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: no known allergies / adverse drug reactions attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization with drug eluting stent placement history of present illness: mr. is a 73 year old man with a history of aaa repair in , hyperlipidemia, svt who presents with chest pain this afternoon and found to have a stemi. mr. was running on the treadmill at the gym and after the work out he noticed he started to feel uncomfortable. he then noticed left sided chest pressure that was not getting better. he then noted the pressure was turning into pain and he turned to look for a trainer. he noted associated dizziness, diaphoresis. when he found a trainer, the trainer called 911 and ems brought him to the er. in the er, the patient was found to have an inferior stemi. he was plavix loaded with 600mg po once, aspirin 324mg po once, heparin bolus, eptifibatide bolus, and was given sublingual nitroglycerin. he was rushed to the cath lab. in the cath lab, he was found to have a completely occluded mid rca clot, that was removed and a des was placed with good flow. he was also noted to have a 60-70% proximal lad lesion and an 80% distal lad lesion, clean lmca, and lcx with mild dz. repeat ekg showed resolution of his st elevations and his pain completely resolved. on review of systems, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, 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: 1. cardiac risk factors: -diabetes, +dyslipidemia, -hypertension 2. cardiac history: - aaa repair in , found via a routine kub looking for kidney stones - svt on metoprolol 3. other past medical history: - asthma: mild intermittent, uses albuterol prn - nephrolithiasis - hernia repair - gerd social history: he lives in with his wife, he is a psychologist. - tobacco history: 30 packyears, quit 15 years ago - etoh: rare use - illicit drugs: none family history: - no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. physical exam: physical examination on admission: vs: t=98.2 bp=104/hr= 92 rr=14 o2 sat= 98%ra 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: supple with jvp of 3cm. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. neuro: aaox3, cnii-xii intact, 5/5 strength biceps, triceps, wrist, knee/hip flexors/extensors, 2+ reflexes biceps, brachioradialis, patellar, ankle. pulses: right: 2+ dp 2+ left: 2+ dp 2+ physical examination on discharge: vs: t=98.3 bp=102/58 hr= 76 rr=16 o2 sat= 98%ra general: nad. oriented x3. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of 3cm. cardiac: rrr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: resp were unlabored, no accessory muscle use. ctab abdomen: soft, ntnd. no hsm or tenderness. extremities: no c/c/e. pertinent results: labs on admit: 01:20pm blood wbc-14.4* rbc-4.72 hgb-14.0 hct-40.1 mcv-85 mch-29.7 mchc-35.0 rdw-12.9 plt ct-125* 01:20pm blood pt-12.2 ptt-130.0* inr(pt)-1.1 01:20pm blood glucose-132* urean-24* creat-1.5* na-144 k-4.2 cl-107 hco3-22 angap-19 01:20pm blood ck-mb-76* mb indx-9.0* ctropnt-1.37* 03:53am blood ck-mb-86* mb indx-5.4 ctropnt-5.94* 01:20pm blood calcium-9.4 phos-1.8* mg-2.1 cholest-138 01:20pm blood %hba1c-5.7 eag-117 01:20pm blood triglyc-59 hdl-54 chol/hd-2.6 ldlcalc-72 cath: comments: 1. selective coronary angiography of this right dominant system revealed two-vessel coronary artery disease. the lmca was free of angiographically significant disease. the lad had serial stenoses with a 60-70% stenosis in the proximal segment and an 80% stenosis in the distal segment. the lcx had only mild diffuse disease. overall the left system was relatively small compared with the right. the mid-rca was thrombotically occluded. there were no distal collaterals. 2. limited resting hemodynamics revealed normal resting central aortic pressure (105/62mmhg). final diagnosis: 1. two vessel coronary artery disease with mid-rca occlusion as culprit for stemi. 2. normal resting central aortic pressures. 3. rca stented with bms echo : the left atrium is normal in size. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. there is mild regional left ventricular systolic dysfunction with hypokinesis of the basal and mid inferior and inferolateral segments. right ventricular chamber size and free wall motion are normal. the diameters of aorta at the sinus, ascending and arch levels are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. no aortic regurgitation is seen. the mitral valve leaflets are structurally normal. no mitral regurgitation is seen. there is no pericardial effusion. impression: mild focal lv systolic dysfunction consistent with cad. no significant valvular abnormality seen. brief hospital course: 73 year old man with a history of aaa repair in , hyperlipidemia, svt who presents with chest pain this afternoon and found to have a stemi who is doing well after pci. . # stemi: patient presents with an rca mi consistent with inferior territory, who improved significantly after pci. no signs of rv failure or shock. his lad lesions are likely not symptomatic given his excellent baseline functional capacity, however, this will need to be reassessed in 1 month. his asa was continued at 325 for 1 month, then 81 for life. plavix 75mg po daily was started for at least 1 year. atorva 80mg po daily was started. pt was given eptifibatide for 18 hours post pic. an echo was performed which showed. lisinopril and metoprolol xl were started. # chf: no signs of chf on exam. # rhythm: sinus rhythm at present, no evidence of vt or svt. pt had some pvcs but no runs of svt. # ldl pipid panel showed well controlled lipids. atorva 80 was started # asthma: stable. home albuterol prn was continued. # gerd: pt was dc/ed on home omeprazole. - dvt ppx with hsc - pain management with tylenol - bowel regimen with docusate code: full code medications on admission: - metoprolol 25mg po daily - simvastatin 20mg po daily - aspirin 81mg po daily - omeprazole 1 tab po daily - multivitamin 1 tab po daily - calcium and vitamin d - albuterol neb prn - tylenol prn discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 2. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. multivitamin tablet sig: one (1) tablet po daily (daily). 5. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 6. albuterol sulfate inhalation 7. tylenol oral 8. metoprolol succinate 25 mg tablet extended release 24 hr sig: three (3) tablet extended release 24 hr po daily (daily). disp:*90 tablet extended release 24 hr(s)* refills:*2* 9. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 10. nitroglycerin sublingual discharge disposition: home discharge diagnosis: st-elevation myocardial infarction discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr , it was a pleasure taking care of you here at the . you were admitted with concern that you were having a heart attack. you underwent cardiac catheterization which revealed a blockage in your arteries which was relieved with a stent. you were discharged home with several medication changes. new medications: 1. plavix (blood thinner to prevent a blood clot) for at least one year 2. atorvastatin (cholesterol lowering medication) 3. lisinopril(blood pressure lowering and heart-protective medication) changed medications: 1. aspirin (increased from 81 to 325) - please keep taking larger dose for at least one month 2. metoprolol (increased from 25 once daily to 75 once daily) 2. aspirin 325 (blood thinner to prevent a blood clot) for at least one month. medications stopped: 1. simvastatin 2. aspirin 81mg followup instructions: please follow up with your pcp and your cardiologist, dr , for your continued care. . name: , specialty: internal medicine location: - address: , , phone: appointment: wednesday at 10:10am . name: , b. md location: address: , , phone: appointment: friday at 11:50am **you will be seeing dr nurse practioner at this visit.** procedure: coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor left heart cardiac catheterization 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: coronary atherosclerosis of native coronary artery acute kidney failure, unspecified asthma, unspecified type, unspecified personal history of tobacco use chronic kidney disease, unspecified other and unspecified hyperlipidemia acute myocardial infarction of other inferior wall, initial episode of care chronic total occlusion of coronary artery 

Answer: The patient is high likely exposed to