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 coronary stenting history of present illness: 51 y/o obese m w/ significant pmh of sleep apnea, htn, cad, s/p recent inferior stemi, catheterization w/no , discharged on cardiac cocktail of asprin, plavix, b-blocker and statin 2 days ago from , was admitted to early this morning with chest pain. chest pain characterized as constant, substernal tightness, with radiation to r & l arm with associated symptoms of diaphoresis. no sob, palpitations or lightheadness. reports compliance to prescribed meds with no recreational or otc drug use. vitals in er t 99.5, p 78, bp 156/69, rr 16, sao2 92 on 3l. ekg noted for hyperacute t waves in anterolateral leads. given 2 units of sl nitro for relief and started on heparin, and lopressor and home dose of plavix 75mg. then transferred to for cardiac catheterization . in cath lab, pt's lad was noted to have diffuse disease with mid vessel thrombosis and distal stenosis of 90%. following distal lad taxus , the proximal lad sufferd a spiral dissection guide-wire retraction. pt then recieved a combination of bm & taxus stents throughout lad with a final count of 6, over an extended flouro course > 100 mins. following procedure, patient noted to have large l-sided hematoma to catheterization (hct dropped from 40-36). . during prior admission at () pt was found to have inferior stemi, cathed, no significant occlusion was noted, however procedure complicated by an iatrogenic proximal rca dissection. althought, ultimaltly, no significant disturbance in rca flow, no stents were placed. hospital course also complicated by coffee ground emesis of unknown etiology that resolved w/ cessation of integralin and heparin. he was eval. by gi, who felt intervention was not indicated. pt also suffered multiple episodes of hypotension that responded adequately to fluid and hypoxia that improved with an o2 facemask at 10l. . on review of symptoms, pt (+) for orthopnea of 3 pillows, pnd when off cpap, sleeps on back w/ no preference of position. 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. past medical history: htn, dx 6 y/a, on b-blocker diastolic chf, (possible hocm) dx 6 y/a, on lasix asthma, on singular and antihistamine chronic back pain bph obstructive sleep apnea, dx 6 y/a, on home cpap congenital mild mental retardation? (per pcp) copd per pcp, available, also has elements of restrictive disease secondary to obesity cerebral palsy depression, on celexa s/p mva in --c/b heart failure and mechanical ventilation **unclear if pt has h/o murmur--pcp describes /vi systolic murmur at base on some visit notes back to , but no murmur noted on pcp's exam social history: - currently no tobacco or alcohol use, quit both 20yrs ago - prior use: tobacco (24 pack years), alcohol (max: 1 case(24 beers), or liter of vodka per day for 12 years) - lives in w/ brother and brother's partner - exercise: minimal - employment: adult care worker in at workshop family history: - mother: aortic aneurysm died in 50s - father: disease, aortic anuerysm w/ clips, quadruple bypass surgery > 50, alive in 80s physical exam: vs: t 98.3 , bp 110/71 , hr 72, rr 14, o2 94% on gen: obese middle aged male in with labored resp on oxygen mask. oriented x3. mood, affect appropriate. pleasant. heent: sclera anicteric. eomi with resting nystamus, weak palpebral muscles. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple, unable to appreciate jvp cv: rr with early systolic murmur best heard in r 2nd intercostal space. chest: rotund chest wall, with no apparent scoliosis or kyphosis. scattered crackles & wheezes abd: obese, soft, ntnd, no hsm, tenderness in l lower quadrent, with no rebound tenderness, rigidity or fluid wave. left groin hematoma (6x4 cm), no abdominial bruits. ext: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ without bruit; femoral 2+ without bruit; 2+ dp left: carotid 2+ without bruit; femoral 2+ without bruit; 2+ dp pertinent results: ekg (following cath) -rate 80, nsr, artifact in baseline, resolution of hyperacute t waves . ct chest 1. no central pulmonary embolism or aortic dissection detected. 2. near-complete collapse of the left lower lobe and atelectasis at the right lung base above elevated right hemidiaphragm. there is a probable small amount of mucus in the left mainstem pulmonary bronchus. no definite endobronchial lesions detected. correlate clinically and with follow up or bronchoscopic evaluation if clinically indicated. 3. enlarged main pulmonary artery consistent with pulmonary artery hypertension. 4. cardiomegaly 5. small pericardial effusion. . trans-thoracic echo on demonstrated: -impression: focused study for patent foramen ovale: no asd/pfo present via color doppler, or saline administration. moderate pericarial effusion located posterior to the inferolateral wall. mild resting gradient that increases with valsalva manuever. mild mv leaflet thicking w/ , no mr. with the prior study (images reviewed) of , gradient is lower and pericardial effusion is new. . tte the left atrium is moderately dilated. the left atrium is elongated. there is moderate symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. there is basal to mid inferior hypokinesis (the remaining segmetns are hyperdynamic). the overall left ventricular systolic function is preserved (lvef>55%). there is a severe resting left ventricular outflow tract obstruction. no mid-cavitary gradient is identified. there is no ventricular septal defect. the remaining left ventricular segments contract normally. right ventricular chamber size and free wall motion are normal. there is no aortic valve stenosis. