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: patient is a 56-year-old male with a history of hypertension and diabetes mellitus type 2, hypercholesterolemia, who presented to his primary care physician with complaints of chronic nonproductive cough times the past seven months, coinciding with initiation of ace inhibitor therapy. he also complained of dizziness, fatigue, and occasional diaphoresis, not related to exertion. he reports that he can walk up two flights of stairs and ride a bike without any shortness of breath, dyspnea on exertion, chest pain, chest pressure. additionally, he denies edema, paroxysmal nocturnal dyspnea, orthopnea, syncope, presyncope. he was recently on antibiotics for cough with some relief. he had a recent admission in for a laminectomy. patient's primary care physician ordered an exercise tolerance test/myoview to rule out cardiac cause of his cough. he exercised 18 minutes per standard protocol. he had a blunted heart rate response and got 0.5 mg of atropine at 16.5 minutes. he had no complaints of chest pain. he achieved 74% maximal heart rate. myoview imaging revealed anterior ischemia. therefore, the patient was sent for cardiac catheterization on . catheterization revealed severe diffuse lad disease with proximal tandem 70% stenosis, subtotally occluded mid vessel, very small apical lad. left ventricular ejection fraction was preserved at 65%. he underwent successful ptca, stenting of the lad with two overlapping cypher stents. additionally, the left main coronary artery was noted to be nonobstructed. left circumflex was nonobstructed. om-1 was large vessel with an eccentric mid 40% stenosis. rca showed a 50% mid stenosis. initially, the patient tolerated coronary catheterization well. he was transferred to the holding area. he then developed episode of hypotension to bp of 70s after femoral sheath removal. he received iv fluid therapy, integrilin was discontinued, and dopamine drip was started. he was taken to ct scan to rule out retroperitoneal hematoma. ct scan revealed a psoas hematoma. past medical history: 1. diabetes mellitus x5 years. 2. hypertension. 3. hypercholesterolemia. 4. gout. 5. glaucoma. 6. history of struck by lightening in . past surgical history: 1. status post laminectomy 05/. 2. status post hernia repair. 3. status post multiple knee and shoulder surgeries. allergies: patient reports allergies to morphine resulting in rash, and amoxicillin resulting in diarrhea. medications prior to admission: 1. aspirin 325 mg po q day. 2. atenolol 50 mg po q day. 3. triamterene/hydrochlorothiazide 75/50 mg po q day. 4. glucophage 1,000 mg po bid. 5. lisinopril 40 mg po q day. 6. pravachol 60 mg po q day. 7. betoptic one drop each eye . family history: patient reports that his mother died at age 58 from complications of congestive heart failure and diabetes. father deceased from stroke. social history: patient is married. he is semiretired from sales. he denies any alcohol use. denies illicit drug use. reports one pack per day smoking history for many years having quit in . physical exam on admission: vital signs: temperature 99.0, blood pressure 113/43, pulse 70, respiratory rate 20, and oxygen saturation 98% on 4 liters o2 nasal cannula. general appearance: well-developed, well-nourished male lying flat, denying pain, plethoric face, in no acute distress. heent: normocephalic, atraumatic. sclerae are anicteric. mucous membranes moist. no jugular venous distention or increased jugular venous pressure noted. carotids with normal upstroke and amplitude. lungs: clear to auscultation bilaterally. cardiovascular: regular, rate, and rhythm. s1 heart sound obscured by 3/6 systolic murmur heard best at right upper sternal border. murmur did not radiate to carotids. no carotid, abdominal, femoral bruits. abdomen: obese, soft, nontender, and nondistended, positive bowel sounds, no hepatosplenomegaly. extremities: cool, pale, no edema noted. groin: ecchymotic lesion 1 x 3" noted in right groin. no masses. no oozing from catheterization site. slightly nontender, no bruit auscultated. pertinent laboratories, x-rays, and other studies: laboratories on admission showed complete blood count with white blood cells 15.0, hematocrit of 36.8, platelet count of 239. serum chemistries showed sodium of 139, potassium 4.5, chloride 103, bicarbonate 26, bun 23, creatinine 1.6, glucose 97. additional electrolytes showed phosphorus 2.2, magnesium 1.5, ck 47. exercise tolerance test/myoview (): showed blunted heart rate response, so patient was given 0.5 mg of atropine to increase heart rate. myoview images revealed anterior wall ischemia. electrocardiogram: shows sinus rhythm, first degree a-v prolongation. elevations in leads v2 through v5, no left ventricular hypertrophy noted. left atrial abnormality. incomplete right bundle branch block. catheterization (): showed ejection fraction approximately 65% with normal left ventricular function. no mitral regurgitation. left main coronary artery without significant disease. left lad with proximal tandem 70% stenosis, subtotally occluded mid vessel, the left circumflex with nonobstruction. om-1 with eccentric mid 40% lesion. rca with 50% mid lesion. lad lesion was stented x2 with cypher stents. ct scan of the abdomen/pelvis without contrast (): showed moderate to large right pelvic hematoma, originating in the region of the right psoas muscle. brief summary of hospital course: 1. coronary artery disease: patient with three vessel disease on cardiac catheterization and status post pci with two cypher stents placed in his left anterior descending artery. plan was to continue aspirin, plavix, statin, and beta blocker/ace inhibitor, if