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 w/ stent x 3 history of present illness: 56 yo caucasian male w/ pmhx htn, obesity presented to the er with chest pain. pt stated that he had felt fatigued over the last few days pta. on am, pt states that he woke up with a sudden onset severe substernal chest pain. pain was associated w/ some shortness of breath but did not radiate to jaw, back, arms, or legs. pt did not experience any nausea, vomiting, diaphoresis. pt reports that he did use viagra ~ 10-12 hours pta. he took 325 mg tablet of aspirin and called ems. ems gave patient additional 180 mg of aspirin and 4 sl nitroglycerin tablets and pain decreased to . in , pt found to have st elevations in leads i, avl, v1-v4. pt was taken to cath lab and found to have lad 100% mid lesion s/p 2 stents and 80% proximal lesion s/p 1 stent. past medical history: htn obesity social history: married, 15 pack year history, no etoh. family history: paternal grandfather - mi father - mi mother - cancer physical exam: vitals: temp 98.0 bp 116/68 hr 86 rr 18 o2 97% ra gen: lying in bed comfortable nad heent: anisicoria, r>l 4mm > 3 mm, eomi, no jvp cv: rrr nl s1 s2 no m/r/g resp: cta b/l abd: soft nt nd + bs ext: no c/c/e groin: c/d/i skin: no rash neuro: cn ii-xii intact. pertinent results: ekg - nsr, st elevational i, avl v1-v4, st depression in iii, avf. . cxr - no acute cardiopulmonary abnormality . catheterization - 100% mid lad lesion s/p 2 stents, 80% ulcerated lad lesion, proximal lad s/p stent, r dominant circulation, lcx 60-70% diffuse stenosis of mid vessel, rca 80% proximal stenosis. pcwp - 18 mm hg. co 5.4. ci 2.6. . echo - ef 30%, regional left ventricular diastolic dysfunction c/w cad. 09:05pm ck(cpk)-1668* 09:05pm ck-mb-143* mb indx-8.6* 03:00pm potassium-4.0 03:00pm alt(sgpt)-58* ast(sgot)-219* ck(cpk)-2500* alk phos-66 tot bili-0.6 03:00pm ck-mb-259* mb indx-10.4* 03:00pm cholest-242* 03:00pm %hba1c-5.7 03:00pm triglycer-215* hdl chol-36 chol/hdl-6.7 ldl(calc)-163* 03:00pm hct-42.2 03:00pm plt count-206 11:00am plt count-192 06:20am glucose-129* urea n-17 creat-1.0 sodium-141 potassium-4.1 chloride-108 total co2-24 anion gap-13 06:20am ck(cpk)-85 06:20am ck-mb-4 ctropnt-<0.01 06:20am wbc-9.4 rbc-4.76 hgb-15.8 hct-43.8 mcv-92 mch-33.3* mchc-36.2* rdw-12.5 06:20am neuts-57.3 lymphs-34.3 monos-5.6 eos-1.8 basos-0.9 06:20am plt count-215 06:20am pt-11.9 ptt-26.2 inr(pt)-0.9 brief hospital course: 56 yo male presented to er with anterior stemi taken to cath lab found to have 3vd w/ two lesions in lad both successfully stented; lcx w/ 60% lesion and rca w/ 80% lesion not intervened upon. transferred to ccu for further observation. . cad - pt was transferred to the ccu and placed on telemetry. his integrilin was continued for 18 hours post catheterization. he was maintained on aspirin, lipitor, metoprolol, and plavix. after one day lisinopril was added. his cks peaked at 2500 w/ mb of 259. the patient was arranged for re-catheterization in weeks for his diseased lcx and rca lesion that were not intervened upon. . - pt echo showed ef 25% with multiple akinetic areas. as a result it was deemed that the patient would require anticoagulation. he was started on coumadin and was d/c to home on lovenox until his coumadin dose was therapeutic. the need for further anticoagulation would be re-assessed at the time of his next catheterization. . rhythm - no issues . - the patient was instructed to follow up with his pcp regarding his pt/inr levels. he was also given an appointment to see dr. in 3 weeks. medications on admission: atenolol viagra discharge medications: 1. outpatient lab work check pt/ptt/inr on and if necessary on . please give the patient the results and call results in to dr. - . 2. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po daily (daily). :*30 tablet(s)* refills:*2* 3. atorvastatin calcium 40 mg tablet sig: one (1) tablet po daily (daily). :*40 tablet(s)* refills:*2* 4. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). :*30 tablet(s)* refills:*2* 5. warfarin sodium 5 mg tablet sig: one (1) tablet po daily (daily): please have your pcp check the inr level and adjust the dose accordingly. :*30 tablet(s)* refills:*2* 6. enoxaparin sodium 100 mg/ml syringe sig: one (1) subcutaneous q12h (every 12 hours): please take lovenox until inr level is therapeutic and approved by your pcp. :*14 * refills:*0* 7. aspirin ec 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). :*30 tablet, delayed release (e.c.)(s)* refills:*2* 8. metoprolol tartrate 100 mg tablet sig: two (2) tablet po daily (daily): hold for sbp<100 or hr <60. :*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: acute anterior myocardial infarction discharge condition: hemodynamically stable, able to walk without difficulty. discharge instructions: patient was instructed to take all of the medications as instructed. pt was instructed to seek medical attention if he were to develop cp, sob, diaphoresis, palpitation, dizziness, nausea/vomting, or any other concerning symptoms. pt needs to follow up with his pcp days. pt needs to be scheduled for the 2nd cath in 6 weeks. pt needs to take lovenox daily until the inr/coumadin level is therapeutic. pt needs to get his inr level checked on & if necessary and have his pcp review the level and have the coumadin dose adjusted. followup instructions: provider: follow up with your pcp , . @ 3:15 pm. please follow up with your cardiologist in weeks.provider: , md where: cardiac services phone: date/time: 9:30. procedure: injection or infusion of platelet inhibitor left heart cardiac catheterization coronary arteriography using a single catheter angiocardiography of right heart structures insertion of drug-eluting coronary artery stent(s) diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension acute myocardial infarction of other anterior wall, initial episode of care 

Answer: The patient is high likely exposed to