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 x 2 history of present illness: 47 y/o male with dyslipidemia, +tob, emergently transferred from for anterior stemi. he noted epigastric pain (no cp/sob/palp/n/v) 4 days ago that resolved spont. then had intermittent pain over the next 2 days. on day of admission noted worse pain with 1 episode vomiting, worse with exertion. preseted to at 11:pm. transeferred to and given plavix/asa/lopressor/aggrastat. past medical history: hyperlipidemia smoking social history: tob ppd x 20 years family history: non-copntrib physical exam: 97.1 80's 100's-110's/60's-80's 16 sp02 99% ra gen: nad neck: no jvd heart: rrr no mrg. pmi non-displaced lungs: clear, no crackles. abd: soft, nt/nd. nabs ext: no c/c/e pertinent results: 07:35am blood wbc-9.8 rbc-4.53* hgb-14.0 hct-39.3* mcv-87 mch-30.8 mchc-35.5* rdw-13.9 plt ct-197 07:35am blood plt ct-197 07:35am blood pt-12.3 ptt-23.3 inr(pt)-1.0 07:35am blood glucose-87 urean-15 creat-1.0 na-142 k-4.2 cl-108 hco3-24 angap-14 03:02am blood ck(cpk)-881* 05:56pm blood ck(cpk)-1418* 03:01am blood alt-33 ast-118* ld(ldh)-317* ck(cpk)-1359* alkphos-88 totbili-0.4 03:02am blood ck-mb-54* mb indx-6.1* ctropnt-2.86* 05:56pm blood ck-mb-119* mb indx-8.4* 03:01am blood ck-mb-142* mb indx-10.4* 07:35am blood calcium-9.0 phos-3.3 mg-1.8 cardiac cath #1 (): 1. selective coronary angiography revealed a right dominant system with multivessel disease. the lmca had a 50% distal lesion. the lad had a 99% lesion in the mid vessel with diffuse 60% proximal and mid disease. the lcx had a 70% mid and 80% distal lesion. the rca had a 70% mid-distal lesion. 2. hemodynamics post pci showed mildly elevated right sided filling pressures (ra mean 11, rvedp 14 mm hg, pasp 30 mm hg) and mild to moderately elevated left sided filling pressures (pcwp 20 mm hg). the cardiac index was low normal at 2.1. 3 successful stenting of the lad was performed with a 2.5 x 28 mm cypher des, terminating an acute anterior myocardial infarction. 4. the groin was closed with an angioseal. cardiac cath #2 (): 1. coronary angiography in this right dominant circulation demonstrated two vessel cad. the lmca had mild distal disease and the lad stent was widely patent. the lcx had a focal 90% lesion at the origin of two medium-sized marginals. the rca had a tubular lesion in the mid-portion up to 90%. 2. successful stenting of the lcx was performed with a 2.5 x 23 mm cypher des. 3. successful stenting of the rca was performed with overlapping 2.5 x 23 mm and 3.0 x 33 mm cypher des. echo (): the left atrium is normal in size. left ventricular wall thicknesses and cavity size are normal. there is severe regional left ventricular systolic dysfunction with hypokinesis of the basal half of the inferior septum, inferior and inferolateral walls and near akinesis of other segments. the apex is mildly dyskinetic. no masses or thrombi are seen in the left ventricle. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets appear structurally normal with good leaflet excursion. no aortic regurgitation is seen. the mitral valve leaflets are structurally normal. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. brief hospital course: a/p: 47 y/o male with dyslipidemia and smoking hx who p/w acute anterior stemi, found to have 3vd and lmc dz s/p mid-lad . 1. cad: pt diagnosed with acute anterior stemi at osh and transferred for emergent pci. he had his prox lad successfullky stented terminating the stemi. his ck peaked at 1418 and mb at 142. he was then taken to the ccu where he was monitored. he was treated with asa/plavix/beta-blocker/ace/statin. he was then taken back to the cath lab where he had his lcx and rca successuflly stented with des on . he remained chest pain free during the hospitalization. he will be discharged with asa/plavix/statin/beta-blocker/ace/aldactone. 2. pump: pt has a severe ischemic cardiomyopathy with ef ~20%. this was prior to his second pci, so i expect some degree of recovery. he will require another echo in 30 days and if his ef is < 30%, he will meet maddit ii criteria and require prophylactic icd for primary prevention of scd. currently he is not volume overloaded and requires no diuretic. given his normal serum k, he will not be discharged with aldactone/epelrenone (ephesus). he will need his serum k monitored. 3. rhythm: pt had 2 episodes of aivr approx 12 hours after his stemi. otherwise, he remained in nsr. he may require an icd, as per #2. 3. smoking: pt states he will not smoke anymore (30+ pack year history). medications on admission: none discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 2. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po daily (daily) for 300 days. disp:*30 tablet(s)* refills:*3* 3. atorvastatin calcium 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. toprol xl 50 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day. disp:*30 tablet sustained release 24hr(s)* refills:*2* 5. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 6. warfarin sodium 5 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*0* 7. lisinopril 5 mg tablet sig: two (2) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: acute anterior st elevation mi discharge condition: good discharge instructions: if you have these symptoms, call your doctor or go to the er: - shortness of breath - chest pain - nausea - dizziness - visual change - palpitations followup instructions: pcp 2 days. you need to have your inr checked procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor left heart cardiac catheterization coronary arteriography using a single catheter angiocardiography of right heart structures angiocardiography of right heart structures insertion of drug-eluting coronary artery stent(s) insertion of drug-eluting coronary artery stent(s) diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified acute myocardial infarction of other anterior wall, initial episode of care other specified forms of chronic ischemic heart disease other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to