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: cardiac catheterization with 2 to proximal lad cardiac catheterization with 1 to mid-rca history of present illness: 53 yo m with no significant pmhx, presents from with a stemi. pt states that he was working this morning at the post office doing cleaning when he devloped chest pain at 8:40. the pain was substernal, severe, non-radiating. no prior chest pain hx. was associated with nasea and emesis x 2, non-bloody. also had palpitations. he denied shortness of breath or diaphoresis. pt called 911 at 9am and was taken to the er. , vs at that er were f, hr 90, bp 152/56, rr 18, 98%ra , he received asa 324mg, plavix 300mg, nitro gtt, lopressor 5mg x 1 iv, lovenox 75mg, and tirofibran. pain improved to with fentanyl (total 450mcg), but did not resolve. he was dx with a stemi and was transferd to for cardiac cath. he continued to have chest pain on arrival to the er here, and was given nitro gtt and dialudid 0.5mg x2 without relief. in the ed, initial vitals were 60, 162/90, 100% on 4l nc. he was to cardiac cath and was found to have a full occulsion of the proximal lad and 80% focal mid rca stenosis. lcx had mild luminal irregularitits. he had a thrombectomy of the lad lesion, then had 2 xience stents placed- 2.5 x 15 and 3 x 28. he was started on gentle ivf and given lasix 10mg iv x 1. he was also found to have an edlv pressure of 38. his chest pain resolved after the procedure. he was continued on the tirofibran post-op. on review of systems, he denies any prior health issues. including myalgias, cough, urinary problems, recent illness, fever, constipation/diarrhea, black stools or red stools. he denies exertional calf pain. reports problem with exercise tolerance. cardiac review of systems is notable for absence of prior or post procedure chest pain, dyspnea on exertion, orthopnea, no edema, syncope or presyncope. past medical history: pcp- 1. cardiac risk factors:: possible dyslipidemia per pt- remembers lipids were abnormal when checked 3 months ago 2. cardiac history: none 3. other past medical history: no other illnesses known social history: -tobacco history: none -etoh: none -illicit drugs: none originally from , moved to us 10 years ago. does cleaning at the post office. married with 2 sons. family history: father had heart disease, mi at 68. no other heart disease or family illnesses known. physical exam: vs: t=96...bp=103/47...hr=79...rr=21...o2 sat= 98 2l nc general: nad. oriented x3. mood, affect appropriate. speaks broken english heent: ncat. sclera anicteric. perrl, no xanthalesma. clear op neck: supple neck, no bruits, no masses cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no tenderness. no abdominial bruits. extremities: no c/c/e. no femoral bruits. dressing clean over cath site, nt, no hematoma skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 1+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ pertinent results: admission labs- 10:28am blood wbc-17.8* rbc-4.59* hgb-14.4 hct-40.5 mcv-88 mch-31.4 mchc-35.6* rdw-12.8 plt ct-388 10:28am blood neuts-83.2* lymphs-13.0* monos-3.0 eos-0.4 baso-0.3 10:28am blood pt-13.7* ptt-24.3 inr(pt)-1.2* 10:28am blood glucose-191* urean-18 creat-0.9 na-140 k-4.0 cl-103 hco3-23 angap-18 10:28am blood ck(cpk)-182* 01:18pm blood alt-84* ast-445* ld(ldh)-912* alkphos-76 totbili-0.3 10:31am blood ctropnt-0.04* 10:28am blood ck-mb-9 10:28am blood calcium-9.6 phos-0.8* mg-2.2 cholest-pnd 01:18pm blood albumin-4.1 phos-2.8# 10:31am blood glucose-177* lactate-3.2* na-140 k-3.8 cl-101 calhco3-24 cath report brief hospital course: 53 yo m with no significant past medical history, transfered from an outside hospital with a st elevation myocardial infaraction. osh with stemi, now s/p pci with thrombectomy and 2 to prox lad with resolution of chest pain. . # st-elevation myocardial infarction: ekgs on admission were consistent with anterolateral and sepatal infarct. he received asa, plavix, beta blocker, and tirofiban. patient was taken to catheterization and found to have total occlusion of proximal lad. he underwent thrombectomy with placement of 2 drug-eluting stents to the proximal lad and was subsequently free of chest pain. ck peaked at 5962 on . ekg showed improvment in lateral leads after the intervention. tirofiban was continued for 18 hours post-cath. he remained chest pain free. he returned to the cath lab the following day for placement of a third stent in the rca. he will need to continue plavix and aspirin for 1 year as well as high dose statin, beta blocker, and ace inhibitor as below. lipid panel done for risk stratification and showed ldl 186. nuclear stress test 72 hours after the stemi showed a large fixed defect as seen on the echo (as below) without symptoms. pcp and cardiology was arranged. . # pump: tte done for risk stratification showed ef 30-35% and apical akinesis. anticoagulation was thus undertaken with therapeutic lovenox briding to warfarin. warfarin 5 mg was started on . he should be therapeutically anticoagulated for at least 3-6 months pending repeat echo. he will be followed by anticoagulation nurses. ace inhibitor and beta blocker were also started. . # rhythm: he remained in sinus rhythm. . # hyperlipidemia: high-dose statin was started for stemi. . # elevated lfts- on admission, alt 84, ast 445, ldh 912. his baseline was unknown and he denied etoh abuse. . # hypophosphotemia- initial phos level of 0.8, rechecked at 2.8. this was likley lab error. medications on admission: none discharge disposition: home discharge diagnosis: st elevation myocardial infarction coronary artery disease discharge condition: hemodynamically stable, afebrile discharge instructions: you were admitted to due to chest pain. you had a heart attack. you had a cardiac catheterization to open up your blood vessel by removing a clot. you had 2 stents placed in your lad blood vessel. you had a second cardiac catheterization to open up your rca blood vessel and had one stent placed in the middle of the vessel. due to your heart attack, your heart is not contracting as strong. this puts you at risk for clots forming in your heart that could cause a stroke. therefore, while your heart recovers, you will need to be on blood thinning medications. you were started on lovenox shots, which you will need to take until your coumadin blood levels are high enough. the coumadin are pills to thin your blood, they require frequent lab work to monitor there levels called an inr. you will have this followed by the anticoagulation nurses. they will call you to arrange this. you were started on new medications. please take your medications as instructed. it is very important to take your plavix (copidogrel) and aspirin everyday for at least a year to prevent closure of your heart stents. please keep your follow up appointments. please call to arrange cardiac rehabilitation at the numbers given to you by the physical therapist. if you have chest pain, shortness of breath, bleeding from your groin, leg numbness, or any other concerning symptom please seek medical attention or go to the er. followup instructions: cardiology: dr. at 1:20 pm pcp: , md phone: date/time: 3:00 you will need to have your blood tested to monitor your coumadin (warfarin) level. the anticoagulation nurses will call you at home on , to arrange this. please call as instructed by the physical therapist to arrange cardiac rehabilitation. procedure: coronary arteriography using two catheters coronary arteriography using two catheters left heart cardiac catheterization left heart cardiac catheterization insertion of drug-eluting coronary artery stent(s) insertion of drug-eluting coronary artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent transposition of cranial and peripheral nerves insertion of two vascular stents excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified acute myocardial infarction of other anterior wall, initial episode of care percutaneous transluminal coronary angioplasty status systolic heart failure, unspecified other and unspecified hyperlipidemia disorders of phosphorus metabolism chronic total occlusion of coronary artery 

Answer: The patient is high likely exposed to