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: no drug allergy information on file attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization with placement of 3 cypher stents history of present illness: 62 yo male, h/o htn, hypercholesterolemia, c/o epigastric discomfort/chest tightness with radiation to left arm since 6 am morning of admission. he states that this pain began in the morning (did not wake him from sleeping). it persisted all day, was at its worst, and he had 1 episode of associated diaphoresis. he denied nausea/vomiting/sob/pleuritis/palpitations, abdominal pain. he also denies any pnd/orthopnea, no urinary/bowel symptoms (states has blood in stool at times hemorrhoids). he went to , where he had 2/10 chest pain that went to after sl ntg. his ekg showed 2-3 mm ste with q's in ii, iii, avf and depressions in i, l, v4, v5. he was transferred here for catheterization. cath showed mid and distal rca lesion that was stented (3 cypher stents placed prox, mid vessel, distal) with residual left sided disease. past medical history: pmh: 1. cad; cath on showing 70% prox rca, with mid vessel total occlusion, no collaterals; 70% proximal lad, 50-60% hazy lcx; distal om branch 70%. co=3.92, ci=1.77, pcwp=24, ra mean=17. 2. htn 3. hypercholesterolemia 4. glucose intolerance social history: retired, formerly worked for herald married smoked cigars 10 yrs ago can drink up to six packs/wk family history: brother with cabg age 58, son died cad age 42, brother died 58 cad, mother died 55 cad dm htn physical exam: vs: afeb 118/81 111 9 95% ra gen: obese male, lying in bed, nad heent: op clear neck: ?jvd 4 cm, no bruits cv: distant hs, rrr, nl s1/s2, no m/r/g lungs: cta bilatrally, no w/r/r abd: obese, nt/nd, nabs, no masses right groin: with some ooze, no bruits, no hematoma or tenderness extr: no c/c/e, dp 2+ bilaterally neuro: moving all 4 extremities pertinent results: labs on admission: 136 / 102 / 14 ------------< 141 3.6 / 21 / 0.9 mcv= 79 wbc=14.6 hgb=13.4 plt=181 hct=37.3 pt: 14.2 ptt: 118.2 inr: 1.3 initial ekg: nsr with normal axis, ?top normal pr depressions in i, avl, v4/v5 2- elevations in ii, iii, avf; q's in iii, avf after cath: improvement in st depressions and elevations first catheterization: 1. selective coronary angiography revealed a right dominant system with three vessel coronary artery disease. the lmca had no angiographically apparent flow limiting lesions. the lad had a 70% proximal stenosis as well as a 50% lesion in the diagonal branch. the lcx had a 70% proximal stenosis of the om with a 50 to 60% hazy lesion in the distal vessel. 2. resting hemodynamics demonstrated elevated right sided (mean ra 19 mmhg), pulmonary (mean pa 35 mmhg), and left sided pressures (mean pcwp 24) with a moderately depressed cardiac index (1.8 l/min/m2). 3. left ventriculography was deferred. 4. successful ptca and stenting of the mid to proximal rca with overlapping cypher des (3.0x23mm distal, 3.0x23mm mid and 3.5x18mm prox). final angiography revealed no residual stenosis, no dissection and timi-3 flow (see ptca comments). tte after first catheterization: 1. the left atrium is moderately dilated. 2. left ventricular wall thicknesses and cavity size are normal. inferior hypokinesis is present.. overall left ventricular systolic function is mildly depressed. 3. right ventricular chamber size is normal. there is mild global right ventricular free wall hypokinesis. 4. the ascending aorta is mildly dilated. 5. the aortic valve leaflets (3) are mildly thickened. second cardiac catheterization: 1. selective coronary arteriography revealed angiographic evidence of two vessel coronary artery disease. the lmca had no flow limitations. the lad had a 70% lesion in the proximal segment just after the first diagonal branch. the lcx had a 70% lesion in the distal segment at the level of a moderate caliber obtuse marginal branch. the rca had no flow limitations. 2. ffr interrogation of the lcx revealed a ffr of 0.98 at baseline and 0.80 during maximal hyperemia with adenosine. 3. successful direct stenting of the proximal lad with a 2.5x13mm cypher des and of the lcx with a 3.5x18mm cypher des complicated by jailing of the om branch. final angiography revealed 30% residual stenosis in the om branch, no dissection and timi-3 flow (see ptca comments). brief hospital course: 1. cad: rf's include htn, hypercholesterolemia. he had st elevations in his inferior leads on admission with st depressions in v1/v2, suggesting a posterior inferior mi. on initial cardiac catheterization, he was found to have 70% proximal rca and 100% mid rca lesion (also found to have 70% proximal lad lesion with 70% distal circumflex lesion). 