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: penicillins / quinine attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization history of present illness: mr. is a 58yo m w/hx of htn, hyperlipidemia, dm, tobacco use who presented to an osh with chest pain x 2 days, escalating in nature until the evening prior to presentation when it was constant. he thought it was heartburn and took tums without relief. the pain was in the center of his chest with radiation to the jaw. he had associated shortness of breath without diaphoresis, nausea or vomiting. . at , ecg showed st depressions in ii, iii, avf, v2-v6. he was given ntg, heparin gtt, plavix 600mg x 1, 2mg morphine. when he got the morphine he became bradycardic to the 30s and was given 1mg morphine. he was started on a nitro gtt and aggrastat gtt. enzymes drawn showed ck of 190, troponin of 0.20. he was med-flighted to and taken to the cath lab. . in the cath lab, he was found to have an acute thrombus of his lcx. the clot was removed and he had 2 bms placed to his lcx and om1. he had a vagal episode in the cath lab and had seconds of asystole. he was given atropine 1mg x 1 in the cath lab and hr came up to 70s. he was given lasix 40mg iv x 1 in the cath lab for elevated pcwp of 35 and pa pressures of 42/20. . on arrival to the ccu, the patient is chest pain free. he had no complaints. a foley was placed with 2l of urine output. past medical history: diabetes, type ii hypertension prior alcohol abuse social history: -tobacco history: currently smokes 1ppd for many years -etoh: prior drinker, sober for 20 months family history: mother died in 30s of rheumatic heart disease. father with hx of mi. brother died suddenly in his sleep at age 38. physical exam: vs: t=96.6 bp 125/80 hr 92 rr14 99% on 2l nc general: obese male, comfortable, nad. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple; jvp difficult to assess due to neck size. cardiac: pmi located in 5th intercostal space, midclavicular line. 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+ r femoral sheath in place with minimal oozing. pertinent results: labs on admission: 05:03am blood hct-37.2*# 04:25am blood glucose-137* urean-21* creat-1.1 na-138 k-4.5 cl-101 hco3-28 angap-14 04:25am blood ck(cpk)-454* 04:25am blood ck-mb-48* mb indx-10.6* ctropnt-0.28* . labs on discharge: 05:10am blood glucose-137* urean-20 creat-1.1 na-138 k-4.2 cl-100 hco3-28 angap-14 12:34pm blood ck(cpk)-1514* 05:50am blood ck(cpk)-1196* 12:34pm blood ck-mb-158* mb indx-10.4* ctropnt-2.16* 05:50am blood ck-mb-61* mb indx-5.1 ctropnt-3.84* . studies: echo : the left atrium is elongated. left ventricular wall thicknesses and cavity size are normal. there is mild regional left ventricular systolic dysfunction with of the inferior and inferolateral walls. there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic arch is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. impression: mild focal lv systolic dysfunction consistent with cad (prior inferior infarction). mild mitral regurgitation. . chest x-ray : the heart size is normal. mediastinal position, contour and width are unremarkable. lungs are essentially clear. there is no evidence of edema, focal consolidation, or atelectasis. note is made that the left costophrenic angle was not included in the field of view. there is no pleural effusion, and there is no pneumothorax. . cardiac cath (prelim): coronary angiography: right dominant lmca: no significant disease lad: 30% mid lcx: to proximal, r>l collaterals rca 30% mid 1. severe single vessel cad with acute posterior stemi managed by primary bms. . studies pending at time of discharge: - final cath report brief hospital course: mr. is a 58yo m w/hx of dm, htn, hyperlipidema who presents as a transfer from an osh with a posterior stemi, now s/p revascularization with 2 bms. . # coronaries: patient is s/p posterior stemi with clot removal and 2 bms to lcx and om1. his catheterization was complicated by bradycardia that resolved with a dose of atropine. he was monitored in ccu overnight while receiving asa due to a question of allergy without incident before being transferred to the medicine floor for continued observation and pt evaluation. he was continued on plavix and restarted on lisinopril 2.5mg po qday & toprol. his cardiac enzymes continued to rise during this hospitalization but he had no further symptoms of chest pain, pressure, tightness, or shortness of breath. he was seen by pt prior to discharge and walked well without oxygen. . # pump: patient without prior echocardiograms, but received a tte on this admission that demonstrated an ef 40-45% with mild mr of the inferior and inferolateral walls. while he had elevated filling pressures during cardiac catheterization, he demonstrated no clinical evidence of heart failure and he responded well to iv lasix. . # rhythm: patient remained in a normal sinus rhythm with occasional 4-6 beats of nsvt on telemetry. he had one episode of bradycardia during catheterization requiring atropine x 1, but was without further episodes during his stay. his electrolytes were closely monitored and repleted throughout this hospitalization. . # dmii: patient takes metformin 1000mg at home. it was initially held as an inpatient in lieu of a humalog sliding scale, but he was transitioned back to his home medication the day prior to discharge without incident. . # tobacco use: patient declined a nicotine patch during this hospitalization and was counseled extensively regarding smoking cessation. . code: patien remained full code throughout this hospitalization. medications on admission: lisinopril 20mg po qday metformin 1000mg po bid acetaminophen prn discharge medications: 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. metformin 1,000 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 5. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. metoprolol succinate 25 mg tablet sustained release 24 hr sig: three (3) tablet sustained release 24 hr po daily (daily). disp:*90 tablet sustained release 24 hr(s)* refills:*2* discharge disposition: home discharge diagnosis: primary diagnoses: - st-elevation mi - coronary artery disease . secondary diagnoses: - diabetes mellitus ii - smoking - hypertension discharge condition: afebrile, hemodynamically stable, chest pain free mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - independent discharge instructions: it was a pleasure to be involved in your care, mr. . you were admitted to the after having a heart attack. you had a cardiac catheterization to improve blood flow to your heart. two stents were placed. and on discharge, your chest pain has resolved. your medications have been changed: you were given aspirin in the hospital without any allergic symptoms, so please take aspirin 325mg daily for at least one month, then you can decrease the dose to 81mg daily. please take plavix 75mg by mouth once a day. please do not miss a dose. it is very important that you take it daily to avoid blockages of the stents. you would have a much higher risk of heart attacks if you miss doses. other medication that we added are toprol xl and lipitor. please continue to take lisinopril and metformin. as we discussed extensively, you should stop smoking. smoking significantly increases your risk of heart disease, and this heart attack should be a wake-up call for you to stop smoking. followup instructions: please follow-up with your cardiologist, dr. at on thursday at 1pm in his offices. he will assist in coordination of your ongoing outpatient care including a stress test, that you should have prior to going back to work. to contact his office, please call: . please call your primary care doctor, dr. , h. at to make an appointment to see him within the next week. procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters transposition of cranial and peripheral nerves insertion of two vascular stents excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery tobacco use disorder unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified other and unspecified hyperlipidemia other specified cardiac dysrhythmias cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure acute myocardial infarction of other specified sites, initial episode of care chronic total occlusion of coronary artery 

Answer: The patient is high likely exposed to