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: anterior st segment myocardial infarction major surgical or invasive procedure: coronary artery catheterization and angioplasty of left anterior descending artery to the right coronary artery intraaortic balloon pump support swan-ganz catheterization catherization results: . 1. selective coronary angiography demonstrated two vessel coronary artery disease in this left dominant circulation. the lmca was severely calcified. the proximal lad was severely calcified and was completely occluded after the takeoff of a large d1 branch. the lcx had a distal tubular stenosis. the om branches were without angiographically apparent flow limiting disease. the rca had a proximal 80% stenosis and was a non-dominant vessel. . 2. resting hemodynamics from right heart catheterization demonstrated severely elevated right and left sided filling pressures (rvedp=17mmhg and mean pcwp=33mmhg). cardiac output and index were severely depressed at 2.5 l/min and 1.3 l/min/m2 respectively. severe pulmonary arterial hypertension was present (64/31). . 3. left ventriculogram was not performed to reduce contrast load. . 4. pci of the lad and diagonal complicated by distal embolization into the diagonal. the lad had a 20% residual stenosis with distal timi 2 flow and poor myocardial perfusion at the end of the procedure. . 5. successful placement of an 8 french 40 cc iabp via the rfa. <br><br> final diagnosis: 1. two vessel coronary artery disease. . 2. anterior st segment elevation myocardial infarction. . 3. severely elevated right and left sided filling pressures. . 4. cardiogenic shock with placement of intra-aortic balloon assist device. . 5. pci of the lad/diagonal. history of present illness: this is an 83 male with a history of hypertension, atrial fibrillation, subdural hematoma (' on coumadin), who presented to an outside hospital 20 hours after the onset of substernal chest pain. an ekg performed at the time showed st segment elevation in v4-v5, q waves in leads ii, iii, avf, and atrial fibrillation. the patient received sublingual nitroglycerin x3 with no alleviation of chest pain. a nitroglycerin drip was then started and brought the patient some relief with 2/10 chest pain. cardiac enzymes at the time showed an elevated ck of 2519. the patient was transferred to for a cath. a ptca was performed to the left anterior descemding artery to the right coronary (10% residual stenosis). a stent was not placed due to low residual flow. at the time the patient was found to have a low cardiac index of 1.3. an intra-aortic balloon pump was placed. the patient received lasix 40mg iv and 300mg bolus of plavix. integrillin, asa, and lipitor were also started. past medical history: - cad (unclear history) - atrial fibrillation - hypertension - subdural hematoma (s/p trauma on coumadin ') social history: lives with wife, quit tobacco family history: non-contributory physical exam: physical exam on admission vs: 93 144/71 (pa 58/26) 14 96% 2l gen: nad, lying in bed heent: neck supple, 7cm jvd heart: nl rate, irreg rhythm (atrial fibrillation), s1s2, no g/m/r lungs: crackles at the bases abdomen: soft, non-tender, non-distended, +bs; slight discomfort due to iabp r groin: femoral pulse present, no bruits, no ecchymosis extremities: feet cold, dp appreciated bilaterally with doppler; no c/c/e neuro: ii-xii grossly intact pertinent results: cardiac enzymes . 02:18pm blood ck(cpk)-3071* 07:40pm blood ck(cpk)-4538* 07:45am blood ck(cpk)-686* . 02:18pm blood ck-mb->500 ctropnt-9.33* 01:58am blood ck-mb-486* mb indx-14.5* ctropnt-22.87* 07:45am blood ck-mb-47* mb indx-6.9* ctropnt-14.51* . chemistry . 02:18pm blood glucose-168* urean-32* creat-1.1 na-132* k-4.5 cl-98 hco3-24 angap-15 06:25am blood glucose-87 urean-46* creat-1.5* na-135 k-4.3 cl-100 hco3-25 angap-14 . 02:18pm blood calcium-8.2* phos-3.7 mg-1.9 06:25am blood calcium-8.5 phos-3.5 mg-2.2 . cbc 06:25am blood wbc-9.5 rbc-4.20* hgb-12.4* hct-37.3* mcv-89 mch-29.5 mchc-33.2 rdw-13.6 plt ct-198 02:18pm blood wbc-15.3* rbc-4.87 hgb-14.4 hct-42.5 mcv-87 mch-29.6 mchc-33.9 rdw-13.5 plt ct-199 brief hospital course: 83m s/p stemi of lad and rca territory, loss of d1 embolization, transferred to ccu for optimization of hemodynamics in the setting of cardiogenic shock. * pump: given cardiac index of 1.3 in cath lab, iabp was placed for optimization of systolic and diastolic pressures. on iabp, cardiac index improved to 1.7, and although patient diuresed successfully with 40mg iv