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: 1) cardiac catheterization with rca stent x2 history of present illness: 52 year old man h/o rca and lad pci in had onset of non-radiating sscp associated with diaphoresis while mowing his lawn this afternoon at 4:40pm. the patient reports collapsing the severity of the pain, without loss of consciousness. ems was called and he was given asa 325mg and sl ntg x1 with reduction in his pain to a . he was initially taken to and arrived at 5:20pm. the differential included an mi, a dissection, or possibly gerd. a cxr was negative for a widened mediastinum. ekgs done serially there showed st segment elevations in ii, iii, and avf with st depressions in v1-v3. labs revealed a ck of 173, a k of 3.4 and a creatinine of 1.0. he was started on a heparin gtt (after bolus), a nitro gtt, a morphine gtt, and given 9cc of tnk. the thrombolytic therapy was given at 5:44pm, approximately one hour after his chest pain began, but continued to have st segment elevations on ekg and chest pain not withstanding the interventions. he was emergently transferred to for rescue cardiac catheterization. the patient arrived in the cath lab at 7:03pm. lmca was normal; lad with mild isrs of 50%, distal diffuse disease of 80%; lcx with ostial 50% lesion; rca dominant vessel occluded mid segment with evidence of thrombus. he received two overlapping stents to the rca. upon completion of the procedure he received oral plavix 300 mg and was transferred to the ccu. past medical history: 1. cad s/p pci rca and lad 2. gerd 3. hemmorhoids social history: lives at home with his wife. physical exam: on admission to ccu vitals t 98.4 p 88-93 nsr bp 118-136/68-86 14-16 94-98% 4l nc +nitro gtt gen: lying flat, nad heent: mmm, op clear, eomi, perrl neck: no jvd cv: regular, s1s2, no m/r/g lungs: clear on anterior exam (patient must lie flat post cath) abd: soft, nt/nd, +bs, no right groin hematoma, no right groin bruit ext: w/wp, 2+ dp pulses bilaterally, +venous central access in right groin, arterial access has been dc'd. +condom cath in place with light yellow urine. neuro: alert and oriented x3, eyes closed, arousable pertinent results: cardiac enzymes 08:45pm ck(cpk)-135; mb 2; troponin <0.01 04:47am ck(cpk)-864*ck-mb-102* mb indx-11.8* ctropnt-1.04* 05:59pm ck(cpk)-1030*ck-mb-90* mb indx-8.7* ctropnt-1.43* 06:35am ck(cpk)-512* ck-mb-25* mb indx-4.9 ctropnt-1.10* cbc 08:10pm wbc-13.5* rbc-3.29* hgb-11.2* hct-32.5* mcv-99* mch-34.1* mchc-34.5 rdw-12.4 08:10pm plt count-210 06:35am blood wbc-9.3 rbc-4.05* hgb-13.7* hct-40.4 mcv-100* mch-34.0* mchc-34.0 rdw-12.7 plt ct-219 chemistries 06:35am blood glucose-95 urean-12 creat-0.9 na-142 k-4.4 cl-103 hco3-26 angap-17 lipid profile 04:47am blood triglyc-210* hdl-72 chol/hd-2.6 ldlcalc-72 other 04:47am blood tsh-0.88 09:57pm fibrinoge-217 ekg () sinus rhythm inferior st elevation, consider recent infarction early r wave progression suggests posterior myocardial infarct marked ant/septal stj depression is probably reciprocal to inferior infarct st junctional depression is nonspecific since previous tracing of , inferior changes are new - repeated ekgs on elevation followed by inferior q waves and anterior r waves (c/w posterior q waves) cardiac cath () final diagnosis: 1. three vessel coronary artery disease: mid and distal lad, proximal cx, mid rca. 2. moderate-severe diastolic dysfunction. 3. acute mi treated with primary stenting of the rca with 2 drug-eluting stents. **right coronary 1) proximal rca normal 2) mid rca discrete 100 **left coronary 5) left main normal 6) proximal lad normal 6a) septal-1 normal 7) mid-lad discrete 50 8) distal lad discrete 80 9) diagonal-1 discrete 80 10) diagonal-2 normal 12) proximal cx discrete 50 13) mid cx normal 13a) distal cx normal 14) obtuse marginal-1 normal 15) obtuse marginal-2 normal echo () left ventricle - ejection fraction: 40% to 45% (nl >=55%) conclusions: the left atrium is normal in size. left ventricular wall thicknesses and cavity size are normal. there is mild resting regional left ventricular systolic dysfunction with severe hypo/akinesis of the basal 2/3rds of the inferior and inferolateral walls. the remaining walls contract well. 