the patient's blood pressure tolerated. namely, the patient should be on aspirin and plavix for nine months post-stent. as he had complications, hematoma development, integrilin was discontinued. he was managed and monitored for symptoms of chest pain or dyspnea, and this was of concern for possible stent thrombosis. he remained chest pain free throughout the remainder of his hospital course, and cardiac enzymes were ruled out for myocardial infarction. ventriculogram performed during coronary catheterization showed an ejection fraction of 65%. therefore, the patient's cardiac decompensation was likely secondary to diastolic dysfunction secondary to a longstanding history of hypertension. initially, plan was made to continue ace inhibitor and beta blocker therapy if the patient's blood pressure tolerated. however, he arrived to the floor in need of pressor support on a dopamine drip. he was weaned off the dopamine slowly as the blood pressure tolerated, and atenolol 50 mg po q day, and valsartan 240 mg po q day were added to his medication regimen. please note, that the patient had been on an ace inhibitor prior to admission, however, it was felt that the side-effects from the ace inhibitor therapy could be contributing to his complaint of cough, and therefore an angiotensin receptor blocker was substituted in place of the ace inhibitor. 2. right psoas muscle hematoma: vascular surgery was consulted. they recommended serial hematocrit values, hemodynamic monitoring, and serial peripheral pulse checks. the patient was transfused 2 units of packed red blood cells for a drop in his hematocrit from 37 to 27. he tolerated this well. additionally, heparin and integrilin were discontinued as this is felt to be contributed to bleeding complications. at time of discharge, the patient's hematocrit value had been stable for greater than 24 hours. value at discharge was 36.3. 3. diabetes mellitus: patient's outpatient metformin dose was held after receiving an intravenous contrast load during cardiac catheterization, out of concern for possible acute tubular necrosis, exacerbation of renal insufficiency, and possible development of lactic acidosis. he was monitored with serial fingerstick blood glucose testing and covered on regular insulin-sliding scale. he was started on a diabetic diet. postcatheterization, he was given mucomyst 600 mg po bid due to his history of renal insufficiency. 4. renal insufficiency: on admission, the patient's creatinine was elevated. it was not clear if this was his baseline or the results of intervention. it was felt that it was multifactorial given his history of hypertension and diabetes. postcatheterization, he was hydrated aggressively with iv fluid therapy. initially, his ace inhibitor was held for renal production. after two days of fluid therapy, the patient's creatinine value returned to stable level of 0.9, and this was the level at the time of discharge. 5. gi: as the patient's chronic cough could be secondary to gastroesophageal reflux disease, he was started on protonix 40 mg po q day. 6. activity level: prior to discharge, the patient was cleared by physical therapy staff, is not needed physical therapy services after discharge. at time of discharge, he was ambulating independently. condition on discharge: good. right groin hematoma stable with hematocrit stable at 36.3 at time of discharge. cleared by physical therapy for discharge to home. discharge status: the patient was discharged to home. discharge diagnoses: 1. coronary artery disease status post catheterization, status post stent placement. 2. right groin hematoma. 3. heart failure, diastolic dysfunction. 4. diabetes mellitus type 2. 5. hypertension. 6. hypercholesterolemia. 7. gout. 8. glaucoma. discharge medications: 1. pravastatin 20 mg three tablets po q day. 2. betaxolol 0.25% solution one drop each eye . 3. aspirin 325 mg one po q day. 4. metformin 500 mg two po bid. 5. clopidogrel 75 mg po q day for nine months. 6. atenolol 50 mg one po q day. 7. valsartan 80 mg one po q day. 8. outpatient occupational therapy, patient with history of coronary artery disease, status post cardiac catheterization and stent placement. he is given a prescription to institute a program of outpatient cardiac rehabilitation therapy. follow-up plans: patient was told that he must make follow-up appointments with his primary care physician, . and with his cardiologist, dr. . he can call to make an appointment with each of those providers. he was instructed to make an appointment within the next 1-2 weeks. additionally, he was told to notify his primary care physician or visit an emergency room immediately if he experienced any chest pain, shortness of breath, dizziness, or lightheadedness, palpitations, back pain, pain in his catheterization site, or fainting. he is instructed that we had changed some of his medications. he was told to discontinue his triamterene/hydrochlorothiazide and his lisinopril. he was instructed that he was started on the new medications of valsartan 80 mg po q day and plavix 75 mg po q day. finally, he was told not to operate any heavy machinery, including a motor vehicle for the next one week. , m.d. dictated by: medquist36 d: 17:56 t: 09:42 job#: procedure: angiocardiography of left heart structures injection or infusion of platelet inhibitor left heart cardiac catheterization coronary arteriography using a single catheter insertion of drug-eluting coronary artery stent(s) diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hematoma complicating a procedure other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation chronic diastolic heart failure 

Answer: The patient is high likely exposed to