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 pain major surgical or invasive procedure: cardiac catheterization and cypher stent placment to rca history of present illness: 74 yo m presents with chest pain, stemi. pt reports that 3 hrs after a large meal he experienced nausea, fatigue, epigastric discomfort, and substernal chest pain (). pt. had a near syncopal episode in the bathroom and fell to the floor where he was found by his wife, he was diaphoretic at the time. his chest pain lasting approx 15-30 mins. ems was called, the patient was found to have sbp in 50's, hr of 20-30 in complete heart block. ekg showed 3-4mm st elevation in ii, iii, avf and 1-3mm st depressions in the anterolateral leads. he was given asa, atropine and fluids, his hr increased to 80 and his ekg normalized. in the ed: initial vitals: 148/90, 86, 16, 100% ra. ekg was without sttw changes, nsr. loaded with plavix 600 and started on heparin gtt. he was transferred to the cath lab. in the cath lab: he was pain free, bp was stable, he had some pr prolongation. he was found to have a 60% lesion in rca, ? of vasospasm ?ulcerated lesion- stented with cypher stent (3.5x13). past medical history: gerd social history: retired, lives in with wife. has 4 healthy adult children. retired mathematician. significant for the absence of current tobacco use, he did smoke 1ppd for 16 years (quit 40years ago). social etoh use. family history: there is no family history of premature coronary artery disease or sudden death. physical exam: vs: t 97.2 bp 140/87 hr 82 rr o2 100% ra gen: wdwn middle aged male in nad. oriented x3. mood, affect appropriate. heent: dry mm, ncat. sclera anicteric. perrl, eomi. conjunctiva were pink. neck: could not assess jvp cv: distant heart sounds, normal rate, regular rhythm, normal s1, s2. no m/r/g. no s3 or s4. chest:cta anteriorly abd: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. ext: no c/c/e. no femoral bruits. catheterization site is dressed, small hematoma. . 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: ekg demonstrated nsr, rate 90, normal axis, no sttw changes. . cardiac cath performed on demonstrated: distal rca: 60% lesion lmca: no cad lad: mild luminal irreg. lcx: mild luminal irreg. . hemodynamics: ra rv 26/9 pa 26/12 pcwp 11 . laboratory data (see attached): ck: 100 09:20pm blood ck-mb-4 ctropnt-<0.01 09:20pm blood wbc-7.1 rbc-4.71 hgb-15.1 hct-43.1 mcv-92 mch-32.1* mchc-35.1* rdw-13.2 plt ct-201 09:20pm blood pt-12.5 ptt-22.9 inr(pt)-1.1 09:20pm blood urean-20 creat-1.3* . laboratory data on discharge: 06:50am blood wbc-9.4 rbc-4.13* hgb-13.2* hct-37.9* mcv-92 mch-32.0 mchc-34.8 rdw-13.6 plt ct-171 06:50am blood glucose-106* urean-18 creat-1.0 na-140 k-4.4 cl-105 hco3-25 angap-14 05:38am blood ck(cpk)-81 brief hospital course: patient is a 75 yo m with no significant pmh who presented with pre-syncope and chest pain, found to have stemi s/p des to the rca. . 1) cad: pt has no hx. of prior coronary disease. he does report vague chest pain a few weeks prior to admission. he presented with hypotension, bradycardia, stemi. his hypotension and bradycardia were likely vagal episode given the location of his coronary lesion. his hemodynamics improved with asa and atropine. he was cp free on arrival to the ed. at cath he was found to have a 60% rca lesion which was was stented with a des. his other coronaries were otherwise unremarkable. his cardiac enzymes were unremarkable. following cath he was continued on integrillin for 18 hours and admitted to the ccu for close observation. he was continued on asa 325mg qday and started on plavix 75mg daily which should be continued for 1 year. he was started on high dose statin, atorvastatin 80mg. a lipid panel was checked and was normal. given his mi a low-dose bb was started, uptitrated and switched to toprol xl 25mg daily prior to discharge. he was also started on imdur 30mg daily to prevent vasospasm. an echo has been performed prior to discharge results to be followed up as an outpatient. he was discharged with follow up scheduled with dr. on . . 2) rhythm: per ems records patient was in complete heart block with hr to the 20's. improved with atropine. patient was monitored on telemetry while in ccu and remained in nsr. atropine was kept at bedside. his hr remained stable. he was started on a bb for his mi and his hr remained in the 50s prior to discharge. . 3) pump: no history of chf. right heart cath indicated mild diastolic dysfunction, likely acute ischemia. he was started on bb as above. a tte to evaluate for wall-motion abnormalities and ef was performed prior to discharge, results to be followed up as an outpatient. . 4) hyperlipidemia: started on high-dose statin in peri-myocardial infarction setting. lipid panel was checked and showed normal lipid panel. statin to be titrated down as an outpatient. . 5) htn: patient was maintained on toprol xl and imdur on discharge with good bp control. . 6) code: full code medications on admission: mva asa viagra prn 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): to be taken for at least one year or as per your cardiologist. 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. 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* 5. metoprolol succinate 25 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: primary diagnosis: 1. small stemi status post cypher stent to rca . secondary diagnosis: 1. gerd discharge condition: chest pain free. afebrile. hemodynamically stable. ambulating. tolerating po. discharge instructions: you were admitted to the hospital with chest pain and were found to have had a mild heart attack. you were found to have a blockage in one of your coronary arteries that supplies your heart. the damage was minimal as blood flow was restored quickly with a stent. . you were started on several new medications - please take these medications as directed. you will need to take a medication called plavix and a higher dose of aspirin for one year. it is very important that you do not stop taking these medications. you were also started on a medication for cholesterol (atorvastatin 80mg daily) and two for blood pressure and heart rate called toprol xl (25mg daily) and imdur (30mg daily). . please call your primary doctor or return to the ed with fever, chills, chest pain, shortness of breath, nausea/vomiting, spontaneous bleeding or any other concerning symptoms. . please keep you follow up appointments as below. followup instructions: please call your primary care doctor (, l. ) to make a follow up appointment in weeks from now. . please also follow up with cardiologist, dr. ( (from in ) on wednesday, at 2pm - located on of building. procedure: coronary arteriography using two catheters injection or infusion of platelet inhibitor 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 esophageal reflux unspecified essential hypertension other and unspecified hyperlipidemia other specified cardiac dysrhythmias hypotension, unspecified atrioventricular block, complete acute myocardial infarction of inferolateral wall, initial episode of care 

Answer: The patient is high likely exposed to