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: trasferred from osh for cardiac cath major surgical or invasive procedure: cardiac cath with 2 hepacoat stents placed in rca history of present illness: 57 y/o m with h/o rbbb, dm2, htn, s/p parathyroidectomy, presented with radiating substernal cp (initally , increased to ) to l shoulder that woke him from sleep, associated with numbness/diaphoresis/n and vomitting that relieved the pressure. bs noted to be 450's. went to outside hosp, and received asa, heparin gtt, integrelin, insulin 10 units, ntg gttasn compezine. transferred to for emergent cath. past medical history: dm, hyperchole, htn, asbestose exposure, gerd, h/o kidney stones, s/p parathyroidectomy, h/o perirectal abscess, rbbb, h/o necrotizing fascitis social history: quit tob 15 yrs ago. family history: cad, dm. father w/ mi in 50's physical exam: t afeb, bp 160/90, hr 90, rr 18 gen: pale, s/p emesis neck: jvd 10 cm resp: ctab cv: rrr, nl s1s2, no murmers abd: obese, hepatomegaly, pos bs ext: 1 plus pittting edema pertinent results: 09:30pm o2 sat-67 09:25pm type-art po2-70* pco2-43 ph-7.39 total co2-27 base xs-0 09:25pm glucose-262* 09:25pm hgb-15.1 calchct-45 o2 sat-93 06:38pm glucose-332* urea n-21* creat-1.0 sodium-139 potassium-4.4 chloride-105 total co2-24 anion gap-14 06:38pm alt(sgpt)-64* ast(sgot)-301* ld(ldh)-842* ck(cpk)-4203* alk phos-87 tot bili-0.6 06:38pm ck-mb-215* mb indx-5.1 ctropnt-12.75* 06:38pm calcium-8.2* phosphate-3.4 magnesium-1.7 cholest-192 06:38pm %hba1c-11.7* 06:38pm triglycer-256* hdl chol-35 chol/hdl-5.5 ldl(calc)-106 06:38pm wbc-13.7* rbc-5.25 hgb-14.9 hct-41.5 mcv-79* mch-28.3 mchc-35.9* rdw-13.2 06:38pm plt count-216 06:38pm pt-12.7 ptt-25.5 inr(pt)-1.0 01:58pm type-art o2-100 po2-96 pco2-58* ph-7.20* total co2-24 base xs--5 aado2-572 req o2-93 intubated-not intuba comments-non-rebrea 01:58pm glucose-461* k+-4.5 01:58pm hgb-15.4 calchct-46 o2 sat-96 12:45pm ck(cpk)-267* 12:45pm ck-mb-21* mb indx-7.9* ctropnt-0.19* brief hospital course: 57 y/o m with h/o rbbb, dm2, htn, s/p parathyroidectomy, presented with radiating substernal cp to l shoulder. transferred to for emergent cath. ecg on admission: rbbb, av dissociation, ste iii>ii and avf, std v2,v3,i,avl echo () - dilated, lv- wall thickness, cavity, and systolic fxn normal, trivial tr cath: hd: ra 23/25/21 pa sat 57% rv 44/15/28 co 3.46 pa 41/22/31 ci 1.43 pcw 28 lv 126/25 lmca: nl lad: mild dz prox, tubular 60% lesion in midsegment lcx: mild diffuse dz rca: dominant vessel occluded proximally intervention: stenting of rca proximally w/ 3.5x18mm cypher stent x2, residual 0% with timi iii flow, after mulitple rounds of vasodilator therapy echo (): conclusions: 1. the left atrium is mildly dilated. 2. the left ventricular cavity is mildly dilated. there is mild global left ventricular hypokinesis. lateral and apical hypokinesis and inferior akinesis are present. overall left ventricular systolic function is moderately depressed. ef 35% to 40% 3. compared with the findings of the prior report (tape unavailable for review) of , lv function and wall motion abnormalities are new. cxr (): possible slight lv decompensation. no other significant abnormality. slight thickening of the pleura on the right side cannot be excluded. 1. cad. cath w/ stenting x2 of prox rca requiring iabp for low ci. pos enzymes. cath c/b bradycardia and hypotension secondary to rv involvement ipmi -- initially held antihypertensives and gave post cath hydration with nabicarb. once hemodyanically stable restarted b-b and then added acei as tolerated. initially kept pad btw 15-17, pt required preload in setting of right heart ischemia. swan was pulled and the pt was weaned off the iabp. he was continued on asa, plavix, lipitor, integrilin x18hrs, and heparin while iabp in place and after the integrilin was off. 2. pump. ef now 35% to 40% with mild global left ventricular hypokinesis. lateral and apical hypokinesis and inferior akinesis which are new since previous study in '. increased right sided filling pressures secondary to rv infarct. pt is preload dependent. pad kept btw 15-19 while pt had a swan. pt was carefully diuresed with goal 500 to 1l negative per day. 3. rhythm. pt initially presented with high degree av block with a rate in the 40's. pacing wire placed in cath lab and set at 50. block most likely secondary to av node ischemia from rca occlusion. pt w/o evidence of block in native rhythm since returned from cath. temp pacer removed without further arrythmias. 