lasix, nesiritide gtt was started to further improve hemodynamics. on hospital day two, cardiac index improved to 2.3 on nesiritide and iabp, and both were discontinued on hospital day three as patient continued to do improve in function with excellent diuresis on lasix alone (pap 43/21). echocardiogram revealed ef<20%, 1+ mr, 1+ tr and global hypokinesis. lisinopril was initiated for afterload reduction, and at the time of discharge, was uptitrated to 7.5mg qd. patient was instructed to return for echocardiogram in one month following discharge. digoxin was continued for additional rate control and to also further improve inotropy as outpatient. despite poor ejection fraction, patient was considered extremely poor candidate for anticoagulation given history of subdural hematoma. * rhythm: atrial fibrillation. stable throughout hospitalization. given history of subdural hematoma, patient was not candidate for long-term anticoagulation. patient did require one dose of iv metoprolol for stable afib with rvr to improve rate control. * stemi: given patient's late presentation (infarct may have begun as early was 3 days before presentation), flow in lad and rca despite ptca were extremely poor, making stent placement impossible. ck peaked at 4538, mb >500 on the evening of hospital day one consistent with transmural infarction. patient was started on medical management regimen of asa 325, plavix 75, atovastatin 80, with integrilin for 18 hours post catheterization. patient tolerated these medications without evidence of intracranial hemorrhage or other site of bleeding. to improve rate control post mi, metoprolol 25 was initiated. to improve afterload reduction, patient was started on lisinopril as above and titrated to 7.5mg qd. patient remained chest pain free throughout hospitalization. * urinary tract infection: patient had a low grade fever (100.5) on hospital day four, and urinalysis revealed sm leuk esterase w/ few bacteria. however, given the fact that this was in the setting of indwelling foley, patient was initiated on bactrim for treatment with an intent to complete a 7 day course as an outpatient. * dehydration: patient was initially diuresed aggressively given cardiogenic shock, however, near the time of discharge, patient had mild bump in creatinine (chronic renal insufficiency cr 1.1-1.2) to 1.5, and urine lytes revealed prerenal (uosm mg/dl ucreat 86 mg/dl usodium 15 meq/l). patient was given 250cc ns for hydration and encouraged to take more po fluids. at the time of discharge, patient continued to have mild ambulatory desaturations and exhaustion after minimal exertion, and was therefore referred to short term inpatient rehabilitation. patient was instructed to followup with primary care physician and cardiologist one week and one month respectively following discharge from rehab. medications on admission: digoxin diltiazem diovan lasix 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 calcium 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. trimethoprim-sulfamethoxazole 160-800 mg tablet sig: one (1) tablet po bid (2 times a day) for 5 days. disp:*10 tablet(s)* refills:*0* 6. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 7. lisinopril 5 mg tablet sig: 1.5 tablets po daily (daily). disp:*45 tablet(s)* refills:*2* 8. metoprolol succinate 50 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day. disp:*30 tablet sustained release 24hr(s)* refills:*2* discharge disposition: extended care facility: discharge diagnosis: anterior st segment elevation myocardial infarction. discharge condition: good discharge instructions: you must call 911 first if you experience any chest pain or chest pressure, if you become short of breath, or if you experience any numbness, tingling or pain radiating to your jaw or arms/hands. you can resume normal activities, but you are not to assume any strenous activity such as lifting or pulling until you are cleared by rehabilitation services. followup instructions: draw blood for digoxin level in one week following discharge. repeat echocardiogram in one month following discharge. procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor implant of pulsation balloon injection or infusion of nesiritide diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery urinary tract infection, site not specified unspecified essential hypertension atrial fibrillation cardiogenic shock unspecified disorder of kidney and ureter long-term (current) use of anticoagulants 

Answer: The patient is high likely exposed to