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: aspirin / ibuprofen attending: chief complaint: asa desensitization major surgical or invasive procedure: cardiac catherization with placement of drug-eluting stent to right coronary artery aspirin desensitization history of present illness: 72 y/o m with hypertension and asthma referred for aspirin desensitization prior to cardiac catheterization . he describes taking aspirin many years ago in the hospital and having throat swelling and shortness of breath. he gets similar symptoms with ibuprofen. he does not get hives or itching. he has had recent intermittent episodes of substernal/midepigastric discomfort described as gas pain, lasting ~3 hrs., associated with belching, and relieved by tums. no associated dizziness, lightheadedness, diaphoresis, palpitations, shortness of breath, or vomiting. no component of exertion or position. no orthopnea, pnd, or edema. symptoms evaluated with ett-mibi during which he exercised for 4:37 reaching 7 mets and 91% of max predicted hr. at peak exercise he had chest discomfort with 2- depressions inferiolaterally and ventricular ectopic activity with couplets - chest pain resolved with ntg. initial images showed inferior defect. also had asymptomatic 4-beat run of vt in immediate post-recovery period. tte showed normal lv size and systolic function (lvef 65%), 2+ mr, 1+ tr, and trace ar. . 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. he denies exertional buttock or calf pain. all of the other review of systems were negative except as noted above. . cardiac review of systems is notable for absence of dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: hypertension prostate cancer s/p prostatectomy nasal polyps asthma s/p removal nasal polyps s/p tonsillectomy cri - cr 1.5 on social history: one glass of wine daily. quit smoking in . o tobacco or ivdu. lives with wife in . retired truck driver family history: no h/o premature cad or scd. mother died of breast ca at 52. father died of lung ca at 72. physical exam: v/s: t 98.4 hr 95 bp 111/69 gen: well-appearing gentleman in nad heent: nc/at. sclera anicteric. conjunctiva pink, no xanthalesma. neck: supple with jvp of 6 cm @ hob 45 deg. no carotid bruit. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. ii/vi holosystolic murmur at apex, no thrills, lifts. no s3 or s4. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abd: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. ext: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ dp 2+ pt 2+ left: carotid 2+ dp 2+ pt 2+ pertinent results: admission labs: 02:19pm blood wbc-8.6 rbc-4.72 hgb-14.5 hct-41.9 mcv-89 mch-30.6 mchc-34.5 rdw-12.9 plt ct-307 02:19pm blood neuts-65.4 lymphs-24.8 monos-7.1 eos-2.2 baso-0.6 02:19pm blood pt-13.6* ptt-24.6 inr(pt)-1.2* 02:19pm blood glucose-122* urean-27* creat-1.3* na-138 k-3.9 cl-104 hco3-24 angap-14 02:19pm blood calcium-9.5 phos-2.8 mg-1.9 05:25am blood triglyc-119 hdl-45 chol/hd-3.6 ldlcalc-91 . . chest x-ray: normal heart, lungs, hila, mediastinum and pleural surfaces aside from a descending thoracic aorta, which is at least tortuous and may be mildly dilated. conventional radiographs recommended for initial assessment cardiac cath:(prelim report) initial angiography showed 80% mid rac and 50% distal rca at crux. we planned to treat the mid rca lesion with ptca and stenting. bivaliruding provided adequate support. the patient also received asa and plavix prior to the procedure. a 6 french jr4 guide provided adequate suport. choice floppy wire crossed the lesion without dufficulty and was positioned in the distal rpda. a 3.0x12 mm quantum maverick rx predilated the lesion at 18 atm. we then deployed a 3.0x15 mm endeavor stent rx at 16 atm. final angiography showed 0% residual stenosis with timi 3 flow and no dissection or distal emboli. we then successfully deployed a 6 french angioseal closure device into the rcfa. the patient left the carth lab free from angina and in stable condition. comments: 1. selective coronary angiography of this right-dominant system demonstrated two-vessel coronary artery disease. the lmca had no significant stenoses. the lad had sequential 50% stenoses in the mid- and distal-vessel. the lcx had mild insignificant plaque. the rca had an 80% mid-vessel stenosis and a 50% stenosis at the pda/plv bifurcation. 