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: stemi major surgical or invasive procedure: cardiac catheterization with drug eluting stents x2 to the left anterior descending artery. history of present illness: 40 yo without pmhx other than recent dental pain/infection transferred from lgh with lad territory stemi. . he initially presented to hospital at ~5am with cp and jaw pain which he initially believed to be related to dental problems. was found to have ste's in v1-v5 without positive enzymes, was loaded with ticagrelor taken to cath where there was an equiptment fail and thus was transfered to catheterization lab with left radial sheath in place. got 325mg asa. on cath found to have 3vd, right completely occluded, 70-80% circ, anterior mid lad stemi which appeared thrombotic. 2 placed promus in lad, non overlapping, prox and mid lad. . following cath, he had partial resolution of his ste's but developed cp and 4/10 l arm pressure @ ~11:30am with ekg's showing increasing ste's in v2 but not to level on presentation (also with higher voltages in qrs indicating this may be partly voltage related). bp in the 140's, hr in the 90's. given iv pushes of metoprolol in addition to po 25mg (goal hr of 60's, bp in the 120/80 range, started on nitro drip, got morphine 2mg iv and chest pain resolving. . on review of systems, s/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. s/he denies recent fevers, chills or rigors. s/he denies exertional buttock or calf pain. all of the other review of systems were negative. past medical history: 1. cardiac risk factors: - diabetes, - dyslipidemia, + hypertension 2. cardiac history: - cabg: none - percutaneous coronary interventions: - pacing/icd: 3. other past medical history: - wrist surgery - asthma social history: - tobacco history: unclear, states he bites on the end of cigarettes for years - etoh: rarely - illicit drugs: none family history: - + family history of early mi, no hx of arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. - mother: nc - father: mi at age 40, died at 60 physical exam: admission physical exam: vs: t=97.5 bp=139/97 hr=86 rr=21 o2 sat=100% general: nad. aox3. mood, affect appropriate, affable. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of 1 cm above sternal angle at 30 degrees. 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: nabs, soft, ntnd. no hsm or tenderness. extremities: no c/c/e. no femoral bruits. cath site non-tender, no apparent hematoma, distal pulses strong skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ . discharge physical exam: pertinent results: admission labs: . 11:55am blood wbc-9.5 rbc-5.37 hgb-15.6 hct-46.1 mcv-86 mch-29.1 mchc-33.9 rdw-12.9 plt ct-349 11:55am blood pt-12.8 ptt-66.9* inr(pt)-1.1 11:55am blood plt ct-349 11:55am blood glucose-108* urean-14 creat-0.9 na-137 k-4.5 cl-104 hco3-20* angap-18 11:55am blood ck-mb-148* mb indx-10.2* ctropnt-3.45* 11:55am blood ck(cpk)-1450* 11:55am blood calcium-10.1 phos-4.3 mg-2.0 cholest-177 11:55am blood %hba1c-6.3* eag-134* 11:55am blood triglyc-316* hdl-39 chol/hd-4.5 ldlcalc-75 . pertinent labs: . 11:55am blood ck-mb-148* mb indx-10.2* ctropnt-3.45* 08:02pm blood ck-mb-100* mb indx-9.7* ctropnt-2.23* 04:08am blood ck-mb-63* mb indx-9.1* ctropnt-1.58* 11:55am blood ck(cpk)-1450* 08:02pm blood ck(cpk)-1032* 04:08am blood ck(cpk)-689* 11:55am blood %hba1c-6.3* eag-134* 11:55am blood triglyc-316* hdl-39 chol/hd-4.5 ldlcalc-75 . discharge labs: . 06:55am blood wbc-8.7 rbc-4.97 hgb-14.8 hct-43.2 mcv-87 mch-29.8 mchc-34.3 rdw-12.8 plt ct-281 06:55am blood plt ct-281 06:55am blood glucose-104* urean-15 creat-1.0 na-142 k-4.4 cl-105 hco3-30 angap-11 . micro/path: . mrsa screen (final ): no mrsa isolated. . imaging/studies: . ecg : sinus rhythm. anterior wall myocardial infarction with persistent st segment elevation and t wave inversions raising concern for underlying myocardial ischemia. clinical correlation is suggested. . c.cath : final diagnosis: 1. three vessel coronary artery disease. 2. systemic arterial hypertension. 3. elevated left-sided filling pressures. 4. successful stenting of the mid lad with a . 5. successful stenting of the proximal lad with a . . trans-thoracic echo : lvef 50% the left atrium is normal in size. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. there is mild regional left ventricular systolic dysfunction with mild mid to distal septal/distal anterior hypokinesis. no masses or thrombi are seen in the left ventricle. there is no ventricular septal defect. 