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 des to the rca history of present illness: 72yom with h/o htn, multiple basal/squamous cell skin ca admitted for inferior stemi. he was in his usoh until 0800 this am when he noticed l-sided chest pain. he thought it was indigestion at the time and went about his normal day - cleaning up a house he is renovating. he then went to his regularly scheduled appt to have a skin cancer removed from his neck in . after the appt, he went to ihop where he ate a large meal. he then went home and was laying down in bed when his l-sided chest pain acutely worsened to an 8 or - radiating across his r chest associated with diaphoresis and tingling in both his hands. his friend called 911 and he was brought to ed. . in the ed, initial vs 96.6 72-82 179-200/105-106 22 97% on 4l. ekg showed nsr, rate 74, rad and 3 mm ste in ii, iii, and avf with depressions in i, avl, and v2. initial trop was < 0.01, cr 1.1, hct 48.7. the patient was given asa 325 mg, plavix 600 mg, heparin bolus and gtt, integrillin gtt, sl nitro and morphine. code stemi was called and he was taken directly to the cath lab. cath showed 80% proximal lad stenosis w/ diffuse disease, 70% stenosis in the diagonal, subtotal occlusion of the distal rca (prox to pda and rlv) with thrombus - this was not collateralized, and 50% stenosis in the mid-pda. des was placed to the rca. metoprolol 5 mg iv was given for slow vtach. there are plans for repeat pci to the lad. . currently the patient denies cp, endorses mild pain in his groin. he denies ever experiencing cp before today. no history of heart problems. recent illness. . 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. . 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: 1. cardiac risk factors: - diabetes, ? dyslipidemia, + hypertension 2. cardiac history: - cabg: none - percutaneous coronary interventions: as above - pacing/icd: none 3. other past medical history: -hypertension -squamous cell skin cancer -basal cell skin cancers -rheumatic fever as child - hospitalized 1 year ago for 'respiratory problem' after inhaling paint fumes, said that w/u was normal social history: renovates houses. lives with a significant other. 2 biological daughters and 5 children from 2nd marriage. - tobacco history: none - etoh: none - illicit drugs: none family history: - no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death. mother - died young of breast cancer father - died age 69 of ulcers brother - died of kidney disease physical exam: on admission to ccu: vs: 96.8 71 156/92 15 98% on ra general: nad. lying flat after cath. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. neck: supple with jvp not elevated cardiac: rr, quiet s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: resp were unlabored, no accessory muscle use. cta - anteriorlly abdomen: obese, ntnd. no hsm or tenderness. extremities: no c/c/e. no femoral bruits. 2+ pt/dp pulses, 2+ radial pulses skin: l posterior head is bandaged w/ clean bandage . on discharge: general: nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. neck: supple with jvp not elevated cardiac: rr, quiet s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: resp were unlabored, no accessory muscle use. ctab abdomen: obese, ntnd. no hsm or tenderness. extremities: no c/c/e. no femoral bruits. 2+ pt/dp pulses, 2+ radial pulses, r groin bandage with some dried blood. skin: l posterior head is bandaged w/ clean bandage pertinent results: labs on admission: . 02:52pm blood wbc-9.1 rbc-5.22 hgb-16.7 hct-48.7 mcv-93 mch-32.0 mchc-34.3 rdw-13.1 plt ct-296 02:52pm blood neuts-64.7 lymphs-23.7 monos-6.5 eos-1.7 baso-3.4* 02:52pm blood pt-12.9 ptt-20.5* inr(pt)-1.1 02:52pm blood glucose-222* urean-17 creat-1.1 na-142 k-3.5 cl-102 hco3-26 angap-18 02:52pm blood ctropnt-<0.01 . cardiac cath: comments: 1. selective coronary angiography of this right dominant system demonstrated 2 vessel coronary artery disease. the lmca was free of angiographically significant disease. the lad had an 80% stenosis proximally. the distal vessel was diffusely diseased with 70-80% stenosis at its worst. there was a 70% stenosis in the diagonal. there was a subtotal occlusion of the distal rca (proximal to the pda and rlv) with thrombus. this was not collateralized. there was a 50% stenosis in the mid-pda. 2. limited resting hemodynamics demonstrated moderate to severe systemic arterial hypertension (range 160-210mmhg systolic). 3. the patient had slow vt during the procedure with drop in blood pressure to the 90s systolic. final diagnosis: 1. two vessel coronary artery disease. 