetes mellitus benign prostatic hypertrophy spinal stenosis discharge condition: expired procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries injection or infusion of platelet inhibitor implant of pulsation balloon implant of pulsation balloon right heart cardiac catheterization excision of aneurysm of heart nonoperative removal of heart assist system repair of ventricular septal defect with tissue graft insertion of drug-eluting coronary artery stent(s) 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: acidosis coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified acute myocardial infarction of other anterior wall, initial episode of care atrial fibrillation other chronic pulmonary heart diseases hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) other and unspecified hyperlipidemia acute respiratory failure cardiac arrest cardiogenic shock encounter for palliative care spinal stenosis, unspecified region oliguria and anuria chronic total occlusion of coronary artery aneurysm of heart (wall) acquired cardiac septal defect tachypnea 

Answer: The patient is high likely exposed to