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 and diaphoresis major surgical or invasive procedure: cardiac cath with stents to lad (2 stents) and lpda (1 stent) history of present illness: 64 yo indian male experiencing substernal chest pain yesterday, , non-radiating, associated with diaphoresis but not sob. pain awoke pt from sleep. after persisting for 30 minutes, pt went to where an ekg showed 1mm st elevations in i and avl with reciprocal changes in ii and avf. pt was started on heparin, aspirin, and a beta-blocker. pt was transferred to this morning for cardiac cath. past medical history: none social history: lives with wife. retired 2 years ago as plant manager. little physical exercise and abundant fatty foods. no smoking. occassional alcohol. family history: brother had an mi and cabg at age 52. he is still alive. physical exam: most notably, mr. is a well-nourished indian male with a 7cm jvp, clear lungs, regular rate without murmurs, rubs, or gallops, benign abdomen, and 2+ dorsalis pedis pulses bilaterally without edema. pertinent results: 05:55am blood wbc-7.8 rbc-4.53* hgb-13.6* hct-38.6* mcv-85 mch-30.0 mchc-35.2* rdw-12.5 plt ct-170 05:55am blood plt ct-170 05:55am blood glucose-88 urean-9 creat-0.9 na-138 k-4.2 cl-103 hco3-30* angap-9 04:18am blood alt-41* ast-159* ld(ldh)-432* ck(cpk)-1482* alkphos-71 totbili-0.7 10:30am blood ck(cpk)-197* 03:24pm blood ck-mb-116* mb indx-10.1* ctropnt-2.46* 10:30am blood ck-mb-6 ctropnt-1.64* 04:18am blood triglyc-108 hdl-34 chol/hd-4.4 ldlcalc-92 ekg: sinus bradycardia. modest lateral st segment elevation with what appears to be slight st segment depression in lead iii (although unstable baseline makes the latter difficult to assess) - could be in part, early repolarization pattern but consider also, lateral injury/ischemia. clinical correlation is suggested. no previous tracing available for comparison. cath: 1. coronary angiography of this left dominant circulation demonstrated two vessel coronary artery disease. the lmca was patent. lad had proximal calcification with 90% serial lesions. there was a tubular 70% lesion in the mid vessel. two diagonal vessels were small with proximal 80% lesions. lcx was a large dominant vessel with an ulcerated hazy 80% lesion in the lpda. om1 had a proximal 50% lesion. rca was a non-dominant vessel with 40% stensis in the mid vessel. 2. left ventriculography was not performed. 3. limited resting hemodynamics post angiography demonstrated elevated right and left sided filling pressures with a mra of 20 mmhg and mpcwp of 23 mmhg. pa pressures were mildly elevated at systolic pap of 40 mmhg. central aortic pressure was normal. the fick calculated co and ci were mildly reduced at 4.7 l/min and 2.2 l/min/m2, respectively. 4. successful placement of 3.0 x 18 mm cypher drug-eluting stent in the l-pda. final angiography demonstrated no residual stenosis, no angiographically apparent dissection, and normal flow (see ptca comments). 5. successful placement of two overlapping cypher drug-eluting stents (2.5 x 28 mm distally and 2.5 x 18 mm proximally) in the proximal to mid-lad postdilated with a 3.0 mm balloon. final angiography demonstrated no residual stenosis, no angiographically apparent dissection, and normal flow (see ptca comments). final diagnosis: 1. two vessel coronary artery disease. 2. elevated left and right sided filling pressures. 3. mildly reduced cardiac index. 4. successful placement of drug-eluting stent in l-pda. 5. successful placement of drug-eluting stent in lad. echo: ef = 60%. preserved global and regional biventricular systolic function. trace ar. mild . trivial mr. brief hospital course: mr. is a 64 yo male admitted with an stemi due an 80% lad and an 80% lpda lesions. he underwent ptci with two cypher stents placed to his lad lesion, and one to his lpda. his lvedp was elevated during the procedure after receiving 3 liters of ivfs, and he was subsequently admitted to the ccu for post-cath management and diruresis. pt was started on aspirin and plavix. he was maintained on integrilling for 18 hours post-cath. he readily diuresed with 20mg of lasix iv and remained euvolemic. a beta-blocker and an ace inhibitor were added and well tolerated. lipitor was also added. a post-cath echo showed a normal ef (60%) with preserved left ventricular function. mr. was counselled on lifestyle modification, including diet and excercise. he will follow up with dr. in weeks. full code 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). disp:*30 tablet(s)* refills:*2* 3. atorvastatin calcium 40 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 4. guaifenesin 100 mg/5 ml syrup sig: 5-10 mls po q6h (every 6 hours) as needed for cough. 5. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. atenolol 25 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. nitroglycerin 3 mg tablet sustained release sig: one (1) buccal q5mins as needed for chest pain for 3 doses: dissolve one tablet under your tongue if you experience chest pain. . disp:*10 tabs* refills:*2* discharge disposition: home discharge diagnosis: stemi s/p cardiac cath and stents to lad and lpda discharge condition: pt was in good condition with stable vital signs. discharge instructions: continue taking your medications as prescribed. minimize your salt and fatty food intake. exercise for at least 30 minutes five days per week. call dr. , cardiology, for a follow up appointment in weeks. return to the hospital or call your doctor if you experience chest pain, shortness of breath, change in mental status, or weakness. followup instructions: call dr. () for a follow-up cardiology appointment in 1 month. provider: care physician appointment should be in days procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor insertion of drug-eluting coronary artery stent(s) diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery 

Answer: The patient is high likely exposed to