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: history of present illness: the patient has known coronary artery disease since with occluded left anterior descending artery which was thought not able for grafting at that time. in , the patient had a catheterization for a positive exercise treadmill test with stable symptoms. right coronary angiography revealed a moderately calcified vessel with serial 90% proximal and medial stenoses as well as moderate diffuse disease of the distal right coronary artery and the posterior descending artery. the patient underwent successful rotational atherectomy and stenting of the proximal and medial right coronary artery. the left anterior descending artery was known to be totally occluded, and the circumflex with a 70% proximal lesion. of note, his wedge pressure at that time was 25 mmhg. in , the patient had a catheterization again for a positive exercise treadmill test. coronary angiography at that time revealed his left main to be normal. his left anterior descending artery was 90% stenosed in its proximal portion, followed by a total occlusion in its midportion. the left anterior descending artery received left-to-left and right-to-left collaterals. the left circumflex artery and the proximal with 30% stenosis. the remainder of the vessel was without significant disease. a large branching first obtuse marginal and a smaller second obtuse marginal were both free of significant disease. the right coronary artery was thought widely patent in the region of the previous stent. the distal right coronary artery had an 80% lesion at the bifurcation of the posterior descending artery and posterior lateral descending. the posterior descending artery had mild diffuse disease. the patient underwent successful percutaneous transluminal coronary angioplasty and stenting of the proximal left anterior descending artery and distal right coronary artery at that time. the patient states he has been doing well since then with only stable angina. he works out frequently at the gym and finds that he knows what level he can exercise at without getting his chest discomfort. if he pushes further, he will always get angina. over the past several months, the patient has had a change in his anginal pattern. it has occurred more easily; such as carrying his small dog up one flight of stairs. this was not happening prior to these months. he has found definite relief with sublingual nitroglycerin. today the patient underwent an exercise treadmill test in dr. office. the patient developed chest pain early into the exercise with st depressions globally. per verbal report, the electrocardiogram revealed anterior, septal, apical, lateral, and inferior ischemia. he is now referred for repeat cardiac catheterization. the patient denies orthopnea, edema, paroxysmal nocturnal dyspnea, and lightheadedness. right calf cramps after walking one mile. weight 190 pounds. cardiac risk factors of hypercholesterolemia. he quit cigarettes in . no diabetes. no hypertension. no family history. past medical history: 1. coronary artery disease; status post left anterior descending artery and right coronary artery stenting. 2. hyperlipidemia. past surgical history: none. allergies: the patient is allergic to ticlid (from which he gets confusion, flu-like symptoms, and a drop in his white count). medications on admission: 1. aspirin 325 mg p.o. q.d. 2. zocor 80 mg p.o. q.d. 3. colestid 1 g p.o. t.i.d. 4. atenolol 25 mg p.o. q.d. cardiac catheterization: cardiac catheterization from showed left ventriculography with normal left ventricular systolic function with an ejection fraction of 65%. coronary angiography showed a mild distal taper in the left main. left anterior descending artery with proximal stents widely patent within a mild taper, then a total occlusion. his left circumflex with an ostial 60% stenosis. first obtuse marginal with a focal 90% midvessel lesion. second obtuse marginal not obstructed. right coronary artery stents were widely patent with a medial 40% stenosis. the posterior descending artery showed a long diffuse proximal 70% stenosis. pressure wire measurements of the circumflex lesion showed a non-flow-limiting stenosis. the patient then had a stent to the first obtuse marginal. after cardiac catheterization, he was given integrilin for 18 hours and plavix 75 mg p.o. q.d. (times six months). hospital course by issue/system: this is a 59-year-old male with known coronary artery disease, status post catheterization in with arthrectomy of the right coronary artery times two, and stenting to the right coronary artery, in with stenting of the proximal left anterior descending artery and distal right coronary artery. he recently presented increasing angina and had a grossly positive exercise stress test and was sent to for cardiac catheterization. at cardiac catheterization he was shown to have a 90% first obtuse marginal lesion which was stented. after cardiac catheterization, the patient developed melanotic stool with a hematocrit drop from 44 to 36. 1. cardiovascular system: (a) coronary artery disease: the patient with known coronary artery disease who is now status post first obtuse marginal stenting after presenting with increasing angina and a positive stress test. the patient was continued on plavix 75 mg p.o. q.d. his integrilin was held after his melanotic stool. he was also continued on aspirin which was switched to rectal aspirin for one week status post discharge. he was also continued on his simvastatin 80 mg p.o. q.d. and atenolol 25 mg p.o. q.d. (b) pump: the patient had no evidence for heart failure and normal left ventricular ejection fraction of 65%. a normal sinus rhythm and was continued on telemetry without events. 2. gastrointestinal bleed issues: the patient with melanotic stool in the setting of anticoagulation, status post cardiac catheterization. the gastrointestinal service was consulted. the patient showed a bleeding ulcer on esophagogastroduodenoscopy which was injected. the bleeding then stopped. he was found to have blood in his stomach and an ulcer in the proximal bulb with grade ii esophagitis. he was given protonix 40 mg p.o. b.i.d. a helicobacter pylori antibody was sent. the helicobacter pylori antibody was negative. because of the 50% chance of risk of rebleeding of the ulcer in the setting of the continued anticoagulation with plavix for the recently placed stent, the patient was transferred to the medical intensive care unit for overnight observation. he did well and was transferred back to the floor after his creatinine remained stable at 36. discharge diagnoses: 1. coronary artery disease (with stent to the first obtuse marginal). 2. duodenal ulcer bleeding in the setting of anticoagulation. discharge status: the patient was discharged to home. discharge instructions/followup: 1. the patient to follow up with his primary care physician in and with dr. (his cardiologist). 2. the patient was also to follow up with dr. in the gastroenterology. condition at discharge: condition on discharge was good. medications on discharge: 1. protonix 40 mg p.o. b.i.d. 2. atenolol 25 mg p.o. q.d. 3. aspirin 300 mg p.r. q.d. 4. plavix 75 mg p.o. q.d. (times six months). 5. simvastatin 80 mg p.o. q.d. 6. sublingual nitroglycerin as needed. , m.d. dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor left heart cardiac catheterization suture of duodenal ulcer site diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension other and unspecified angina pectoris chronic or unspecified duodenal ulcer with hemorrhage, without mention of obstruction 

Answer: The patient is high likely exposed to