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: no known allergies / adverse drug reactions attending: chief complaint: chest pain major surgical or invasive procedure: - cardiac catheterization with single drug-eluting stent the right coronary artery (promus stent) history of present illness: the patient is a 60m with prior history of mi s/p stent who was in his normal state of health until this morning when developed sudden onset substernal chest pain at rest. he was watching television when developed sscp that radiated to both arms and was associated with shortness of breath and diaphoresis. he reports this was almost identical to prior mi. he took slng x2 with resolution of cp to out of 10. he then took 2 more doses of slng without resolution of cp. he called ems. initial ekg by ems per report showed st elevations in ii/iii. he was given aspirin 325mg and slng with some improvement in chest pain. en route, inferior st elevations resolved. of note, the patient is a poor historian whose first language is haitian creole, so an interpreter was used to obtain a limited history and the history was discussed with his daughter as well. . in the ed, repeat ekg showed return of st elevations in ii/iii. he was given heparin and 8mg morphine with improvement of pain (he was not given plavix). he was taken to the catheterization lab. he was found to have lad: 30% mid; lcx 80% proxima; 70% mid complex; 80% inferior branch of om1. rca: 95% mid thrombotic, patent stent in posterolateral. des was placed in rca with 2.75 x 23 promus with good result. he received bilvalirudin, nicardipine, nitroglycerin, plavix 600mg. . he reports that he was in his usual state of health until this episode. he has been experiencing lower back pain since which occurred suddenly without trauma. he has been treating with tylenol and ibuprofen, without improvement. he also has been experiencing left sided leg pain for 2 years which has not changed. he denies doe but his daughter reports he has been dyspneic with minimal movement for months. he also reports that he has been having chest pain intermittently for months which has been relieved by nitro. he also reports that he has left sided leg pain, which may be worse with ambulation. . 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. all of the other review of systems were negative. . cardiac review of systems is notable for absence of dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or pre-syncope. past medical history: past medical history: 1. cardiac risk factors: -diabetes, +dyslipidemia, +hypertension 2. cardiac history: - cabg: none - percutaneous coronary interventions: pda intervention - pacing/icd: none 3. other past medical history: - pain in left leg ?claudication - pain in lower back - gerd - remainder of pmhx is not known to the patient social history: - tobacco history: the patient has been smoking cigarettes since . he has been smoking at least 1ppd but has been cutting back recently to 1 pack every 3 days. 47 pack years - etoh: max 1 glass of wine per day but last drink 5 months ago - illicit drugs: denies recently laid off from working as a valet lives alone. independent in adls family history: - no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. - mother: htn - father: hernia - siblings: unknown physical exam: physical examination (on admission): general: 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. cardiac: distant heart sounds. 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, initially minimal r crackles at bases but cleared with deep inspiration, 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. r femoral artery with mild bleeding with angioseal intact. no bruising. no 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+ . on discharge: unchanged from admission pertinent results: 07:35am blood wbc-pnd rbc-5.27 hgb-13.8* hct-42.4 mcv-81* mch-26.2* mchc-32.5 rdw-13.8 plt ct-pnd 07:35am blood pt-11.5 ptt-29.9 inr(pt)-1.1 07:35am blood glucose-114* urean-19 creat-0.9 na-142 k-4.0 cl-105 hco3-25 angap-16 07:35am blood ctropnt-<0.01 07:35am blood calcium-9.7 phos-3.7 mg-1.9 data: - ecg: st elevations in ii, iii avf. depressions in avl, v4-v6, resolving in post-cath. - lhc he was found to have lad: 30% mid. lcx 80% proximal; 70% mid complex; 80% inferior branch of om1. rca: 95% mid thrombotic, patent stent in posterolateral. des was placed in rca with 2.75 x 23 promus with good result. he received bilvalirudin, nicardipine, nitroglycerin, plavix 600mg. - tte () - the left atrium is mildly dilated. left ventricular wall thicknesses and cavity size are normal. there is mild regional left ventricular systolic dysfunction with basal inferior hypokinesis. the remaining segments contract normally (lvef = 55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. impression: mild regional left ventricular systolic