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: aspirin attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization , placement of 2 drug-eluting stents to lad, and 1 drug-eluting stent to the rca. history of present illness: mr. is a 45 yo male w/o known cad with an aspirin allergy who presented to his pcp yesterday for 2 weeks of intermittent chest pain. his pcp did an ecg that showed st depressions in v1-v5 and he was sent to the ed at . by time he arrived at the ed, his pain had resolved. no medications were given at that time. he had one episode of chest pain overnight which also resolved without treatment. he was transferred to for aspirin desensitization and cardiac catheterization. he describes his chest pain as a pressure in the upper chest ("like someone is standing on me") that lasts about 3-5 minutes and resolves on its own. his initial episode was two weeks ago during light activity (walking around). his next episode was a few days later and he began having chest pain episodes more often (up to about 3 per day) and having pain at rest. he states that during one episode a few days ago, he had a cough that was productive for slightly blood-tinged saliva. yesterday morning he went to work and his friends convinced him to call his pcp. at hospital, he was given 5000 units sc heparin, 70mg sc lovenox, and plavix 300mg po. 1st set of enzymes was cpk 236, ckmb 3.2, troponin i 0.06 (indeterminate per their lab). 2nd set cpk 200, ckmb 2.8, troponin i 0.08 (also indeterminate). third set 180, 2.5, and 0.04 (also indeterminate). he also had a normal cxr and ct that showed emphysematous changes but no evidence of pe. he has a very strong family history for premature cad with his sister having a mi at age 42 and his father having multiple beginning in his 50's. on review of systems, he denies any fever, chills, headaches, weakness, numbness, nausea, vomiting, diarrhea, constipation, or hematuria. he endorses one episode of left side pain at the osh due to "sitting in one place too long" that resolved with 2mg iv morphine. all of the other review of systems were negative. past medical history: herniated disc in back emphysema - diagnosed after he had an episode of pneumonia, reports his exercise tolerance is high and he can "walk forever and run with my kids" social history: lives in , ma with his wife and son (age 13). previously smoked cigarettes extensively (2-3ppd for 30 years), quit 1.5 years ago, now continues to smoke some cigars (states he will completely quit after this hospitalization). denies etoh or illicit drug use. works as an iron worker. family history: he has a very strong family history for premature cad with his sister having a mi at age 42 and his father having multiple beginning in his 50's. physical exam: vs: t=98.3 bp=143/79 hr=65 rr=14 o2 sat=97% ra general: well-appearing male in nad. oriented x3. mood, affect appropriate. heent: sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. no lad, no thyromegaly neck: supple with no jvd. cardiac: pmi located in 5th intercostal space at midclavicular line. rrr, 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: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. bs+ extremities: no clubbing/cyanosis/edema. no femoral bruits. 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+ pertinent results: admission labs: 15.9 11.8>---<304 47.5 141 107 13 -----------< 92 4.1 24 0.8 pt 12.2 ptt 53.1 inr 1.0 ck 125 ck-mb 3 trop t <0.01 notable osh labs: wbc 13.5 with normal diff, cr 1.0, bun 11 tot chol 180 ldl 116 hdl 47 trig 85, normal lft's ekg: at osh: nsr, very slight st elevations in v1-v2, t wave inversions in v4-v5, st depression v4-v5 at osh: nsr, t waves slightly normalized in v4-v5, continued st depression in v4-v5 : nsr, no st elevations but t wave inversion v4 4:45am: nsr, marked st elevation in leads v1-v4 4:55am: nsr, resolution of st elevations, t wave inversions v1-v4 : nsr, continued t wave inversions in precordial leads c/w t waves ct chest at osh: no ct evidence of pulmonary thromboembolism. emphysematous changes. cardiac cath : coronary angiography in this right dominant system demonstrates two vessel disease. the lmca had no angiographically apparent disease. the lad had an 80% stenosis in the mid-portion of the vessel. the d1 had a 70% stenosis at the origin. the cx had minor luminal irregularities on angiography. the rca had a 70% stenosis in the mid portion of the vessel. patient received two endeavor 3.0 drug-eluting stents to the lad and an endeavor 3.5 drug-eluting stent to the rca. tte : the left atrium and right atrium are normal in cavity size. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). tissue doppler imaging suggests a normal left ventricular filling pressure (pcwp<12mmhg). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. inpatient labs: 04:25am blood wbc-14.1* rbc-4.84 hgb-15.7 hct-45.8 mcv-95 mch-32.4* mchc-34.3 rdw-13.0 plt ct-285 04:25am blood pt-11.5 ptt-36.0* inr(pt)-1.0 04:25am blood glucose-112* urean-12 creat-0.9 na-137 k-4.8 cl-104 hco3-23 angap-15 01:55am blood ck(cpk)-104 05:00pm blood ck(cpk)-76 01:55am blood ck-mb-3 ctropnt-<0.01 04:25am blood ck(cpk)-66 01:55am blood pt-12.4 ptt-125.3* inr(pt)-1.0 04:25am blood pt-11.5 ptt-36.0* inr(pt)-1.0 brief hospital course: # coronary artery disease: patient was admitted for two weeks of intermittent escalating chest pain. on admission, he was chest pain free and had ecg changes concerning for acs (t waves inversions and st depressions in precordial leads). it was felt that his symptoms were consistent with unstable angina and he was scheduled for cardiac catheterization