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 with exertion major surgical or invasive procedure: cardiac catheterization history of present illness: mr. is a 69-year-old gentleman who has a past medical history of known cad, cabg in (lima-lad; svg-rca; svg-om1; svg-om3; svg-diagonal), pci of the svg to om3 and lcx in , htn and hyperlipidemia who presents to for cardiac catheterization after a positive ett. he had been experiencing chest pain after coughing for 1-2 weeks which would radiate to his armpit. the chest pain is very mild and lasts less then 15 seconds. he denies experiencing any shortness of breath, lightheadedness, palpitations or syncope. during routine physical exam, he described his symptoms to his physician, sent him for a stress test. preliminary stress test report revealed a moderate reversible lateral and anterolateral defect. he presents today for a cardiac catheterization to further evaluate these findings. denies claudication, le edema, orthopnea, pnd, lightheadedness. . on lhc, left ventriculography and coronary angiography results were severe native lad and rca disease, occluded svg to diag revascularized with a cypher stent, complicated by distal embolization of plaque vs. no-reflow. patent lima to lad, svg to rca and svg to om3. ic vasodilators including diltiazem, nipride, adenosine, and nitro were tried with some improvement. he received 405cc of contrast, 41 minutes of floro. he continued to have chest pain post procedure and was admitted to the ccu for further observation. past medical history: htn cad cabg, hyperlipidemia acid reflux frequent pneumonia skin cancer, patient unsure of type, on his face s/p removal social history: married with 3 adult children. he works for the federal court. quit smoking 35 years ago. prior to quitting he smoked 1ppd for approximately 10 years. drinks 5-6 alcoholic beverages a week. denies the use of recreational drugs. family history: his father had a myocardial infarction in his late 60's. his older brother had a cabg at the age of 59 and died of a myocardial infarction at the age of 60. physical exam: 97.4, hr 74, bp 190/76, rr 17, o2sat 99% gen: well appearing obese male lying flat in bed in nad heent: anicteric, mmm, eomi neck: no jvd, no carotid bruit cv: normal s1, s2. no m/r/g appreciated. lungs: cta bilaterally abd: soft, nt, nd, +bs ext: 2+ pulses bilaterally, trace edema. r groin clean, no hematoma, no ecchymosis. pertinent results: 04:15am plt count-185 04:15am wbc-11.9* rbc-3.86* hgb-12.7* hct-35.2* mcv-91 mch-32.8* mchc-36.0* rdw-14.0 04:15am ck-mb-18* mb indx-10.1* ctropnt-0.25* 04:15am glucose-97 urea n-29* creat-1.0 sodium-139 potassium-3.8 chloride-104 total co2-27 anion gap-12 03:28pm ck-mb-5 ctropnt-<0.01 04:15am blood ck(cpk)-179* 03:28pm blood ck(cpk)-109 04:15am blood ck-mb-18* mb indx-10.1* ctropnt-0.25* 03:28pm blood ck-mb-5 ctropnt-<0.01 echocardiogram conclusions: 1. the left atrium is mildly dilated. the left atrium is elongated. 2. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). 3. right ventricular chamber size is normal. right ventricular systolic function is normal. 4.the aortic valve leaflets are mildly thickened. no aortic regurgitation present. 5.the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. 6.moderate tricuspid regurgitation is seen. there is mild pulmonary artery systolic hypertension. 7.there is no pericardial effusion. cardiac catheterization comments: 1) selective coronary angiography revealed three vessel native disease in a right dominant system. the lmca had a distal taper. the lad had sequention severe lesions and distally filled from the lima. the lcx stents and om stents were patent with 30% mild taper beyong the stent. rca was proximally occluded. graft angiography showed stump occluded om1 graft. om3 graft with 50% lesion in tandem and mild in stent restenosis. rca graft was widely patent. svg to d1 was newly subtotally occluded with timi 1 flow and most severe lesion in the mid portion of the graft. lima to lad was widely patent. 2) successful ptca and stenting of the 99% svg-diag lesion (distal protection was attempted but unable to be used) with a 2.5x23 mm cypher stent. there was "no reflow" vs. distal embolization into the diagonal artery with significant improvement with vasodilator drugs and mechanical manipulation. final angiography revealed 0% residual stenosis, no dissection, and timi 3 flow in the svg-d except persistent filling defect in a small side branch of the diagonal artery. (see ptca comments) final diagnosis: 1. two vessel coronary artery disease. 2. successful ptca and stenting of the svg-diag with a drug eluting stent. 4. persistent filling defect of a small side branch of the native diagonal after multiple rounds of vasodilator drugs and mechanical manipulation. brief hospital course: cardiac: 1) ischemia: the patient underwent elective cardiac catheterization for positive ett and found to have near total occlusion of svg to diag graft. the svg to diag was revascularized with a cypher stent, but complicated by distal embolization of plaque. he was admitted to the cardiac intensive care unit for overnight monitoring. cpk enzymes were mildly elevated to 179, and returned to within 8 hours. repeat troponin enzyme measurment was < 0.01 8 hours post-intervention. the patient arrived to ccu hypertensive with mild cp. he was given iv nitroglycerin for bp control and weened within 6 hours. apirin, clopidogrel were continued. he was maintained on losartan and metoprolol. he was given iv hydration post-ia contrast without any elevation of creatinine 48hours later. the patient was pain free with ambulation and without any complaints at time of discharge. the patient was discharged on his home regimen of asa, clopidogrel, metoprolol, omesartan, po lasix, and kcl replacement. he will follow up with his primary cardiologist for further titration of his cardiac medications. . 2) left ventricular function follow up echocardiogram was obtained 24hours post-procedure and did not reveal any anterolateral wall motion abnormalities. normal lv wall thickness and preserved left ventricular ejection fraction. full results are listed above. . 3) rhythm: telemtry monitoring during hospitalization revealed normal sinus rhythm without evidence for any dysrhythmia. rate control was maintained on metoprolol. medications on admission: plavix 75mg daily aspirin 325mg daily metoprolol 50mg tablet twice a day benicar 20mg daily crestor 40mg daily zantac 150mg daily lasix 20mg daily kcl 10 meq daily zetia 10mg daily naproxen 500mg twice daily as needed methocarbamol 500mg four times daily as needed discharge medications: 1. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual q5min () as needed for chest pain. disp:*30 tablet, sublingual(s)* refills:*2* 2. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. rosuvastatin 20 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 4. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 5. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 8. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. benicar 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 10. potassium chloride 10 meq capsule, sustained release sig: one (1) capsule, sustained release po once a day. disp:*30 capsule, sustained release(s)* refills:*2* discharge disposition: home discharge diagnosis: coronary artery disease st segment elevations myocardial infarction discharge condition: stable discharge instructions: please return to emergency room with ant chest pain, shortness of breath. please take your aspirin and plavix daily. you should call your cardiologist prior to discontinuation of either of these medications. followup instructions: please follow up with your cardiologist in two weeks please contact your primary care physician . in a week for a follow up procedure: coronary arteriography using two catheters 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 esophageal reflux unspecified essential hypertension coronary atherosclerosis of autologous vein bypass graft other and unspecified hyperlipidemia acute myocardial infarction of other specified sites, initial episode of care 

Answer: The patient is high likely exposed to