4. dm. insulin gtt initially started for elevated bs' followed pt and recommended glargine 60 units qhs with a regular insulin sliding scale. arrangements were made for the pt to f/u at the . 5. htn. bp managed on acei and bb. medications on admission: novolin n 60 u qam discharge medications: 1. potassium chloride 10 meq tablet sustained release sig: one (1) tablet sustained release po once a day: please have primary care physician check you electrolytes. disp:*30 tablet sustained release(s)* refills:*2* 2. 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* 3. metoprolol succinate 50 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po qd (once a day). disp:*30 tablet sustained release 24hr(s)* refills:*2* 4. atorvastatin calcium 80 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 5. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*2* 6. lisinopril 10 mg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*2* 7. lisinopril 10 mg tablet sig: one (1) tablet po once a day for 3 days. disp:*3 tablet(s)* refills:*0* 8. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po once a day for 3 days. disp:*3 tablet(s)* refills:*0* 9. atorvastatin calcium 80 mg tablet sig: one (1) tablet po once a day for 3 days. disp:*3 tablet(s)* refills:*0* 10. metoprolol succinate 50 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day for 3 days. disp:*3 tablet sustained release 24hr(s)* refills:*0* 11. aspirin 325 mg tablet sig: one (1) tablet po once a day for 3 days. disp:*3 tablet(s)* refills:*0* 12. glargine sig: sixty (60) units at bedtime. disp:*2400 u* refills:*2* 13. lancets misc sig: one (1) miscell. three times a day. disp:*90 * refills:*2* 14. alcohol pads pads, medicated sig: one (1) topical three times a day. disp:*90 * refills:*2* 15. accu-chek active care kit kit sig: one (1) miscell. once a day for 1 doses. disp:*1 * refills:*0* 16. potassium chloride 10 meq capsule, sustained release sig: one (1) capsule, sustained release po once a day for 3 days. disp:*3 capsule, sustained release(s)* refills:*0* 17. insulin regular human 300 unit/3 ml syringe sig: as directed subcutaneous four times a day: please keep a log of blood sugars and bring to clinic. disp:*1 vial* refills:*2* discharge disposition: home discharge diagnosis: posterior inferior mi insulin resistant dm discharge condition: stable discharge instructions: take all medications as directed. in particular, do not stop taking aspirin or clopidogrel. please return to the hospital or call your primary care physician if you experience chest pain, shortness of breath, vomitting, or any other symptoms. followup instructions: 1. please call your pirmary care physician . at to make an appointment for next week. 2. please call on monday to schedule a cardiology appointment with dr. and dr. within the next 3-4 weeks. 3. please call the diabetes center at ( to make an appointment within the next 2 weeks. please check your glucose before meals and at bedtime. bring your daily glucose readings as well as your insulin sliding scale to your appoinment. md procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor insertion of temporary transvenous pacemaker system arterial catheterization implant of pulsation balloon pulmonary artery wedge monitoring insertion of drug-eluting coronary artery stent(s) diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension atrioventricular block, complete acute myocardial infarction of inferoposterior wall, initial episode of care asbestosis other specified disease of white blood cells shock, unspecified 

Answer: The patient is high likely exposed to