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 appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. the pulmonary artery systolic pressure could not be determined. brief hospital course: 1. inferio-posterior st elevation mi: the patient has a history of cad s/p two stents (lad and rca) in , and presented to an osh on with sscp partially relieved by ntg. ekg showed st segment elevations in ii, iii and avf and st depressions in v1-v3. he was thrombolysed 1 hour after symptoms began at the osh, but his ekg and symptoms did not improve. therefore he was emergently transfered to for rescue catheterization (in cath lab approx 2:20 minutes after onset of pain). in cath, 3vd was seen (mid rca total occlusion, 50% intrastent restenosis mid-lad, distal lad diffuse disease 80%, d1 80%, lcx 50% ostial); two overlapping stents were placed in the rca. his post cath ekg continued to show st segment elevations in ii, iii, and avf for one more day, and then transitioned to q waves inferiorly and r waves anteriorly. he was initially on a heparin drip which was discontinued on . the patient's enzymes peaked on (peak ck 1064; mb 102; tnt 11.8) and the following day were trending down. he was kept on tele where the night of he had 3 brief runs of asymptomatic nsvt (<5 beats), and the following night had 3 brief runs of sinus tachycardia. otherwise his heart rate was well controlled in the 60-80s. the patient was placed on 80 qday, captopril 6.25 tid (titrated up to 12.5 tid), metoprolol 50 tid titrated up to 100 tid, aspirin 325mg daily, plavix 75mg daily. in terms of his pump, a ef was 66%, an echo was done on which revealed an ef of 40-45% with severe hypo/akinesis of the basal 2/3rds of the inferior and inferolateral lv walls. he will follow up with his cardiologist in ~4 weeks. he was discharged on 80mg daily (he says that gets joint pain with long term , he will take it until he sees his cardiologist and then perhaps switch back to crestor), lisinopril 5mg daily, atenolol 150mg daily, aspirin 325mg daily, and plavix 75mg daily. * 2. gerd: the patient came in on protonix 40mg daily orally and this regimen was continued. * 3. fen: was given gentle hydration during cath with ns, and was continued post cath for a total of one liter. the patient's potassium was low at 3.4 upon transfer and as this predicts worse outcomes in acute coronary syndrome, he was repleted and his potassium on discharge was 4.4. the patient was started on a cardiac/heart health diet after cath and tolerated it well. * 4. proph: hiss, qid fs, bowel regimen. pt saw the patient and felt he was clear to go home. * 5. access: he had bilateral pivs during admission. medications on admission: metoprolol 75mg crestor 20mg q day protonix 40mg q day discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po qd (once a day). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 2. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*2* 3. atorvastatin calcium 40 mg tablet sig: two (2) tablet po qd (once a day). disp:*60 tablet(s)* refills:*2* 4. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 5. lisinopril 5 mg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*2* 6. atenolol 100 mg tablet sig: 1.5 tablets po qd (once a day). disp:*45 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: 1) infero-posterior st segment elevation mi s/p 2 stents to rca discharge condition: stable, tolerating an oral diet, ambulatory, afebrile. discharge instructions: please follow up with your primary physician weeks after discharge. please call to make an appointment with a cardiologist within one month of discharge. please return to the emergency department or call your primary physician if you notice chest pain, shortness of breath, nausea/vomiting, or any other symptoms concerning to you. followup instructions: please follow up with your cardiologist within one month, and with your primary physician 2-3 weeks. procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures insertion of drug-eluting coronary artery stent(s) diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery esophageal reflux hypopotassemia 

Answer: The patient is high likely exposed to