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: chest pain major surgical or invasive procedure: 100% occlusion of rca s/p aspiration thrombectomy and promus des to prox rca; also with normal lmca, 60% eccentric mid-distal lad, 70-80% mid long lcx lesion history of present illness: 65yom with no h/o cad but with active smoking, +fhx, and ? hl who presented to after awakening with substernal cp at 3am, radiating to both shoulders. he was unable to get back to sleep, so eventually went to at 9am. he also reported some lightheadedness and sob on the prior day, but no cp. . there, ekg showed elevation in iii with inferior q waves, std in v2, and sub millimeter depressions in lateral/high lateral leads. cardiac enzymes and all other labs were pending there by transfer here. there, he was given 325 asa, plavix 600 mg po, 1 sl ntg, 1l ns, and 1mg ativan. he was transferred to for further management. . here, he was taken to cath lab and found to have 100% proximal rca culprit lesion and had aspiration thrombectomy followed by des (2.5 x 15 promus) to prox rca with post-dilation, no residual stenosis, and timi 3 flow to distal vessel. also noted to have normal lmca, 60% eccentric mid-distal lad, 70-80% mid long lcx lesion. he had r radial approach. . on arrival to ccu, pt is currently resting comfortably with stable hemodynamics and integrilling running. ros reviewed, as above o/w negative, pt was in good health, working, etc. denied any cp, decrease in exercise tolerance, orthopnea, sob, syncope, leg swelling. past medical history: 1. cardiac risk factors: dyslipidemia (states "cholesterol was 350" was previously on meds but none currently, +fhx as below 2. cardiac history: - inferior stemi : 100% occlusion of rca s/p aspiration thrombectomy and promus des to prox rca; also with normal lmca, 60% eccentric mid-distal lad, 70-80% mid long lcx lesion 3. other past medical history: - bladder cancer: per pt this is not active - active smoker ~1 ppd social history: social history: lives at home with wife and has 2 children. lives in . was a bartender for a long time, now currently working as a courier and able to do adl's, can ambulate well. smoker for 25 yrs, then quit for 10, restarted 15 yrs ago and smokes a little less than 1 pdd. states he drinks 3-4 drinks per day but no eye openers, denies withdrawal sxs, seizures, hallucinations, dt's. no illicit drugs family history: mother: deceased at 70 yo, father: deceased at 50 yo of mi brother: cabg 5 brothers, 2 with prostate ca; has 3 sisters, 2 with parkinsons physical exam: physical examination: 95.6 135/60 p55 12 99%ra well, healthy appearing m in no distress, is not obese, sleeping comfortably but awoken easily, pleasant eomi, no scleral icterus, mouth slightly dry but no op lesions, no jvd or hjr ctab with good air movement, no adventitious lung sounds at all rrr with soft s1/s2, best heard lusb, no murmurs. strong l radial pulse, r radial band on. abd normal, not obese, soft nt nd, benign ble's are without edema, all extrems are warm well perfused, no cyanosis cn 2-12 grossly intact, moving extremities, no gross focal neuro deficits noted pertinent results: 10:46pm ck(cpk)-2520* 10:46pm ck-mb-269* mb indx-10.7* ctropnt-2.49* 10:46pm hct-40.2 05:05pm hct-39.7* 01:13pm plt count-245 11:00am glucose-118* urea n-13 creat-0.6 sodium-141 potassium-3.8 chloride-105 total co2-20* anion gap-20 11:00am estgfr-using this 11:00am calcium-8.7 phosphate-3.8 magnesium-1.9 cholest-280* 11:00am calcium-8.7 phosphate-3.8 magnesium-1.9 cholest-280* 11:00am %hba1c-5.3 eag-105 11:00am triglycer-217* hdl chol-69 chol/hdl-4.1 ldl(calc)-168* 11:00am wbc-9.1 rbc-4.01* hgb-14.9 hct-39.9* mcv-100* mch-37.0* mchc-37.2* rdw-14.0 11:00am neuts-78.6* lymphs-17.5* monos-3.1 eos-0.7 basos-0.2 11:00am plt count-231 11:00am pt-12.1 ptt-23.8 inr(pt)-1.0 . cardiac cath: comments: 1. selective coronary angiography of this right-dominant system demonstrated severe 2 vessel cad. the lmca was normal. the mid lad had a 60% eccentric lesion. the mid lcx had a long 70-80% lesion. the dominant rca was 100% occluded proximally. 2. left ventriculography was deferred. 3. successful thrombectomy and pci of the proximal rca with promus des. 4. terumo band to the right radial artery. 5. no complications of the procedure . final diagnosis: 1. two vessel coronary artery disease (rca, lcx). 2. acute inferior stemi, managed by acute ptca of the culprit lesion. 3. successful thrombectomy and pci of the proximal rca with a 2.5x15mm promus des. 4. aspirin 325mg/day for one month, followed by 81mg/day indefinitely. 5. plavix (clopidogrel) 75mg/day for 12 months. 