2. distal rca occlusion with thrombus 3. moderate to severe systemic arterial hypertension 4. slow ventricular tachycardia. . on discharge: 09:00am blood wbc-8.0 rbc-4.51* hgb-14.2 hct-42.1 mcv-94 mch-31.5 mchc-33.7 rdw-13.1 plt ct-225 09:00am blood neuts-74.9* lymphs-18.2 monos-4.0 eos-1.7 baso-1.1 09:00am blood glucose-166* urean-22* creat-1.0 na-138 k-3.8 cl-105 hco3-21* angap-16 06:50am blood ctropnt-1.92* 09:00am blood calcium-8.6 phos-1.9* mg-2.3 02:58am blood %hba1c-6.6* eag-143* 04:33am blood triglyc-231* hdl-40 chol/hd-4.9 ldlcalc-109 brief hospital course: 72yom with h/o htn, multiple basal/squamous cell skin ca admitted for inferior stemi . # cad w/ inferior stemi: the patient presented to the ed with complaints of acute onset chest pain. ekg showed inferior st elevations. code stemi was called and he was taken urgently to the cath lab. trops peaked at 5.25. he was plavix loaded and started on a heparin and integrillin gtt. aspirin 325 mg was administered. cath showed thrombus in the proximal rca and this was stented. atorvastatin 80 mg qhs and metoprolol succinate 25 mg qday were started. on discharge, he was continued on asa at 325 mg per day and plavix 75 mg qday x 12 months. cath also showed an 80% lad lesion - this was not stented and plans are for this to be medically managed. he is to have a stress test arranged by his pcp 2 weeks. a cardiology appt was scheduled though the patient may request a referral to a cardiologist close to home. . # pump: tte showed normal ef, mild lvh, regional lv systolic dysfunction - hypokinesis of the basal and mid-inferolateral segments. . # rhythm: nsr at rate of 69. had slow vtach in cath lab for which he received 5 mg iv metoprolol. he had rare pvcs in the ccu, no further therapy was administered. . # htn: he was hypertensive w/ sbps in the 180s on admission - initially captopril was used to control bp. his discharge regimen was toprol 25 mg qday and losartan 50 mg qday. . # squamous cell ca: lesion removed on l occiput on , plans for repeat dressing change on . outpatient f/u. . # dm: blood sugars were elevated on admission. a1c was sent and was 6.6%. the patient was counseled that he had a new diagnosis of diabetes and was encouraged to improve his diet. a nutrition consult was placed. he was encouraged to follow-up with his pcp : this new diagnosis. . dvt prophylaxis was with subq heparin code: full code, confirmed comm: daughter medications on admission: hctz 25 mg qday asa 81 mg qday losartan 50 mg qday fluorouracil 40 gm discharge disposition: home discharge diagnosis: stemi s/p des to the rca diabetes mellitus hypertension discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr. , it was a pleasure participating in your care. you were admitted for a heart attack caused by a clot in one of your coronary arteries. you had a cardiac catheterization and a drug eluting stent was placed. you were started on plavix which you will need to take for at least a year to prevent clotting of this stent. you were also started on atorvastatin to reduce risk of coronary artery disease. during your cardiac cath an area of narrowing was seen in one of your vessels. as this has not caused you any symptoms, we will medically manage you at present and you should have a stress test in about 2 wks. a test has been ordered and you need to speak with your primary care doctor in order to schedule this test. you will have follow up with a cardiologist to further manage your problems - if you choose to see a cardiologist closer to home, that's fine and you can cancel the appointment we have made. during this admission it was also found that you have diabetes. this can significantly increase your risk of cardiac diseases. you should exercise and eat healthily to try to decrease this risk. you should also follow up with your pcp to discuss whether you would benefit from starting on medication. please call or return to the hospital if you develop chest pain, shortness of breath, leg swelling, or any other symptoms that concern you. ------------------- please start the following medications: - plavix (clopidogrel) 75mg daily - atorvastatin 80mg daily - metoprolol succinate 25mg daily please stop the following medications: - hydrochlorothiazide please continue losartan 50 mg per day the following medications have changed: - aspirin should now be taken at 325mg daily (not 81mg) followup instructions: name: , f. location: -/westw address: , , , phone: appt: at 9:30am name: , md location: cardiology address: , , phone: appt: at 10:30am 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 unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute myocardial infarction of other inferior wall, initial episode of care 

Answer: The patient is high likely exposed to