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: coronary catheterization history of present illness: this is a 55 y.o. male with dyslipidemia who noticed chest discomfort, characterized primarily by sensation of nausea this evening, he reports at approximately 10:00 pm. he described the chest discomfort more as "nausea" accompanied with tingling in arms, and shortness of breath. he says he was at home for 20-30 minutes with this sensation and then drove himself to ed. there, ecg showed st elevation in ii, iii, and avf, and he was started on heparin, eptifibatide, metoprolol, sublingual nitroglycerin x 2, morphine, and clopidogrel 600mg. catheterization lab was notified at 11:40pm, and patient was transferred. he was chest pain free on arrival. balloon time was 12:49 am and patient received bms to lcx and om as detailed below. . on review of symptoms, 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 chest discomfort as above. dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: ? hepatitis dyslipidemia social history: social history is significant for the 1 pack per day tobacco use since age 15. he acknowledges alcohol abuse, drinks at a time when he does drink, but some weeks he does not drink. he does report a history of cocaine use, and says his last time was 2 years ago. family history: his father had mi at age 42 and 59, and died at 59. mother died of breast cancer. there is no other family history of premature coronary artery disease or sudden death. physical exam: vs: t 98.9, bp 130/78, hr 88, rr 16, o2 100% on 2l nc gen: wdwn middle aged male in nad, resp or otherwise. oriented x3. mood, affect appropriate. pleasant. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple with jvp of 5cm. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no s4, no s3. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. no crackles, wheeze, rhonchi. abd: obese, soft, ntnd, no hsm or tenderness. no abdominial bruits. ext: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ without bruit; right femoral arterial and venous sheaths in place. 2+ dp left: carotid 2+ without bruit; femoral 2+ without bruit; 2+ dp pertinent results: 07:34pm ck(cpk)-1194* 07:34pm ck-mb-62* mb indx-5.2 12:16pm potassium-4.1 12:16pm ck(cpk)-1711* 12:16pm ck-mb-115* mb indx-6.7* 12:16pm plt count-252 07:52am urine hours-random 07:52am urine bnzodzpn-neg barbitrt-neg opiates-pos cocaine-neg amphetmn-neg 04:09am asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 04:09am plt count-278 02:51am glucose-118* urea n-18 creat-1.1 sodium-139 potassium-4.3 chloride-106 total co2-26 anion gap-11 02:51am estgfr-using this 02:51am alt(sgpt)-28 ast(sgot)-113* ld(ldh)-282* ck(cpk)-1694* alk phos-65 tot bili-0.2 02:51am ck-mb-116* mb indx-6.8* ctropnt-4.56* 02:51am albumin-3.8 calcium-9.1 phosphate-3.2 magnesium-1.9 cholest-196 02:51am triglycer-333* hdl chol-42 chol/hdl-4.7 ldl(calc)-87 02:51am wbc-11.7* rbc-4.44* hgb-14.2 hct-40.4 mcv-91 mch-32.0 mchc-35.2* rdw-13.8 02:51am plt count-278 02:51am pt-12.6 ptt-42.7* inr(pt)-1.1 . lipid panel (on admission): ldl 87 hdl 41 total chol 196 triglycerides 333 . echo (): the left atrium is normal in size. left ventricular wall thicknesses and cavity size are normal. there is mild regional left ventricular systolic dysfunction with focal severe hypokinesis of the inferolateral wall. the remaining segments contract normally (lvef = 45-50 %). transmitral and tissue doppler imaging suggests normal diastolic function, and a normal left ventricular filling pressure (pcwp<12mmhg). the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are structurally normal. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. the pulmonary artery systolic pressure could not be quantified. there is no pericardial effusion. impression: mild regional left ventricular systolic dysfunction c/w cad. mild mitral regurgitation. . coronary cath (): 1. coronary angiography of this right dominant system revealed no significant coronary disease in the left main coronary artery. the rca had moderate disease in the mid-segment without obstructive coronary disease. the lad had mild diffuse disease without critical lesions. the d1 had an 80% lesion at the origin. the lcx was a non-dominant vessel with an occluded om2 and 90% stenosis in the av groove lcx after the bifurcation of om2. 2. resting hemodynamics revealed an arterial systemic systolic blood pressure of 133 mm hg. right and left-sided pressures were high-normal with an rasp of 13 mm hg, rvedp of 17 mm hg, pcwp of 15 mm hg, and pa mean of 23 mm hg. cardiac output was 2.65 with an index of 5.6. 3. left ventriculography was deferred. final diagnosis: 1. two vessel coronary artery disease. 2. normal ventricular function. 