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: transferred from osh for stemi major surgical or invasive procedure: cardiac catheterization x 2 placement of drug-eluting stent in lcx placement of drug-eluting stent in rca history of present illness: hpi: 59 yo m w pmh cad s/p mi in ' presents to ed after 1 hour of substernal chest pain. pain began in the setting of practical exam for surgical technician training. the pain was , radiated to the left arm and jaw, and was associated with diaphoresis. there was no nausea or vomiting. ekg showed ste in iii>ii and avf, std in i and avl. pt was given asa, slng x3, heparin, integrillin, and lopressor and transferred to for pci. cath showed right-dominant system with 90% blockage in mid lcx and 40% blockage in mid rca. there was chronic to of lad. patient received 3.0x18 mm cypher des in the lcx. plan was to return to the cath lab for stenting of rca lesion. at end of procedure, pt showed cyanosis on r thigh and foot, with brisk pt pulse by report, assoc with no pain. after venous sheath removed, improvement in color. when pt arrived in ccu, cyanosis was not apparent. hospital: on admission to ccu, pt continued on asa/plavix/integrillin/statin. bb was held until r/o for occult bleeding. ace-i was held given recent contrast load and mild hypovolemia. he had continued diaphoresis, mild chest pain, but repeat ekg no changes suggestive of ichemia. past medical history: cad s/p mi yrs ago multiple sclerosis dx'd 18 yrs ago htn hyperlipidemia depression add social history: married with 2 sons. lives in . he worked for most of life as structural engineering technician, and is curently studying to be a surgical technician. he has a 30 pack-year smoking hx, though has not smoked for 25 yrs. no drug use. drinks 10 drinks per week. family history: adopted. has 2 sons who are healthy. physical exam: vs: afebrile 106/73 49 20 96% ra gen: anxious appearing, diaphoretic heent: nc/at, perrla neck: no jvd cv: s1, s2. bradycardic. regular rhythm. no s3 or s4. no mrg lungs: cta bilaterally, anterior. abd: soft, nt, nd. + bs. ext: wwp bilaterally. 2+ dp and pt on rle. 2+ dp and 1+ pt on lle. normal color. no pain with palpation. neuro: a/o x 3. pertinent results: 10:40pm glucose-123* urea n-23* creat-0.8 sodium-139 potassium-4.4 chloride-108 total co2-25 anion gap-10 10:40pm alt(sgpt)-42* ast(sgot)-179* ck(cpk)-793* alk phos-65 amylase-61 tot bili-0.6 dir bili-0.1 indir bil-0.5 10:40pm ctropnt-2.47* 10:40pm albumin-4.9* 10:40pm %hba1c-5.6 -done -done 10:40pm wbc-8.3 rbc-4.69 hgb-14.9 hct-41.8 mcv-89 mch-31.9 mchc-35.7* rdw-13.2 10:40pm neuts-84.6* bands-0 lymphs-11.7* monos-2.9 eos-0.4 basos-0.3 10:40pm hypochrom-normal anisocyt-normal poikilocy-normal macrocyt-normal microcyt-normal polychrom-normal 10:40pm plt smr-normal plt count-204 10:40pm pt-13.5* inr(pt)-1.2* brief hospital course: hospital course by problem: 1. ischemia: pt p/w inferior stemi with 90% blockage in lcx and 70% in rca. pt had cypher in lcx on , with benign post-cath course. ck peaked at 4733, mbi 8.8, trop 14.98 on . pt continued on asa, high-dose statin, and plavix. integrillin was continued for 18 hours after catheterization. metoprolol and ace inhibitor were restarted on hd#1. rle cyanosis observed after catheterization was reduced after removal of venous sheath and did not recur during inpatient course; right sided lenis revealed no evidence of dvt and ct scan of the abdomen and pelvis did not show evidence of retroperitoneal bleed. pt had transient chest pain for 1 day following the procedure, but pain was not associated with ischemic ekg changes. chest pain was not apparent by day #2 post-catheterization. the patient underwent placement of a 3.0 x 18mm cypher des on , this time targeting the second occlusion in the distal rca. the post-catheterization course was benign, with no evidence of cyanotic extremities. the patient transiently complained of chest pain following the procedure; the cp was not associated with ekg changes suggestive of ischemia. the pain subsided by 6 hours post-cath. he continued on asa/high-dose statin/metoprolol/ace-i/plavix. the patient was told to continue the plavix for 3 months post-cath. . 