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: sulfa (sulfonamide antibiotics) attending: chief complaint: anterior stemi major surgical or invasive procedure: cardiac catheterization with placement of bms x 2 to mid-lad history of present illness: 78 m with history of cad s/p bms to lad in presenting from with stemi. mr reports that he was in his usual state of health until the night of admission, when he developed sudden back pain and a feeling of "being squeezed by two linebackers" when he woke up to use the bathroom. (+) diaphoresis, nausea, no syncope or light-headedness. this pain was then associated with right arm tingling, all the same as his presenting symptoms in . he has not had any anginal episodes since his last stent placement 12 years ago. at , patient was initially treated as nstemi then developed into anterior stemi. started on heparing gtt, integrillin gtt and given asa and plavix. transferred to , in cath lab found to have to rca, unable to cross with wire and felt to be chronic given the lack of ecg changes to the inferior segment. had tight lad which was stented with 2 bms with restoration of good flow. of note he developed a large groin hematoma after femoral puncture with extravasation of contrast under fluoro; femoral stop placed with successful cessation of oozing. transferred to ccu for further management. 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. hhe denies exertional buttock or calf pain. of note, patient has dental procedures scheduled in the near future. also, he has develped a rash in his back for which he was started on prednisone 60mg daily for approximately one week. all of the other review of systems were negative. cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: 1. cardiac risk factors: diabetes, dyslipidemia, hypertension 2. cardiac history: -cabg: none -percutaneous coronary interventions: - single vessel cad s/p bms to proxmial lad in - ef 35-40 on tte pacing/icd: 3. other past medical history: dyslipidemia gerd social history: -lives with wife, active male, runs an alarm company. -tobacco history: quit smoking in -etoh: occ use -illicit drugs: none family history: significant for a father who died of myocardial infarction at age 64 physical exam: 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 with no jvd. 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+ pertinent results: admission labs : 10:26am wbc-15.5* hgb-12.1* hct-34.0* plt ct-232 10:26am glucose-177* urean-27* creat-0.8 na-137 k-3.7 cl-103 hco3-27 angap-11 10:26am alt-22 ast-31 ck(cpk)-100 alkphos-72 totbili-0.6 10:26am ck-mb-7 ctropnt-0.58* 10:26am calcium-8.4 phos-2.7 mg-2.1 cholest-131 10:26am triglyc-105 hdl-50 chol/hd-2.6 ldlcalc-60 ck trend: 10:26am ck(cpk)-100 05:00pm ck(cpk)-108 11:25pm ck(cpk)-135 05:08am ck(cpk)-119 10:26am ck-mb-7 ctropnt-0.58* 05:00pm ck-mb-11* mb indx-10.2* ctropnt-0.68* 11:25pm ck-mb-11* mb indx-8.1* ctropnt-0.88* 05:08am ck-mb-10 mb indx-8.4* ctropnt-0.94* mrsa screen: negative studies: cardiac cath: comments: 1. coronary angiography in this right dominant system revealed two vessel coronary artery disease. the lmca had a <50% distal stenosis. the lad had mild ostial disease with a proximal stent which was widely patent. there was a 95% stenosis in the mid lad after d1 with slightly decreased flow. the lcx had a 50% ostial lesion. the rca was totally occluded proximally with extensive left to right collaterals from the lad. 2. limited resting hemodynamics revealed normal systemic arterial systolic and diastolic blood pressure with an sbp of 120 mmhg and a dbp of 70 mmhg. 3. femoral angiography performed for development of hematoma at the femoral puncture site revealed contrast extravasation at the puncture site. integrilin was stopped, sheath was pulled, and a femstop was applied with good hemostasis. 4. unsuccessful attempt to wire the rca. 5. successful ptca and stenting of the mid lad with overlapping 2.5 x 18mm mini vision bare metal stents which were postdilated to 2.5mm. final angiography revealed no residual stenosis, no angiographically apparent dissection, and timi 3 flow. (see ptca comments for details) final diagnosis: 1. two vessel coronary artery disease. 2. right inguinal hematoma from femoral puncture site controlled with femstop. 