3. acute inferior myocardial infarction, managed by acute ptca. ptca of vessel. brief hospital course: pt was admitted to and taken straight to the cath lab and was found to have right-dominant system with normal lmca, mild lad disease with 80% d1 origin stenosis, occluded om2, and 90% stenosis in avg after om2. he received minivision 2.5mmx28mm to lcx and 2.5mmx12mm minivision in om2. eptifibatide was continued for 18 hours post-cath. captopril was started low-dose and ythen swtiched to lisnopril when he was shown to tolerate well. atorvastatin 80mg was started in house instead of simvastatin given its pleotropic effects in stemi. asa 325mg daily and clopidogrel 75mg daily were continued after the cath. low-dose metoprolol was started once urine tox screen returned negative for cocaine (give hx of use in past). pt had some nsvt in the first couple of hrs after coming to the ccu, the longest one with a 20 beat run, then no more abnormal rhythms. echo on the mornign after admission with focal severe hypokinesis of the inferolateral wall, lvef = 45-50 %, normal diastolic function, and a normal left ventricular filling pressure (pcwp<12mmhg). given alcohol hx pt was placed on a ciwa scale but nevere required any lorazepam. smoking cessation counselling and alcohol education was performed. pt stated he was planning to stop smoking "cold " although he said he would use the chantrix he had at home if he needed to. he repeadly denied he had an alcohol problem and refused to discuss this with the team and the social worker. his medical managment was optimized with asa 325mg, lisinopril 5mg, toprol 50 daily, atorvastatin 80mg, and plavix 75 mg. pt remained cp free and without other symptoms, saturating well on room air, voiding on own, taking good po. the plan was for folllow-up care with pcp and dr. within 1-2 weeks. medications on admission: home medications: simvastatin occasional enteric-coated aspirin niacin naprosyn . medications on transfer: asa 325mg metoprolol 5mg iv x 3 heparin bolus ntg sl x 2 morphine 5mg iv x 2 clopidogrel 500mg po x 1 integrilin bolus and gtt ondansetron 4mg x 1 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 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. toprol xl 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* 6. nitroglycerin 0.3 mg tablet, sublingual sig: sublingual prn as needed for pain: please take 1 tab q5 minutes up to 3 tablets and call 911 if you have chest pain. disp:*20 tabs* refills:*2* discharge disposition: home discharge diagnosis: primary diagnosis: st elevation myocardial infarction alcohol abuse tobacco abuse dyslipidemia . secondaey diagnosis: hx of hepatitis (?a) discharge condition: stable discharge instructions: you were admitted to with an st elevation myocardial infarction. please take your previous medications as prescribed. the following changes has been made to your medications: - please start taking aspirin 325mg daily for secondary cardiovascular prevention (to prevent another heart attack) - please start taking atorvastatin 80mg daily for your heart and for your cholesterol instead of the simvastatin (i.e please stop taking simvastatin) - please continue to take niacin for your triglycerides and for your heart - please start taking lisinopril 5 mg daily for your heart and blood pressure (prevents remodelling of the heart) - please start taking toprol xl (metoprolol) 50mg daily for your heart and blood pressure (prevents remodelling of the heart) - please start taking clopidogrel (plavix) 75 mg daily to keep stents open if you develop chest pain, jaw pain, or chest pressure with pain radiating into arm, or if you for any reason become concerned about your medical condition please call 911 or present to nearest ed. - we also gave you nitroglycerin tablets to take if you experience chest pain, please call 911 or your doctor if chest pain recurs even if it dissapears with nitroglycerine **do not stop taking the aspirin or plavix unless instructed to do so by your cardiologist even if another doctor tells you to** (your aspirin dose may be lowered by your doctor after months by your pcp if he so chooses) we strogly recommend you stop smoking as discussed followup instructions: - please call your pcp for appointment to be seen within 1-2 weeks - please schedule an appointment with dr. within weeks () procedure: insertion of non-drug-eluting coronary artery stent(s) 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] insertion of three vascular stents procedure on two vessels diagnoses: coronary atherosclerosis of native coronary artery tobacco use disorder alcohol abuse, unspecified paroxysmal ventricular tachycardia other and unspecified hyperlipidemia acute myocardial infarction of other inferior wall, initial episode of care 

Answer: The patient is high likely exposed to