2. pump: echcardiogram on was significant for impaired systolic function, with ef 30-35%. there were multiple wall motion abnormalities, including: inferolateral, mid-distal anterioseptal, and distal anterior akinesis; and inferior hypokinesis. these abnormalities were considered to be possibly related to hibernating or stunned myocardium; follow-up echocardiogram 3-4 weeks post-discharge will be helpful to determine the level of recovery of hibernating/stunned myocardium and the need for aicd placement. a follow-up cardiology appointment was scheduled for several weeks after discharge. the patient was continued on lisinopril and metoprolol to improve long-term outcomes related to systolic dysfunction. . 3. rhythm: during the inpatient course, mr. had persistent asymptomatic bradycardia, which was ntreated. he had numerous 5 beat runs of aivr, consistent with recovery form stemi. . 4. cyanosis s/p cath as mentioned above, the rle cyanosis post-cath#1 was considered to be due to venous insufficiency. it did not recur throuhgout the hospital course or after the second catheterization. ct abdomen and pelvis r/o rp bleed, and leni r/o dvt. the patient had brisk dp pulses during the cyanotic episode and throughout the hospital course. . 5. ms: currently in remission. not an active issue. . 6. depression/anxiety: on prozac and ritalin. ritalin was held during hospital course given risk of beta adrenergic stimulation. the patient was advised not to take ritalin until consulting his outpatient cardiologist, given this risk. medications on admission: metoprolol 25mg qd asa 81mg qd simvastatin 40mg qd lisinopril 10mg qd methylphenidate 40mg qd fluoxetine 60mg qd discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily) for 3 months. disp:*30 tablet(s)* refills:*2* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. metoprolol succinate 25 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). 6. fluoxetine 20 mg capsule sig: three (3) capsule po once a day. discharge disposition: home discharge diagnosis: st segment elevation myocardial infarction discharge condition: good discharge instructions: 1) continue your medications as directed - you were started on a medication called plavix. you must take this medication every day. - your aspirin dose was increased to 325 qd. - your lisinopril was decreased to 5 mg daily. - we changed your cholesterol medicine to lipitor. - your ritalin was stopped. please talk to your cardiologist before restarting. 2) follow up with your pcp and cardiologist as mentioned below. 3) for the first few days after discharge, do not walk or sit for prolonged periods of time. do not lift objects greater than 15 pounds for at least one week after discharge. return to the hospital if you have return of chest pain, shortness of breath, difficulty with exertion, swelling in your legs, palpitations, or fever >101.5 f. followup instructions: 1. you have an appointment with your pcp, . on wednesday, at 11:00 a.m. please call his office with any questions or rescheduling needs. . 2. you have an appointment with your cardiologist, dr. , tomorrow at 11:00am. however, it is important that you follow up with an echocardiogram at 3-4 weeks after discharge, so you should schedule a repeat visit for that time. procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor injection or infusion of platelet inhibitor left heart cardiac catheterization coronary arteriography using a single catheter angiocardiography of right heart structures angiocardiography of right heart structures insertion of drug-eluting coronary artery stent(s) insertion of drug-eluting coronary artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension dysthymic disorder other and unspecified hyperlipidemia acute myocardial infarction of other inferior wall, initial episode of care old myocardial infarction multiple sclerosis 

Answer: The patient is high likely exposed to