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 and no aortic stenosis or aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. . brief hospital course: 40m with hx of smoking and fhx significant for early transferred from osh with lad stemi s/ 2 to lad. . active diagnoses: . #stemi s/ 2 to lad: mr. was transferred from osh for stemi with attempted pci which was terminated early due to equipment malfunction. he was recieved c. cath here which demonstrated a sequential 80% proximal lesion with thrombus and 80% mid-lad lesion which were stented with 2. additionally there was 3vd with the first and second diagonal branches with 80-90% stenosis at their origins, the lcx with a distal 80% stenosis, and the rca with a 100% proximal occlusion with left-to-right collaterals. following the procedure, he was sent to the ccu where he described chest discomfort and had continued ste's in the affected territory, both of which resolved quickly with uptitration of his nitrodrip and heart rate control with metoprolol. he continued to have residual chest discomfort with aches and pains in his left shoulder which occurred solely when he moved his arm for the remainder of his hospitalization. he was started on asa, plavix, atorvastatin, metoprolol succinate, and lisinopril prior to discharge. he described being uninsured and was seen by social work to aid him in obtaining his medications. the importance of medication compliance was raised with this patient several times and he was informed that failing to take any of his medications, and especially his plavix, was very risky for his health and his life. he had no significant events on tele and had an otherwise uneventful hospital course. he was set up with cardiac rehab services and was discharged home. . #hypertension: he was hypertensive in the post-cath period to the 160's-170's range systolically. this was rapidly controlled with titration of his nitro drip and he was transitioned to a chf regimen (he was not clinically in chf and his lvef was 50% in the peri-mi setting) with metoprolol and lisinopril and his pressures remained well controlled during his hospitalization and on discharge. . chronic diagnoses: . #smoking: pt describes many years of lighting cigarettes but not inhaling the smoke. regardless, he was counceled extensively on his need to stop smoking and its likely contribution to his 3-vessel cad and infarct. he was discharged with follow-up set with his pcp and cardiologist. . transitional issues: . #stress test: this patient has multi-vessel disease and is s/p 2 to the lad. his inpatient echo was significant for mild left ventricular dysfunction but may benefit from re-vascularization therapy of his other vessels. we would suggest an outpatient stress test to evaluate for potential benefit and to rule out a flow limitation caused by his coronary anatomy. . #medications: we are concerned about this patient's medication compliance as he states he doesn't have insurance and it is unclear if he a reliable with regards to medication compliance. the life-threatening nature of not taking his medications were explained to him extensively and social work is helping set up resources for him to get his medications. medications on admission: none discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po once a day. 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. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. metoprolol succinate 50 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* 5. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*11* discharge disposition: home discharge diagnosis: st elevation myocardial infarction tobacco abuse hypertension discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: it was a pleasure caring for you at . you had a heart attack and was transferred to for a cardiac catheterization. there were many blockages found on the catheterization but the blockage in the left anterior descending artery was fixed with 2 drug eluting stents. it is extremely important that you take aspirin and plavix (clopidogrel) every day for at least one year and possibly longer to keep the stents from clotting off and causing another heart attack. do not miss any doses or stop taking plavix unless dr. tells you it is ok to do so. you were also started on other medicines to help your heart recover from the heart attack and prevent another heart attack. do not stop taking these medicines for any reason and talk to dr. if you cannot buy them. you have some aches that may be from being in bed but also may be from the lipitor. . we started you on the following medicines: 1. aspirin and plavix to prevent the stent from clotting off 2. metoprolol to slow your heart rate and help your heart recover from the heart attack 3. lisinopril to lower your blood pressure and help your heart recover from the heart attack. 4. atorvastatin to lower your cholesterol and decrease inflammation. followup instructions: dr. phone: , ma date/time: friday at 2:00pm procedure: coronary arteriography using two catheters injection or infusion of platelet inhibitor left heart cardiac catheterization 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: coronary atherosclerosis of native coronary artery tobacco use disorder unspecified essential hypertension acute myocardial infarction of other anterior wall, initial episode of care other and unspecified hyperlipidemia chronic total occlusion of coronary artery 

Answer: The patient is high likely exposed to