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: stemi major surgical or invasive procedure: cardiac catheterization history of present illness: this is a 64 year-old male with history of htn who presents to ccu from cath lab after stemi. he experienced pleuritic chest pain starting at 2 am. his pain was worse with inspiration. the patient took 6 asa (325 mg tabs) at home prior to going to the hospital. in the morning, he walked 2 miles on his treadmill, attempting to "work it out", but then decided to go to the ed once the pain continued. at osh (), he received nitro gtt and was hypotensive to sbp 90s. they also started the patient on morphine, fentanyl, lopressor 2.5 mg iv x 2, plavix 600 mg, and he was started on heparin gtt and integrillin gtt. the patient also had brown, heme positive stool at osh. he then got transferred to for cardiac cath and continued to have cp. . during cath, he was found to have mid to distal lad, has very small left cx disease, and diffuse rca disease. lad showed 90-95% stenosis, mid to distal lad. the patient had balloon angioplasty to the distal lad, complicated by disection distal lad. his cp remained stable and improved on nitro gtt with morphine prn. the patient was started on integrillin, but was stopped once he reached the ccu. the patient also had mild acidosis on admission with pco2=42. his bp was in the 130/80s post cath. . on review of symptoms, he started diet 3 weeks ago. he denies tinnitus, 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. he walks approximately 2 miles without difficulty. all of the other review of systems were negative. . cardiac review of systems is notable for chest pain as noted above, but negative for dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: hypertension hiatal hernia sciatica social history: prior 15 year h/o tobacco use, but he is currently a non-smoker. he drinks etoh occasionally. family history: no family history of premature coronary artery disease or sudden death, but his father and mother both had mis at age>70 yrs. also his mother had diabetes. physical exam: vs: t 97.6, bp 122/74, hr 96, rr 19, o2 96% on 6lnc wt: 86 kg. gen: wdwn middle aged male in nad, resp or otherwise. oriented x3. mood, affect appropriate. pleasant. heent: ncat. sclera anicteric. eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple with jvp of 6 cm. cv: pmi located in 5th intercostal space, midaxillary line. rr, normal s1, s2. no s4, no s3. no rub auscultated chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. clear to auscultation anteriorly. no crackles, wheeze, rhonchi. abd: obese, soft, ntnd. no abdominial bruits. ext: no c/c/e. no femoral bruits. right femoral groin with minimal oozing- dressing intact skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+; femoral 2+; 2+ dp/pt : carotid 2+; femoral 2+; 2+ dp/pt pertinent results: 05:08am blood ck-mb-58* mb indx-11.7* ctropnt-0.48* 04:11am blood ck-mb-54* mb indx-10.3* ctropnt-1.09* 05:10am blood ck-mb-5 ctropnt-1.85* 04:11am blood ck(cpk)-526* 05:10am blood ck(cpk)-117 08:32pm blood glucose-119* urean-27* creat-1.1 na-133 k-4.0 cl-102 hco3-20* angap-15 08:32pm blood wbc-16.8* rbc-4.66 hgb-14.9 hct-43.0 mcv-92 mch-32.0 mchc-34.6 rdw-13.2 plt ct-174 brief hospital course: upon presenting to , patient was taken to the catheterization lab on and was found to have 90-95% mid/distal lad. patient had a baloon angioplasty to the distal lad complicated by a perferation/disection distally. the patient remained stable with continued chest pain when he arrived at the ccu. the patient was started on integrillin in the cath lab which was stopped upon arival to the ccu. patient was started on a nitroglycerine drip for pain control with poor relief. the patient was switched with torodol for the pleuritic character of the pain with good relief. he denied any worsening of symptoms or exertional dyspnea. echocardiogram showed a small/trivial pericardial effusion with no signs of constrictive physiology. ejection fraction was not decreased and inferoseptal hypokinesis. patient's cardiac enzymes peaked on with a ck of 526. patient was seen by cardiac syrgery for evaluation of his disease and the need for a cabg in the future. the patient was tenitavely scheduled for cabg with pre-op testing prior to that. the patient remained stable and was transfered to the floor on where he has not had any further reoccurance of his symptoms. he was seen by pt and informed of the need of cardiac rehab. he was discharged home with follow up appointments in cardiac surgery and patient will make an appointment at the pcp . medications on admission: lisinopril/hctz 20/12.5 mg daily asa 81 mg daily discharge medications: lisinopril 10mg po daily metoprolol 50mg po bid atorvastatin 80mg po daily plavix 75mg po daily iburprophen 600mg po every 8 hours prn: pain discharge disposition: home discharge diagnosis: st-elevation myocardial infarction discharge condition: stable. good. discharge instructions: you were admitted for a st elevation myocardial infarcation (heart attack). the cause of this was likely due to build up of cholesterol in the arteries that supply the blood flow to the heart. over time the amount of blood slowly decreases to the point where you begin to feel pain or pressure in your chest, arm numbness, shortness of breath, or other symptoms. these symptoms can be worse when your heart needs more blood flow such as exercise. some areas of narrowing may be treated with cardiac catheterization, but often the disease is in a location where bypass surgery is a better option. you were seen by a cardiac surgeon regarding the option for bypass and we sugest you follow up with them after discharge. we also sugest you call and follow up with a cardiologist in your area. we sugest dr. ((). please see your pcp 2 weeks for a follow up of this visit and to help arrange the follow up apointments. you were discharged on new medications for your heart. we have stopped your lisinopril/hctz combination pill and have started you on daily asprin, metoprolol, lisinopril, atorvastatin (lipitor), and plavix. please take these medications as described on your prescription and follow up with your outpatient cardiologist for mediaction changes. if you feel any further chest pain, worsening shortness of breath, become sweaty, fatigued, and/or nauseous, we strongly advice you to call 911 and return to the emergency room to evaluate for another heart attack or other medical condition. followup instructions: please follow up with your primay card physician 2 weeks and call to schedule an apointment with dr. as soon as you can. you have apointments for pre-operative testing and a date for surgery to follow up with at . procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor angiocardiography of right heart structures excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: acidosis coronary atherosclerosis of native coronary artery unspecified essential hypertension accidental puncture or laceration during a procedure, not elsewhere classified acute myocardial infarction of other inferior wall, initial episode of care cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure dissection of coronary artery 

Answer: The patient is high likely exposed to