dysfunction, c/w cad. no clinically-significant valvular disease. discharge labs: 05:51am blood wbc-8.2 rbc-5.14 hgb-13.4* hct-40.5 mcv-79* mch-26.0* mchc-33.0 rdw-13.6 plt ct-158 05:51am blood plt ct-158 05:51am blood glucose-98 urean-14 creat-0.8 na-140 k-4.1 cl-105 hco3-28 angap-11 05:02am blood ck(cpk)-113 05:51am blood calcium-9.2 phos-3.2 mg-2.2 cholest-pnd 05:51am blood triglyc-pnd hdl-pnd brief hospital course: 60m haitian creole speaking only who presents with a pmh history of htn, hld and coronary artery disease who presented with chest pain and was transferred to the ccu following an st-segment elevation with coronary angioplasty resulting in single promus stenting of the right coronary artery. . # coronary artery disease - the patient has a past medical history of cad and has been stented in the pda in the past. he is s/p stenting of his rca on with a single drug-eluting promus stent. he received bilvalirudin therapy post-cardiac cath which was completed without issue. he also has diffuse disease in his lcx, which will require ett and evaluation in the future. troponin peaked at 0.35. his tte after cardiac cath with pci showed a preserved ef of 55% and some mild lv basal inferior hypokinesis. we started metoprolol during this admission, he was previously prescribed atenolol which he had not been taking. he was also started on lisinopril and high-dose atorvastatin. at discharge, he will continue plavix for 1 year for his des. . # rhythm - the patient has no known heart dysrrhythmias, but the patient is s/p stemi and was monitored for post-mi arrhythmias. no concerning changes were found on tele or on ekgs. . # hld - reportedly he has a past medical history of hyperlipidemia. we obtained a fasting lipid panel which was pending at time of discharge. at discharge, he will continue atorvastatin 80 mg po daily. . # gerd - we continued omeprazole. . # htn - his home regimen includes lisinopril 2.5mg daily, atenolol 25 mg qday (not taking the latter). given stemi, he was changed to metoprolol xl 75mg and lisinopril 5 mg for antihypertensives. . transition of care issues: 1. code: full code 2. comm: , daughter, 3. transition of care: - patient will require ett and follow up with cardiologist. - he will require tobacco cessation counseling - plavix x1 year 4. pending studies: - lipid panel medications on admission: home medications: - atenolol 25mg qd (not picked up since ) - plavix 75mg qday - lisinopril 2.5mg qday - omeprazole 20mg qday - sl ntg 0.4mg prn chest pain discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*90 tablet(s)* refills:*2* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 5. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. nicotine 14 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily): please discuss tapering this . disp:*30 patch 24 hr(s)* refills:*0* 7. metoprolol succinate 25 mg tablet extended release 24 hr sig: three (3) tablet extended release 24 hr po daily (daily). disp:*90 tablet extended release 24 hr(s)* refills:*0* discharge disposition: home discharge diagnosis: primary diagnosis: coronary artery disease, hypertension, hyperlipidemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr. , you were admitted to the cardiac intensive care unit because you had a heart attack. you received a drug eluting stent in your artery. you still have disease in one of your other arteries, which will require further diagnostic assessment with a "stress test" in the future. you should discuss this test with your new cardiologist. you can prevent this from happening again by taking all of your medications and by making sure that you quit smoking. you also need to eat a good diet, avoiding fats. please be sure to take all of your medications, but plavix is especially important to take for one year at least. do not stop taking this medication unless you are told to do so by a physician. you must quit smoking. it will kill you. please be sure to note the following changes to your medications: - start atorvastatin - start metoprolol - stop atenolol - increase lisinopril from 2.5mg to 5mg daily - start aspirin - continue plavix - continue omeprazole - start nicotine patches, please discuss tapering with your physician. please be sure to follow up with your physicians. followup instructions: name: , s location: -family medicine address: 2nd fl, , phone: appointment: monday at 11am department: cardiac services when: wednesday at 9:00 am with: , m.d. building: campus: east best parking: garage md, procedure: coronary arteriography using two catheters left 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 tobacco use disorder atherosclerosis of native arteries of the extremities with intermittent claudication old myocardial infarction acute myocardial infarction of inferolateral wall, initial episode of care lumbago 

Answer: The patient is high likely exposed to