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: nstemi major surgical or invasive procedure: cardiac catheterization, no intervention history of present illness: 51 yo male with history of cad s/p cabg x3 in (lima to lad, svg to diag and om), htn, hld, tobacco use, itp presents from . he woke up from sleep at 6am with severe substernal chest pain, radiating to both arms (l>r), with some tingling. he took one nitroglycerin which helped with the pain initially, but it returned in 15 minutes, he felt as if an "elephant was sitting on his chest." he also complained of some diaphoresis during those episodes, but denied n/v. the patient presented to this am with this chest pain. he was found to have elevated bp to 206/126. ekg showed st depressions. initial trop was 1.03. he was given sl nitro, total of 8mg iv morphine, 600mg plavix, 325mg aspirin, 50mg metoprolol po. he was admitted to their ccu where he had recurrent chest pain at 4pm. he was then started on heparin and nitro drips. most recent troponin prior to transfer was 9.10, cpk > 1000. on transfer, he has no chest pain. he was transferred here for emergent cath. . on review of systems, 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. he denies recent fevers, chills or rigors. 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: x3 lima to lad, svg to diag, svg to om 3. other past medical history: itp - was worked up at osh, no splenectomy. appendectomy at age 10 social history: lives with his girlfriend named . of water well. divorced 4 years ago. 3 children. he states that he quit smoking on and off, but most recently a month ago, but had a few cigarettes while in last week. routine etoh intake beers daily. company in -tobacco history: (+) -etoh: (+) -illicit drugs: none. family history: brother cad with angioplasty, father -lung ca at 61, mother - . physical exam: on admission: vs: t=100pm bp= 137/85 hr= 85 rr= 18 o2 sat=98% on general: wdwn in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple cardiac: 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: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: no c/c/e. 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+ . on discharge: vss. pertinent results: 09:30pm plt count-158 09:30pm wbc-12.7* rbc-4.73 hgb-14.3# hct-41.4 mcv-88 mch-30.3 mchc-34.6 rdw-13.9 09:30pm ck-mb-129* mb indx-8.8* ctropnt-2.44* 09:30pm ck(cpk)-1472* 09:30pm estgfr-using this 09:30pm glucose-151* urea n-17 creat-1.2 sodium-136 potassium-4.0 chloride-101 total co2-25 anion gap-14 echo: the left atrium is mildly dilated. the left atrium is elongated. the right atrium is moderately dilated. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. there is mild regional left ventricular systolic dysfunction with hypokinesis of the basal to mid-inferior and inferolateral walls. the right ventricular cavity is mildly dilated with low-normal free wall contractility. the diameters of aorta at the sinus, ascending and arch levels are normal. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. the pulmonary artery systolic pressure could not be determined. there is a trivial/physiologic pericardial effusion. impression: regional lv systolic dysfunction consistent with cad. mildly dilated rv with borderline normal function. no pathologic valvular abnormality seen. cardiac cath: report not available at time of discharge. brief hospital course: 51m with cad s/p cabg x3 in (lima to lad, svg to diag and om), htn, hld, tobacco use, itp presents from with chest pain. he was transported to the cath lab for emergent cath and then was admitted to the ccu for post-cath care. . # nstemi: based on cath from , which showed left main and two vessel coronary artery disease, mild global systolic left ventricular dysfunction, normal left ventricular diastolic function; patient undergone cabg x3 lima to lad, svg to diag, svg to om. at osh ekg showed st depressions in lateral leads (i, avl, v2-3). patient s/p cath (which demonstrated svg to om was occluded, lima to lad was patent, severe lv diastolic heart failur ) with no stenting, with deferred pci due to likely completed nstemi. also, ck: 1472 mb: 129 mbi: 8.8 trop-t: 2.44. he received 160 ml of contrast total. he was started on aspirin 325 daily, eptifibatide 2 mcg/kg/min iv drip infusion duration: 18, - continue heparin drip 6 hours s/p arterial hemostasis until chest-pain free, with no bolusing. this was stopped on hd#2. plavix 75mg daily (was loaded at osh) for 1 month post mi. atorvastatin 80mg daily. metoprolol titrated to hr of 60-70, as bp tolerates. we maintained o2 saturation above 90% with nasal cannula as needed. his cardiac enzymes peaked. post cath checks without any complications. echo was done and showed regional lv systolic dysfunction consistent with cad. mildly dilated rv with borderline normal function. no pathologic valvular abnormality was seen. this patient would greatly benefit from total smoking cessation, and this was discussed with him. . . # hypertensive emergency/htn - patient's bp was in 200's at osh. patient received lasix 20, and was on nitro drip while in cath. while in the ccu his blood pressure was not in the hypertensive. we monitored his blood pressure while in hospital. we stopped his home lisinopril, but he should resume it later if his blood pressure is increased. . # elevated wbc count - likely post cath but with low grade fever. this improved prior to discharge, and he was afebrile while in hospital. . #prophylaxis: patient was prophylaxed with subcutaneous heparin and pneumoboots while inpatient. medications on admission: medications on transfer: metoprolol 50mg daily heparin 1500units/hr nitro 90mcg/min . home medications: aspirin 325 daily crestor 40mg daily lisinopril 20 daily multivitamin cod liver oil discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*11* 3. metoprolol succinate 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* 4. crestor 40 mg tablet sig: one (1) tablet po once a day. 5. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 6. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual prn (as needed) as needed for chest pain. disp:*25 tablets* refills:*0* 7. isosorbide mononitrate 30 mg tablet sustained release 24 hr sig: 0.5 tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*2* discharge disposition: home discharge diagnosis: non st elevation myocardial infarction coronary artery disease hypertension dyslipidemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you had chest pain and a heart attack at and was transferred here for a cardiac catheterization. we found a blockage in one of the bypassed veins. we did not try to fix this artery as it appeared that the heart attack was over. you have done very well after the heart attack and an echocardiogram showed that your heart function is still ok but not quite as strong as before. you will have another echocardiogram at your new cardiologists office. please follow the instructions of the physical therapist regarding activity until you see dr. . we have made the following changes to your medicines: 1. start taking plavix every day to prevent any further blockages in your heart arteries 2. start taking imdur to prevent any chest pain and help lower your blood pressure. 3. start taking metoprolol to help your heart recover from the heart attack. 4. continue to take a full (325mg) aspirin, lisinopril and crestor as before. 5. take the nitroglycerin as directed for any chest pain or pressure. please call dr. if you have chest pain. call 911 if the nitroglycerin does not relieve the chest pain. . please talk to dr. about returning to physical activity . you will need to stop smoking entirely to prevent further heart attacks. smoking is a major contributor to your heart disease. smoking cessation strategies have been discussed with you. followup instructions: name: , specialty: internal medicine address: 3 village green north, ste. 321, , phone: appointment: thursday at 11:00am name: , specialist: cardiology address: ,lower level, , phone: appointment: tuesday at 2:20pm procedure: coronary arteriography using two catheters left heart cardiac catheterization diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery tobacco use disorder unspecified essential hypertension aortocoronary bypass status other and unspecified hyperlipidemia immune thrombocytopenic purpura 

Answer: The patient is high likely exposed to