6. consideration of pci of the lcx with residual ischemia. . echo: the left atrium is elongated. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. there is mild regional left ventricular systolic dysfunction with inferior/inferolateral akinesis/hypokinesis (see diagram). tissue doppler imaging suggests a normal left ventricular filling pressure (pcwp<12mmhg). the right ventricular cavity is mildly dilated with focal basal free wall hypokinesis. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. the estimated pulmonary artery systolic pressure is normal. there is a trivial/physiologic pericardial effusion. . discharge: 07:50am blood wbc-8.6 rbc-3.77* hgb-13.6* hct-38.6* mcv-102* mch-36.0* mchc-35.2* rdw-13.4 plt ct-195 07:50am blood plt ct-195 07:50am blood pt-11.9 ptt-22.0 inr(pt)-1.0 07:50am blood glucose-94 urean-22* creat-0.8 na-140 k-3.8 cl-102 hco3-29 angap-13 11:00am blood calcium-8.7 phos-3.8 mg-1.9 cholest-280* 11:00am blood %hba1c-5.3 eag-105 11:00am blood triglyc-217* hdl-69 chol/hd-4.1 ldlcalc-168* brief hospital course: 65yom with no prior cardiac history but with long smoking history, family history, and possible hyperlipidemia but no known htn, dm who is admitted to ccu after inferior stemi now s/p aspiration thrombectomy and des applied to proximal rca with good flow afterwards. . 1. inferior stemi: pt presented with trop 2.49, ekg showed elevation in iii with inferior q waves, std in v2, and sub millimeter depressions in lateral/high lateral leads. pt went for emergent cath, and had des put in prox rca with improved flow afterwards. he was given integrillin for 18hrs post cath and started on asa 325 for one month and then will transition to 81mg daily, plavix daily for one year, lisinopril 5mg daily, atorvastatin 80 mg daily and metoprolol xr 25mg daily. he remained hemodynamically stable and was transferred to the floor. post-cath echo showed: mild regional left ventricular systolic dysfunction with inferior/inferolateral akinesis/hypokinesis with ef of 45%. he was monitored on telemetry with no events. pt evaluated pt and determined that he was safe to go home with no needs for acute rehab. he was counseled on lifestyle changes and demonstrated good understanding. pt will need repeat echo in one month and close pcp/cards follow up. . . transitional . pcp needs to know about ldl goal of 70, f/u a1c repeat echo in one month medications on admission: otc allergy meds discharge medications: 1. 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* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. metoprolol succinate 25 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po once a day. disp:*30 tablet extended release 24 hr(s)* refills:*2* discharge disposition: home discharge diagnosis: acute inferior st elevation myocardial infarction acute systolic heart failure with ejection fraction of 45% discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: mr. , it was a pleasure taking care of you. you were admitted to the hospital after having sustained a heart attack. you underwent a cardiac catheterization and had a stent placed. you also had an echocardiogram which showed your heart function was good. you were started on a number of medications which you will need to continue to take daily as prescribed. we also highly recommend that you quit smoking, this is the single most important thing you can do at the moment to prevent another heart attack. please talk with your pcp about strategies to help you quit. you will need to follow up with you pcp in weeks time as well as your cardiologist in weeks. call your pcp if you notice that your weight increases more than 3 pounds in 3 days. meds: start atorvastating 80 mg by mouth daily start clopidogrel 75 mg by mouth daily start asprin ec 325 mg by mouth daily start lisinopril 5 mg by mouth daily start metoprolol succinate 25 mg by mouth daily followup instructions: department: when: friday at 3:15 pm with: , md building: sc clinical ctr campus: east best parking: garage *dr is your new physician at . he works closely with dr. , both will be involved in your care. department: cardiac services when: friday at 9:00 am with: , md building: sc clinical ctr campus: east best parking: garage procedure: coronary arteriography using two catheters injection or infusion of platelet inhibitor 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 tobacco use disorder congestive heart failure, unspecified acute myocardial infarction of inferolateral wall, initial episode of care acute systolic heart failure 

Answer: The patient is high likely exposed to