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 discomfort major surgical or invasive procedure: cardiac catheterization history of present illness: 87 yo male with h/o hypertension, no cardiac history who presented to hospital with several day history of a "funny" feeling in his chest radiating to the throat. patient is not able to describe his symptoms fully but states that he had a strange feeling in his chest, throat fullness/tightness, radiating to left shoulder a/w nausea and diaphoresis. on the day of presentation he woke up feeling fell and then started having these symptoms again at which point he went to the osh. he reports symptoms x 2 week, starting after he had a complete physical by his pcp. that time he reports a normal ekg. a stress test was planning for the near future. he also reports normal echocardiograms in the past but has never been cathed, his last stress was several yrs ago. at the osh, ekg showed stemi inferiorly. pt diaphoretic, + nausea and vomitting x1. treated with aspirin 325mg, 600mg plavix, integrillin gtt initiated at 14cc/hr (2mcg/kg/min), 4mg morphine iv, 50mcg fentyl and 4mg zofran iv and transfered to . patient arrived to , cath showing elevated filling pressures, lmca mild dz, lad 60-70 mid, lcx 90% mid, occ om, rca occluded distally which was stented with cypher des with normal residual flow. right heart cath showing pcwp 17, pa 22. past medical history: - htn - gallstones social history: lives alone, has girlfriend and daughter in law who visits frequently. quit smoking 20 yrs ago, h/o 25 pack yr, rare etoh. goes dancing weekly, very active, mows 2 acres of lawn. family history: non-contributory physical exam: vs: t af bp 135/70 hr 63 rr 14 o2 100% 2l gen: elderly man, very pleasant, lying flat, nad heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp flat. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abd: obese and protuberant, soft, nontender throughout, no masses, no pulsatile mass, bs+. abd aorta not enlarged by palpation. no abdominial bruits. ext: right arterial/venous in place, small ooze, no mass/hematoma. no c/c/e. good distal pulses. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pertinent results: wbc-11.7* rbc-3.85* hgb-12.6* hct-34.0* mcv-88 mch-32.8* mchc-37.2* rdw-14.5 plt ct-323 wbc-5.9 rbc-3.84* hgb-12.2* hct-36.1* mcv-94 mch-31.8 mchc-33.7 rdw-14.0 plt ct-276 pt-12.2 ptt-27.4 inr(pt)-1.1 glucose-168* urean-20 creat-1.0 na-139 k-3.7 cl-107 hco3-23 glucose-252* urean-16 creat-1.0 na-137 k-4.0 cl-100 hco3-28 11:00am blood ck(cpk)-68 ck-mb-notdone ctropnt-<0.01 06:11pm blood ck(cpk)-687* ck-mb-75* mb indx-10.9* 11:10pm blood ld(ldh)-309* ck(cpk)-770* ck-mb-72* mb indx-9.4 ctropnt-2.84* 06:19am blood ck(cpk)-633* ck-mb-47* mb indx-7.4* ctropnt-2.47* 2d-echocardiogram: the left atrium is elongated. there is mild symmetric left ventricular hypertrophy with normal cavity size and systolic function (lvef>55%). regional left ventricular wall motion is normal. tissue doppler imaging suggests an increased left ventricular filling pressure (pcwp>18mmhg). right ventricular chamber size and free wall motion are normal. there are three aortic valve leaflets. the aortic valve leaflets are moderately thickened. there is mild aortic valve stenosis (area 1.2-1.9cm2). trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild to moderate (+) mitral regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. cardiac cath : comments: 1. coronary angiography revealed a right dominant system. the lmca showed mild 20% stenosis without evidence of flow limitation. the lad showed a 60% midsegment stenosis. the lcx showed a 90% discrete midsegment stenosis with an occluded om branch. the rca showed a thrombotic distal segment occlusion. a large posterolateral branch and also moderate pda branch were evident after restoration of flow within the rca. 2. limited hemodynamic studies demonstrated normal cardiac index of 2.9 l/min/m2 (cardiac output 5.6 l/min). the right atrial filling pressure was mildly elevated at 11 mmhg with borderline elevated pulmonary capillary wedge pressure of 14 mmhg. 3. the lesion in the distal rca was predilated with a 2.0 mm balloon, stented with a 3.0 mm cypher stent and post dilated with a 3.5 mm balloon with lesion reduction to 0%. the final angiogram showed timi iii flow with no residual stenosis, no dissection and no embolisation. (see ptca comments) final diagnosis: 1. three vessel coronary artery disease. 2. borderline elevated right atrial and pulmonary capillary wedge pressures with normal cardiac output. 