3. unsuccessful attempt to wire the rca. 4. successful ptca and stenting of the mid lad. discharge labs : 06:15am wbc-14.7* hgb-12.3* hct-34.4* plt ct-218 06:15am glucose-92 urean-27* creat-0.8 na-137 k-4.1 cl-101 hco3-28 angap-12 06:15am calcium-8.2* phos-3.5 mg-2.3 brief hospital course: 78 m with cad with prior lad transferred from outside hospital with anterior stemi for emergent cardiac catheterizaton 1. coronaries: transferred from outside hospital for emergent catheterization which showed 2 vessel disease with presumed chronically occluded rca and mid 95% stenosis in the lad with timi 2 flow. placed bms x 2 on lad. cardiac enzymes were trended peaking until ck-mb peaked at 11. continued on asa 325 mg, atorvostatin 80mg daily and started on a low dose of b-blocker. patient was also started on plavix 75mg which he will need to continue for at least one month following placement of stents. remained chest pain free without other signs of ischemia for the remainder of hospital course. 2. pump: despite occlusion of rca and new anterior mi, patient had no evidence of systolic dysfunction or heart failure on cardiac catheterization or physical exam. echo showed mild to moderate regional left ventricular systolic dysfunction with basal to mid inferior hypokinesis and distal septal/apical akinesis; ef 40%. as above, emphasis placed risk factor modification with optimization of blood pressure and cholesterol management. will require an outpatient echo 4-6 months following hospitalization. 3. rhythm: sinus rhythm, started on metoprolol. 4. right groin hematoma: following cardiac catheterization, patient developed a right groin hematoma conservatively managed by a fem stop. fem stop was discontinued and there was no further enlargement of hematoma. 5. hyperlipidemia: per history not optimally controlled, regardless required high dose statin in peri-stemi period so started on atorvostatin 80mg. 6. rash: admitted with maculopapular rash thought to be caused by psoriasis. upon admission, prednisone was discontinued because although no randomized trial data is available to support increased cardiovascular risk of corticosteroids, observational data would suggest significant increase in risk. rash improved signifanctly through hospital course without further treatment. medications on admission: asa 325mg daily prilosec daily lipitor 20mg daily prednisone 60mg daily mvi 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:*2* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. 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* 5. centrum silver tablet sig: one (1) tablet po once a day. 6. vitamin e 200 unit capsule sig: one (1) capsule po once a day. 7. ranitidine hcl 75 mg tablet sig: one (1) tablet po twice a day. discharge disposition: home discharge diagnosis: st elevation myocardial infarction acute systolic dysfunction epistaxis discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - independent discharge instructions: you had a heart attack and required 2 bare metal stents in your coronary artery. you will need to take plavix and aspirine every day for at least one month, do not miss or stop taking plavix and aspirin unless dr. tells you to. your heart is weaker after your heart attack and you were started on some medicines to help your heart pump better. weigh yourself every morning, md if weight goes up more than 3 lbs in 1 day or 6 pounds in 3 days. please call dr. if you notice any trouble breathing, swelling in your legs, increasing fatigue or dry cough. follow a low sodium diet. , medication changes: 1. start plavix, a medicine to keep the stent open 2. continue your aspirin to 325 mg daily for at least one month. 3. start metoprolol to lower your heart rate and help your heart recover from a heart attack. 4. increase your atorvastatin to 80 mg daily. 5. stop taking prilosec, take ranitidine (zantac) instead if you have heartburn. followup instructions: cardiology: dr. phone:( date/time: monday at 3:00pm primary care: , g. phone: date/time: thurs at 1:00pm. procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters left heart cardiac catheterization diagnostic ultrasound of heart 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 esophageal reflux congestive heart failure, unspecified acute myocardial infarction of other anterior wall, initial episode of care hematoma complicating a procedure percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure rash and other nonspecific skin eruption acute systolic heart failure other psoriasis chronic total occlusion of coronary artery 

Answer: The patient is high likely exposed to