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: s/p l carotid stent major surgical or invasive procedure: stenting for carotid artery stenosis history of present illness: this is a 61-year-old gentleman with a history of htn, pvd, cva and cad (s/p bms-lcx and - in ) now admitted to ccu s/p stenting of the left carotid artery. during workup for several months of anginal symptoms that included cath showing 3 vessel disease, pt underwent carotid doppler study on that showed complete occlusion of the r ica and >70% occlusion of the l ica, though the pt c/o no ha, tia, vision, dizziness or other neurologic sx. angiography on showed 100% r ica occlussion, 80% occlusion (ulcerated plaque)of the l ica with filling of ipsilateral and contralateral aca, mca via l ica. a protege stent was placed in the l ica. the procedure was completed without complication and without evidence of distal embolization. on arrival in ccu, pt was maintained on .3mcg/kg/min of phenylephrine and pt was without complaints. past medical history: cad: -bms to lcx, des to 1st diagonal in -3 vessel disease on cath on --99% mid rca, 85% prox lad, 80% om1 -scheduled for cabg on cva ' htn hpld bph b/l inguinal herniorraphies basal cell cancer s/p resection lumbar radiculopathy social history: married, 2 children. works in construction. denies smoking, drugs. drinks 1 glass of wine per day family history: cad-father, mi 80yo physical exam: vs: t=97 bp=107/67 hr=66 rr=26 o2 sat=97 on ra general: wdwn, nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. mmm neck: supple with jvp of 8 cm. 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. dressing cdi. no femoral bruits, hematomas. skin: decreased hair over distal le. no livedo reticularis or necrosis over toes. pulses: 2+ dps, r>l neuro: a+ox3, cnii-xii grossly intact. no pronator drift, b/l in proximal and distal ue muscles. gastroc strength b/l. (other leg muscles not tested following femoral puncture). sensation, reflexes, coordination equal b/l. pertinent results: 139 106 17 agap=12 -------------< 91 4.0 25 0.8 ca: 8.8 mg: 2.0 13.8 7.9 >----< 253 38.7 cardiac cath report 1. access via left femoral artery (as right femoral had been accessed two days prior for coronary angiography). 2. limited hemodynamics with bp 144/80 with hr 62 in sinus. 3. angiography of the aortic arch with a pigtail catheter in ascending aorta showed a type 1 arch without lesions. 4. angiography of the right carotid artery with berenstein catheter in right common carotid artery showed patent right external with occluded right internal carotid artery. 5. angiography of the left carotid artery with berenstein catheter in the left common carotid artery showed the left common and external to be normal. the left internal carotid had a ulcerated 80% lesion best seen in lao 45 view. this left internal carotid fills the ipsilateral and contralateral aca and mca. the posterior circulation was not fed by the left internal carotid. 6. given severity of lesion and upcoming surgery we elected to proceed with stenting. we exchanged for a shuttle sheath 6f into the left common carotid and started heparin with therapeutic act. we crossed easily with a spartacore wire and exchanged for a 5mm spyder filter. we predilated with a quantum maverick 2.75x20 at 14 atm. we then stented with a self expanding protege 8-6 mm x40 mm tapered stent. we post dilated the stent at the lesion with a quantum maverick 4.5x20mm balloon at 12atm final angiography with 10% residual and normal flow. the filter was recovered without incident and presence of small amount of atheromatous material. final cerebral angiography without evidence of embolization or vessel occlusion. 7. the lfa arteriotomy was closed with a mynx device. final diagnosis: 1. occluded right internal carotid artery. 2. 80% stenosis of left internal carotid artery. 3. stenting of left internal carotid artery with distal protection. brief hospital course: 61 yo htn, hpld, cad admitted to the ccu s/p l ica stent. he was doing well, and was admitted to ccu for bp management. he was requiring fluids, phenylephrine on admission. # carotid stenosis s/p stenting and hypotension: pt tolerated stenting procedure well and was neurologically intact. after admissin, he required phenylepherine up to 0.7 mcg/kg/min to maintain sbps>100 and he received 2.5 l of iv fluids. he was weaned off by midnight and had stable blood pressures in the 100-120 sbp range throughout the morning. he continued to have good neurological status. prior to discharge, an echo was done to evaluate pre-op ef. last recorded ef was 51%. the read of this was pending at discharge. he was discharged off blood pressure medications with instructions to restart them on sunday. . # coronaries: he is s/p bms, des in ', 3 vessel disease on cath . he was continued on asa 81 and plavix . # prophylaxis: -dvt ppx with sq heparin 5000u tid -bowel regimen-standing colace, senna prn code: full medications on admission: asa 81mg 3x daily plavix 75mg po daily atenolol 50mg po daily lisinopril 10mg po daily lipitor 80mg po daily isosorbide 60mg po daily flomax .4mg po daily finasteride 5mg po daily loratadine 10mg po daily 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). 3. atorvastatin 80 mg tablet sig: one (1) tablet po hs (at bedtime). will restart on sunday: 4. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). 5. atenolol 50mg tablet sig: one (1) tablet po daily (daily). 6. lisinopril 10mg tablet sig: one (1) tablet po daily (daily). discharge disposition: home discharge diagnosis: carotid artery stenosis hypotension coronary artery disease discharge condition: stable, ambulating, blood pressure 119/76 systolic, hr 62 off pressors. discharge instructions: you were admitted with carotid stenosis. a stent was placed in your carotid artery to improve blood flow to your brain. you were admitted to the ccu while you were on a medication to keep your blood pressure elevated. you were slowely taken off this medication. you did well, and were discharged from the icu. you sould complete your pre-operative testing after you are discharged from the ccu. this is to be completed on the of the clinical center. your blood pressure and heart rate were improving but still somewhat low at the time of discharge. you should wait to resume your blood pressure medications, lisinopril and atenolol until sunday. you should also wait until sunday to restart your flomax as this medication can also lower blood pressure. please call your pcp or go to the emergency room if you have symptoms of low blood pressure such as feeling faint, lightheaded, weak or dizzy. followup instructions: please attend your pre-operative testing your surgery is scheduled for next week procedure: arteriography of cerebral arteries aortography percutaneous angioplasty of extracranial vessel(s) percutaneous insertion of carotid artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent procedure on single vessel diagnoses: other iatrogenic hypotension coronary atherosclerosis of native coronary artery unspecified essential hypertension peripheral vascular disease, unspecified hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) percutaneous transluminal coronary angioplasty status occlusion and stenosis of carotid artery without mention of cerebral infarction other and unspecified hyperlipidemia other and unspecified angina pectoris personal history of other malignant neoplasm of skin personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction examination of participant in clinical trial thoracic or lumbosacral neuritis or radiculitis, unspecified 

Answer: The patient is high likely exposed to