3. successful stenting of the rca (drug eluting) . brief hospital course: pt is an 87 yo m with h/o hypertension, no other cardiac risk factors, who presented with imi s/p stent to the rca. 1) cad: no history of cad however patient with multivessel disease, s/p intervention on rca which was likely the culprit lesion. received integrilin x 18h s/p cath. after cath he had a few transient episodes of atypical chest pain lasting seconds which resolved spontaneously and were not associated with any ekg changes. he became cp free with resolution of st elevations on ekg. cardiac enzymes peaked on (ck-770, mb-72, mbi 9.4). pt was started on asa 325, plavix 75, a high dose statin, and a low dose bb. lisinopril 5mg po daily was added on day of discharge. discussed with patient need to keep a bp diary so that his outpatient cardiologist can make adjustment to bp meds as necessary. dr. office is to call patient with a f/u appointment within the next 2 weeks, and he will consider a stress test ( wks) as an outpatient to better eval the lad lesion. 2) rhythm: patient ranged from sinus brady and nsr, pr prolongation. monitored for bradyarrhythmias, patient tolerated 12.5 mg metoprolol . 3) pump: echo as above, ef >55%, has remained euvolemic, with no symptoms of heart failure. acei was started prior to discharge. 3) hyperlipidemia: lipids per patient normal with total cholesterol 150. pt was started on a high dose statin (atorvastatin 80mg po qd), with the plan to continue for 1 month, then reassess his lipids at that point as an outpatient. 4) htn: verapamil was d/c'd, low dose bb was initiated and tolerated as above. his pressures remained high (in the 150s-160s/ 60s-94) and lisinopril 5 mg po daily was initiated. discussed with patient need to monitor bps and keep a log for future outpatient management of bp meds. 5) abdominal discomfort: recent had a recent diagnosis of gallstones, no fever. large protuberant abdomen was difficult to assess. kub on admission revealed ileus. ng tube was placed, which drained 800cc bilious fluid. ng tube was was removed the next day and pt tolerated a regular diet. pt's discomfort was relieved with simethicone and bowel movements. patient's daughter (physician or rn) was concerned he might have an aaa as patient frequently complains of abdominal discomfort and has history of smoking in the past. no pulsatile masses were palpated on exam, but exam limited by patient's body habitus. given high amount of bowel gas, an abdominal u/s for evaluation of aaa would have been limited and is deferred to be completed as an outpt. 6) fen: pt was npo during ngt placement and tolerated a cardiac diet once ngt was removed. electrolytes were monitored and repleted when necessary. 7) ppx: patient was maintained on a bowel reg prn, and subcutaneous heparin for dvt prophylaxis. 8)patient was discharged to home with medications and is to f/u with dr. as an outpatient. 9) code: full hcp: medications on admission: verapimil 240mg daily discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*90 tablet(s)* refills:*2* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 4. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual prn (as needed): for pain. disp:*30 tablet, sublingual(s)* refills:*2* 6. cephalexin 500 mg capsule sig: one (1) capsule po q12h (every 12 hours) for 5 days. disp:*10 capsule(s)* refills:*0* 7. lisinopril 5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: all care vna of greater discharge diagnosis: primary diagnosis: inferior myocardial infarction . secondary diagnoses: hypertension discharge condition: good, hemodynamically stable, chest pain free discharge instructions: you were admitted to the hospital for evaluation of chest pain. you were found to have had a heart attack. you underwent cardiac catheterization for which a drug eluting stent was placed to open one of your arteries. given your heart attack and stent, we have placed you on various important medications that must be taken as prescribed. you will be placed on aspirin, lipitor, metoprolol, lisinopril and plavix. it is very important that you take your plavix every day to prevent blood clots from forming. you will have a follow up appointment with dr. of cardiology. you should receive a call regarding this appointment. please return to the hospital if you experience any chest pain, shortness of breath, nausea or dizziness, excessive bleeding, or any other symptoms that concern you. followup instructions: please follow up with dr. in the next month. you should receive a call from his office regarding this appointment. please call ( in one week if you do not receive a call. please follow up with your primary care physician in the next 7-10 days procedure: coronary arteriography using two catheters injection or infusion of platelet inhibitor insertion of other (naso-)gastric tube angiocardiography of right heart structures right 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 unspecified essential hypertension personal history of tobacco use other and unspecified hyperlipidemia acute myocardial infarction of other inferior wall, initial episode of care 

Answer: The patient is high likely exposed to