2. resting hemodynamics demonstrated high-normal biventricular filling pressures and mild pulmonary arterial hypertension as above. 3. successful ptca and stening of the mid rac with 3.0x15 mm endeavor des. final angiography showed 0% residual stenosis with timi 3 flow and no dssection or distal emboli. 4. successful deployment of a 6 french angioseal closure device to the rcfa. final diagnosis: 1. two vessel coronary artery disease. 2. successful ptca and stenting of the mid rca with endeavor des. 3. successful deployment of 6 french angoseal device to the rcfa. . discharge labs: 02:56am blood wbc-10.0 rbc-4.01* hgb-12.4* hct-36.4* mcv-91 mch-31.1 mchc-34.2 rdw-13.0 plt ct-288 02:56am blood glucose-87 urean-20 creat-1.3* na-140 k-4.4 cl-106 hco3-27 angap-11 02:56am blood calcium-8.6 phos-3.3 mg-2.1 05:25am blood triglyc-119 hdl-45 chol/hd-3.6 ldlcalc-91 brief hospital course: a/p: 72 m w/ htn, cri, asthma, and nasal polyps referred prior to cardiac catheterization for asa desensitization following a positive ett. he has samter's syndrome given h/o asthma, nasal polyp's and aspirin allergy. he underwent aspirin desensitization per protocol and tolerated this well. it was emphasized he will need to consistently and reliably take an aspirin daily and that if he misses a dose, he could potentially have an adverse reaction such as anaphylaxis to aspirin or nsaid's. . regarding his cad, inferolateral ekg changes with exercise and preliminary mibi images, isolated inferior q on ecg suggest lcx vs. rca disease. he was hydrated for cardiac catherization and pre=treated with mucomyst for renal protection given his history of chronic renal insufficiency. he then underwent cardiac cath which showed 50% stenoses in the mid and distal lad, lcx with mild insignificant plaque and rca with an 80% mid-vessel stenosis and a 50% stenosis at the pda/plv bifurcation. he underwent placement of a drug eluting stent in his rca. no complications form the catheterization procedure. he was started on full dose aspirin and plavix and was continued on these medications at time of discharge. medications on admission: toprol xl 50mg qhs monopril 40mg daily diazide 37.5/25 (triamterene/hctz) fosamax 70mg daily advair 250/50 1 puff daily albuterol inh prn nasonex 1 sprah in am prednisone 2.5mg qod oscal +d 600 tylenol 1gram qam/qpm aleve 440mg aam/apm discharge medications: 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. metoprolol succinate 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po hs (at bedtime). 3. monopril 40 mg tablet sig: one (1) tablet po once a day. 4. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation daily (daily). 5. prednisone 2.5 mg tablet sig: one (1) tablet po every other day (every other day). 6. fluticasone 50 mcg/actuation spray, suspension sig: one (1) spray nasal daily (daily). 7. 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* discharge disposition: home discharge diagnosis: coronary artery disease aspirin allergy hypertension chronic renal insufficency discharge condition: stable discharge instructions: you were admitted to the hospital for aspirin desensitization procedure prior to cardiac catheterization. this procedure was successful. cardiac catheterization showed a partial blockage in one of your coronary arteries that supplies blood to your heart and a stent was placed to help open this blood vessel. the following changes were made to your medications: 1) started plavix 75mg daily - this should be continued for at least 1 year 2) started aspirin 325mg daily. because of your allergy, you need to make sure to take this every day. if you miss more than a few days of aspirin your allergy might return. followup instructions: please follow up with your cardiologist dr. in 1 month. an appointment has been made for you on at 1:15pm. please call with questions. please follow up with your pcp as needed. procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor angiocardiography of right heart structures insertion of drug-eluting coronary artery stent(s) immunization for allergy 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 hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified personal history of malignant neoplasm of prostate asthma, unspecified type, unspecified chronic kidney disease, unspecified 

Answer: The patient is high likely exposed to