the next morning. he was started on a heparin gtt, metoprolol 12.5mg po bid, atorvastatin 80mg po daily. his ptt was at goal approximately 8 hours after initiating heparin. early the morning after admission, the patient experienced an episode of chest pain. an ecg was obtained which showed st elevation in leads v1-v4. his pain resolved with administration of sl nitro x 3 and morphine. he was then started on integrillin gtt, nitro gtt, and given plavix 75mg. later that morning, he was taken for cardiac catheterization and found to have 70% stenosis of the lad and 80% stenosis of the rca. he received 2 des to the lad and 1 des to the rca. he had no complications during the procedure. after the procedure, he was chest pain free and remained chest pain free throughout his admission. a follow-up tte showed normal heart function. his cardiac markers remained negative throughout his admission, and his chest pain and st elevations had resolved quickly with sl nitro and morphine. therefore, it was felt that the patient's chest pain was best attributable to coronary vasospasm. therefore, his medications were switched to isosorbide mononitrate 30mg po daily and amlodipine 5mg po daily to prevent coronary vasospasm. his metoprolol was discontinued, and atorvastatin 80mg was changed to simvastatin 20mg po daily. since he received 3 drug-eluting stents, he will need to continue plavix 75mg po daily for at least one year, and aspirin indefinitely. # aspirin desensitization: patient had an allergy to aspirin on admission, and had previously had angioedema and hives with aspirin therapy. therefore, an aspirin desensitization protocol was instituted and the patient was desensitized without complications. # back pain: patient has a history of herniated disc in his back, and complained of some back pain during admission. he was managed with prn oxycodone-acetaminophen for the back pain as an inpatient, but takes darvocet and soma at home. he was discharged with pcp for further prescriptions of pain medication. patient requested he be a full code during his admission. medications on admission: carisoprodol 350 mg tablet one tablet(s) po daily prn for back pain propoxyphene n-acetaminophen 100 mg-650 mg tablet tablet(s) by mouth three times a day prn for back pain discharge medications: 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. isosorbide mononitrate 30 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*2* 4. simvastatin 20 mg tablet sig: one (1) tablet po at bedtime. disp:*30 tablet(s)* refills:*2* 5. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet sublingual as directed: take one tablet if you develop chest pressure. if pain fails to resolve completely, may repeat every 5 minutes, maximum 3 doses. if you take this medication, call your physician . disp:*10 tablets* refills:*2* 7. carisoprodol 350 mg tablet one tablet(s) po daily prn for back pain 8. propoxyphene n-acetaminophen 100 mg-650 mg tablet tablet(s) by mouth three times a day prn for back pain discharge disposition: home discharge diagnosis: primary: coronary artery disease, coronary artery vasospasm, status-post stenting to coronary arteries secondary: chronic back pain, emphysema discharge condition: hemodynamically stable, afebrile and without chest discomfort. discharge instructions: you were admitted with chest pain that had begun about 2 weeks prior. you also had an aspirin allergy. you were evaluated and found to have narrowing in the arteries that supply your heart. these were treated with stents to keep them open. you also underwent aspirin desensitization. you have been started on several new medications. you must take these medications every day to keep your heart healthy, your stents open and to prevent new development of aspirin allergy. you especially need to take your plavix and aspirin every day for one year, do not miss s. please take all medications as prescribed. - start clopidogrel 75 mg daily - start simvastatin 20 mg daily - start aspirin 325 mg daily - start isosorbide mononitrate 30 mg daily - start amlodipine 5 mg daily you need to have repeat lab tests in 6 weeks. these labs should include liver function tests and a cholesterol panel. please keep all outpatient appointments. given your recent procedure, you must not lift objects greater than 10 pounds (lbs) for the next 7 days. no driving for 2 days after discharge. seek medical advice immediately if you notice recurrent chest pain, chest pressure, shortness of breath out of proportion to exercise, difficulty breathing at rest, lower extremity swelling, fever, chills, recurrent bleeding or pain from your groin or any other symptom that is concerning to you. followup instructions: you have follow-up scheduled with your primary care physician, . on monday, at 3:45 pm. cardiology: wednesday at 11:30am. address: 15 bros way and , . phone: you need to have repeat lab tests in 6 weeks. these labs should include liver function tests and a cholesterol panel. please discuss these lab tests and all your new medications with dr. at this appointment. md, procedure: coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor left heart cardiac catheterization insertion of drug-eluting coronary artery stent(s) excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] insertion of three vascular stents procedure on two vessels diagnoses: coronary atherosclerosis of native coronary artery other emphysema family history of ischemic heart disease personal history of allergy to analgesic agent prinzmetal angina displacement of intervertebral disc, site unspecified, without myelopathy 

Answer: The patient is high likely exposed to