3 cypher were placed in the rca. post-catheterization tte revealed an ef=45% with mild rv free wall hypokinesis. he returned to the cath lab for intervention on his left system. at this time, cypher stents were placed in each of these vessels. he was chest pain free after these interventions and discharged to follow up with dr. at . he was discharged on asa, plavix, toprol, lisinopril, and lipitor. 2. chf: tte after his initial catheterization showed ef=45%. he had no problems with volume overload. he was started on lisinopril prior to discharge which can be titrated up as needed by his cardiologist as an outpatient. 3. htn: metoprolol and lisinopril were started in-house and can be titrated as needed as an outpatient. 4. hypercholesterolemia: his dose of lipitor was increased to 80 mg and zetia was discontinued. he will need regular lft monitoring while on this medication. he was advised of the possible side effect of myalgias/myositis with this medication. 5. ?dm: states has history of glucose intolerance. blood glucose was within normal limits while in-house, and hba1c was sent and pending at time of discharge. 6. pvd: he gave a history consistent with symptoms of claudication (not unreasonable given his coronary disease). he will follow up with dr. for possible intervention and management of his peripheral vascular disease. 7. disposition: he was discharged on asa, plavix, lipitor, toprol, and lisinopril. he will follow up with dr. (cardiologist) upon discharge. he will need cardiac rehabilitation and further lifestyle/risk factor modification. medications on admission: lipitor hctz zetia quinarctic (?) nkda discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*90 tablet, delayed release (e.c.)(s)* refills:*2* 2. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po daily (daily). disp:*90 tablet(s)* refills:*5* 3. atorvastatin calcium 80 mg tablet sig: one (1) tablet po daily (daily). disp:*90 tablet(s)* refills:*2* 4. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*90 tablet, delayed release (e.c.)(s)* refills:*2* 5. metoprolol succinate 25 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). disp:*90 tablet sustained release 24hr(s)* refills:*2* 6. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*90 tablet(s)* refills:*2* 7. nitroglycerin sublingual sig: one (1) tablet sl q5mins prn. disp: *100 tablet (s) * refills:*2* 8. cardiac rehabilitation discharge disposition: home discharge diagnosis: primary diagnosis: 1. inferoposterior myocardial infarction secondary diagnoses: 1. hypertension 2. hypercholesterolemia discharge condition: good discharge instructions: 1. please take all your medications as prescribed and described in this discharge paperwork. we made the following changes to your medication regimen. - we added toprol xl 25 mg daily, a medication to help with your heart and blood pressure - we added lisinopril 10 mg daily, a medication to help with your heart and blood pressure - we increased your dose of lipitor to 80 mg daily and stopped your zetia. let your doctor know if you are experiencing all-over body aches (this can be a side effect of lipitor). in addition, you should have your liver function tested monthly while on this medication. - we added plavix 75 mg daily, a medication to thin your blood and protect your new stents. we also added aspirin 325 mg daily. you must take these medications every day. even missing 1 dose could result in thrombosis of your stent and death. 2. follow up with dr. at as described below. dr. will also be in communication with you to address your peripheral vascular disease. 3. please call your pcp if you are experiencing chest pain, shortness of breath, fever, chills, or any other concerns. 4. you should undergo cardiac rehabilitation following discharge. do not lift heavy objects or do intense physical activity for 1 month following discharge. you should also take measures to lose weight, eat a healthy, low fat/cholesterol diet. followup instructions: 1. please follow up with dr. at () within 1-2 weeks of discharge. please bring this discharge paperwork with you at time of your appointment. 2. please follow up with your pcp, . () 1-2 weeks following discharge 3. dr. in cardiology here will contact you with respect to possible treatment for your peripheral vascular disease. 4. you should undergo cardiac rehabilitation procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters coronary arteriography using two catheters injection or infusion of platelet inhibitor left heart cardiac catheterization insertion of drug-eluting coronary artery stent(s) insertion of drug-eluting coronary artery stent(s) diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension peripheral vascular disease, unspecified other and unspecified hyperlipidemia acute myocardial infarction of inferoposterior wall, initial episode of care 

Answer: The patient is high likely exposed to