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. there is systolic anterior motion of the mitral valve leaflets. moderate to severe (3+) mitral regurgitation is seen. the pulmonary artery systolic pressure could not be determined. there is a small pericardial effusion. there are no echocardiographic signs of tamponade. . impression: small pericardial effusion without tamponade. lvh with valvular and severe, rtesting obstruction c/w hypertrophic/obstructive cardiomyopathy. moderate to severe mitral regurgitaiton. . cardiac cath () for inferior stemi - 1. coronary artery disease involving non-dominant rca, likely proximal lpda stenosis, and possible om and mid lad mild stenoses. - 2. iatrogenic dissection of the non-dominant rca without compromise of the lumen or flow with possible distal emobolization or additional dissection in am1. - 3. severe left ventricular diastolic heart failure. . cardiac cath () for anterolateral hyperacute t waves pending . laboratory data: . - 10:19am----ck: 794 mb: 50 mbi: 6.3 trop-t: 1.14 01:33pm----ck: 1556 mb: 105 mbi: 6.7 trop-t: 7.9 . na 139 cl 98 bun 7 glu 160 agap=9 k 3.9 co2 36 cr 0.6 estgfr: >75 ca: 8.6 mg: 2.3 p: 3.4 . wbc 10.3 n:89.2 l:7.0 m:3.2 e:0.5 bas:0.1 hgb 12.4 hct 36.8 plt 240 pt: 27.1 ptt: 79.6 inr: 2.8 brief hospital course: 51m with h/o sleep apnea on home o2, recent ccu admission for inferior stemi c/b iatrogenic rca dissection readmitted with recurrent chest pain, s/p lad stenting c/b dissection . ischemia: stemi on with cath complicated by rca dissection. he had a recath on with lad dissection for which he was stented with taxus stents x 2 and one bare metal all to lad. two days later, on , pt had cp and new twi in v2-6, so had emergent repeat cath which showed stable dissection of lmca and otherwise patent flow. he was continued on 325, lipitor 80mg, plavix 150, bb was titrated up to toprol 150 on discharge. . chf: chronic, diastolic chf with possible hypertrophic obstructive cardiomyopathy, preserved systolic function (ef 50-55%) w/ systolic anterior motion of mv, 2+ mr peak gradient of 60mmhg. he was treated with bb and discharged with cardiac mr for further w/u for possible hocm. . rhythm: 30-40 beats of non-sustained ventricular tachycardia on his previous admission. electrophysiology was consulted at the time, and advised that the patient have a lifewatch monitor upon discharge. the patient had no further episodes of vtach on this admission. he was discharged with a cardiac monitor. . sleep apnea: intrinsic lung dieseae: copd, and restrictive disease from obesity and cerebral palsy, he was continued on inhalers and started on cpap. medications on admission: plavix 25 atorovastin 80 furosemide 20 toprol xl 50 singular celexa 325 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: two (2) 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: three (3) tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*2* 5. citalopram 20 mg tablet sig: two (2) tablet po daily (daily). 6. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 7. montelukast 10 mg tablet sig: one (1) tablet po qpm (once a day (in the evening)). 8. fexofenadine 60 mg tablet sig: one (1) tablet po bid (2 times a day). discharge disposition: home with service facility: homecare discharge diagnosis: primary coronary artery disease discharge condition: stable discharge instructions: you were admitted with chest pain. you had a cardiac catheterization and had stents to your coronary arteries. you were also started on medications for your heart. please resume all of your medications as directed. weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet if you have any of the following symptoms, you should return to the ed or see your pcp: pain, difficulty breathing, palpitations, or any other serious concerns. followup instructions: provider: . & dr. phone: date/time: 10:45 provider: , md phone: date/time: 9:20 provider: , m.d. phone: date/time: 1:00 you will be contact at home for your heart monitor. procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters coronary arteriography using two catheters left heart cardiac catheterization left heart cardiac catheterization insertion of drug-eluting coronary artery stent(s) 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: other primary cardiomyopathies obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension hematoma complicating a procedure depressive disorder, not elsewhere classified hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) percutaneous transluminal coronary angioplasty status accidental puncture or laceration during a procedure, not elsewhere classified obesity, unspecified chronic obstructive asthma, unspecified diastolic heart failure, unspecified infantile cerebral palsy, unspecified paroxysmal supraventricular tachycardia acute myocardial infarction of other inferior wall, subsequent episode of care 

Answer: The patient is high likely exposed to