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 with placement of drug-eluting stent history of present illness: mr. is a 57 yo man with hypertension and smoking abuse who initally presentd to an osh with chest discomfort. he developed the l sided chest achy discomfort around 4pm. he took some additional aspirin at that time. however the intensity of the discomfort increased, reaching ~ by 9pm. his wife says that he looked pale and sweaty and was complaining that "something didn't feel right." he denies experiencing any shortness of breath, nausea/vomiting, or palpitations. . he does recall experience several episodes of similar chest discomfort, lesser in intensity, over the last few weeks pta. these symptoms were not clearly activity-related. . at the osh, his intial vss were 98.7, 56, 101/80, 16, 99% ra. initial ekg did not reveal any significant st-segment changes. after receiving sl nitro, he had a vf arrest. he received 2 shocks and had return to spontaneous circulation. during the arrest, he received 0.5 mg atropine. he was started on a lidocaine drip. his repeat ekg revealed st-segment elevations in the inferior leads. he received aspirin 324, clopidogrel 600 mg, atorvastatin 80, and nitroglycerin drip. he was transferred to for further management. in the ed, he was started on an eptifibatide drip. . on initial angiography, there was a 90% stenosis of an obtuse marginal branch of the left circumflex artery. a sirolimus-eluting stent was implanted. in the cath lab, fluid was administered and a dopamine infusion begun for hypotension during the intervention. the dopamine was discontinued after the case. . eptifibatide was discontinued bleeding at the access site. . on review of symptoms, 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. . cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. social history: social history is significant for 40py smoking hx. he drinks drinks most days of the week. his father received a pacemaker for conduction system disease at age 44. he is physically active with yardwork and house maintenance. physical exam: vs t afebrile p 67 bp 118/77 rr 19 o2 100% ra general: tired appearing elderly man in no acute distress heent: no jvd pulm: lungs clear to auscultation on anterior exam cv: regular rate s1 s2 no m/r/g abd: soft, nontender, +bs groin: r groin with small amount of oozing post catheterization extrem: warm, well perfused, no edema 2+ peripheral pulses neuro: alert, interactive pertinent results: cardiac cath: 1. coronary angiography in this right dominant system demonstrated one vessel disease. the lmca had no angiographically apparent disease. the lad had no angiographically apparent disease. the lcx had no angiographically apparent disease. the om1 had a 90% ulcerated lesion. the rca had no angiographically apparent disease. 2. resting hemodynamics revealed normal right sided and elevated left sided filling pressures with rvedp of 7 mmhg and mean pcw of 12 mmhg. there was mild pulmonary arterial systolic hypertension with pasp of 30 mmhg. the cardiac index was preserved at 3.6 l/min/m2. there was mild systemic arterial systolic and diastolic hypotension with sbp of 98 and dbp of 55 mmhg. 3. left ventriculography was not performed. 4. successful ptca and stenting of the om with a cypher (2.5x13mm) drug eluting stent. final angiography demonstrated no residual stenosis, no angiographically apparent dissection and timi iii flow throughout the vessel. final diagnosis: 1. one vessel coronary artery disease. 2. mild pulmonary arterial systolic hypertension. 3. successful ptca and stenting of the om with a cypher drug eluting stent. 10:50am blood ck(cpk)-135 05:23am blood ck(cpk)-4631* 03:49pm blood ck(cpk)-4492* 05:59am blood ck(cpk)-2461* 08:49pm blood ck(cpk)-658* 07:35am blood ck(cpk)-451* 03:28pm blood ck(cpk)-336* 10:50am blood ctropnt-0.02* 05:23am blood ck-mb-499* mb indx-10.8* ctropnt-10.63* 03:49pm blood ck-mb-238* mb indx-5.3 ctropnt-8.12* 05:59am blood ck-mb-56* mb indx-2.3 ctropnt-4.05* 08:49pm blood ck-mb-7 ctropnt-3.48* 07:35am blood ck-mb-5 ctropnt-3.49* 12:07am blood type-art po2-124* pco2-42 ph-7.36 caltco2-25 base xs--1 brief hospital course: ## cardiac: - ischemia: s/p stemi of om1, with placement of a sirolimus-eluting stent without complication. ck's peaked at 4631, and trended downward to 336 by time of discharge. patient completed 18hrs of eptifabatide, was started on plavix after loading, and continued on home aspirin. . - pump: post mi echo showed preserved lv systolic function, w/ mild hk of distal inferior wall. pt showed no signs of fluid overload during admission. was d/c on bb and lisinopril. patient with initial hypotension s/p mi, believed to be secondary to hypovolemia. patient responded well to ivf boluses w/ dopamine for pressure support which was quickly weaned. . - rhythm: following procedure, patient had no further episodes of vf. in the initial 48 hrs, patient had notable ectopy on telemetry, with runs of nsvt. patients bb was titrated up over admission, with resolution of ectopy on telemetry. medications on admission: asa 81 daily discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary diagnosis: stemi secondary diagnoses: episode of ventricular fibrillation, hypertension, smoking discharge condition: improved. patient was free of chest pain, and his vital signs were stable on his new medicines. he was cleared by physical therapy to go home. discharge instructions: you were admitted with a heart attack, also called a myocardial infarction. you had a cardiac catheterization done and a drug eluting stent was placed. 1. please keep all follow-up appointments. 2. please take all medications as prescribed. 3. please call your doctor or return to the hospital if you have chest pain, shortness of breath, or any other concerning symptom. followup instructions: please arrange to see dr. in weeks. 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) infusion of vasopressor agent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel procedure on two vessels diagnoses: coronary atherosclerosis of native coronary artery tobacco use disorder unspecified essential hypertension cardiac arrest acute myocardial infarction of other inferior wall, initial episode of care ventricular fibrillation hypovolemia 

Answer: The patient is high likely exposed to