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 placement of cypher drug-eluting stents history of present illness: 74m pmh gerd--hiatal hernia, admitted for stemi (proximal lad occlusion), s/p 2 stents to lad. pt initially noted chest pain (pressure, ss, no radiation) that woke him from sleep at 1:45 am. he took ppi and calcium bicarbonate with no relief. he had no other symptoms including sob, palpitations, n/v, diaphoresis. pt eventually came in to ed, where he was found to have st elevations in anterior and lateral leads, was taken to cath with 2 cypher stents placed in lad. past medical history: gerd/hiatal hernia hip replacement, s/p fall social history: married. no current smoking. occasional etoh. family history: nc physical exam: g: obese male, nad heent: mmm, clear op neck: jvp to jaw lungs: bs bl, no w/r/c cv: rr, nl rate. normal s1s2. s3 present. holosystolic murmur at apex. abd: soft, nt, nd bs+ ext: 1+ edema, r>l(chronic r le edema per pt, hip surgery) neuro: grossly intact pertinent results: 08:45am blood wbc-7.6# rbc-4.87 hgb-13.7* hct-42.7 mcv-88 mch-28.1 mchc-32.0 rdw-13.3 plt ct-178 08:45am blood neuts-77.4* lymphs-15.4* monos-6.9 eos-0.3 baso-0.1 08:45am blood pt-11.5 ptt-25.6 inr(pt)-0.9 08:45am blood plt ct-178 08:45am blood glucose-125* urean-16 creat-0.8 na-140 k-4.6 cl-102 hco3-28 angap-15 08:45am blood ck(cpk)-899* 07:41pm blood ck(cpk)-2170* 05:16am blood ck(cpk)-1310* 03:18am blood ck(cpk)-516* 08:45am blood ck-mb-116* mb indx-12.9* 11:37am blood ck-mb-414* mb indx-14.4* ctropnt-17.88* 07:41pm blood ck-mb-278* mb indx-12.8* 05:16am blood ck-mb-100* mb indx-7.6* 03:18am blood ck-mb-18* mb indx-3.5 08:45am blood calcium-9.7 phos-2.4* mg-2.1 11:57am blood %hba1c-6.1* -done -done brief hospital course: 74 yo m w/ hx gerd a/w stemi s/p 2 des to lad. post procedure w/ persistent cp and ste w/ pericardial rub attributed to evolving infarct. pt w/out integrillin post-cath bleeding at groin ? arterial tract. * cardiac: . a) cor: pt found to have totally occluded lad on cath, 2 des placed with timi flow (improved vascularization, but not complete. , pt developed persistent cp, with ekg changes consistent with pericarditis. pt received nsaids for pain relief with good response. post-cath anticoagulation was held due to persistent groin bleeding. post-cath echo showed ef 30% with 1+mr, hk of anterior and septal walls and ak of apex with no evidence of aneurysm. patient was started on heparin, with plan for discharge on coumadin for apical akinesis. patient was started on plavix, lipitor, and metoprolol. continued on asa. . b) pump: as above, ef 30% with wall motion abnormalities post-cath. the patient had baseline r le edema frequent hip surgeries, but developed bl edema in setting of new heart failure. also noted an increase in weight (190lbs at home --> 200lbs). patient was diuresed with lasix 10mg iv with good response, and was started on daily lasix 20mg po. acei was initially held due to hypotension and concerns about rate control requiring higher doses of metoprolol and ultimately restarted on 5 lisinopril. . c) rhythm: the patient was noted to have a 1st degree av block, with rbbb and lafb that were seen on prior old ekgs. about days post-cath he was noted to have paroxysms of atrial tachycardia with regular rates of 150s, concerning for ectopic atrial tachycardia vs re-entrant sa tachycardia. he was rate controlled with po, then iv metoprolol. he was seen by ep, who planned on placing a ppm as well as an icd, but was awaiting resolution of diarrhea. ultimately, atrial ablations were performed w/implntation of icd. * drop in hct: most likely was in the setting of blood loss during and immediately after cath. hct was stable following. * pulmonary: pt having snoring and episodes of apnea. --pt will need sleep study as op * gi: watery diarrhea, likely med related (protonix and plavix are two possible culprits) vs viral gastroenteritis. concern for decreased absorption of po meds as above. ultimately, diarrhea resolved. * diabetes: pt noted to have fasting blood glucoses > 126 on several labs. a1c was 6.1%. nutrition discussed diet counselling with patient. continued fs as part of patient education. * gerd: cont h2b, maalox * fen: cardiac/hh/diabetic diet. replete lytes. * ppx: heparin gtt, h2b, bowel regimen. * access: pivs. * code: full throughout hospital stay medications on admission: folate prilosec metoprolol gavescon cardia stool softeners discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily): 1 month supply. disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 2. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po daily (daily) for 300 days: 1 month supply. disp:*30 tablet(s)* refills:*2* 3. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual prn (as needed): 1 month supply. disp:*10 tablet, sublingual(s)* refills:*2* 4. psyllium 1.7 g wafer sig: one (1) wafer po bid (2 times a day). 5. atorvastatin calcium 80 mg tablet sig: one (1) tablet po daily (daily): 1 month supply. disp:*30 tablet(s)* refills:*2* 6. warfarin sodium 5 mg tablet sig: one (1) tablet po hs (at bedtime): 1 month supply. disp:*30 tablet(s)* refills:*2* 7. aspirin ec 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day: 90 day supply. disp:*90 tablet, delayed release (e.c.)(s)* refills:*2* 8. plavix 75 mg tablet sig: one (1) tablet po once a day: 90 day supply. pt to take 1 tablet daily. disp:*90 tablet(s)* refills:*2* 9. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day): 1 month supply. disp:*60 tablet(s)* refills:*2* 10. ranitidine hcl 150 mg tablet sig: one (1) tablet po twice a day: 90 day supply. disp:*180 tablet(s)* refills:*2* 11. atorvastatin calcium 80 mg tablet sig: one (1) tablet po once a day: 90 day supply. disp:*90 tablet(s)* refills:*2* 12. furosemide 20 mg tablet sig: one (1) tablet po daily (daily): 1 month supply. disp:*30 tablet(s)* refills:*2* 13. lisinopril 5 mg tablet sig: 0.5 tablet po hs (at bedtime): 1 month supply. disp:*15 tablet(s)* refills:*2* 14. metoprolol succinate 50 mg tablet sustained release 24hr sig: three (3) tablet sustained release 24hr po daily (daily): 1 month supply. disp:*90 tablet sustained release 24hr(s)* refills:*2* 15. outpatient lab work please have inr and potassium checked at your next appointment with your primary care physician, . . 16. one touch basic system kit sig: one (1) miscell. once a day. disp:*1 glucometer* refills:*2* 17. one touch ultrasoft lancets misc sig: one (1) miscell. four times a day. disp:*qs lancets* refills:*2* 18. one touch ii test strip sig: one (1) miscell. four times a day. disp:*qs strips* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: myocardial infarction congestive heart failure diabetes mellitus, diet controlled. atrial tachycardia s/p ablation discharge condition: stable discharge instructions: please take all medications as written. you received 90 day prescriptions for the medications that we expect to remain stable: aspirin, plavix(clopidogrel), lipitor(atorvastatin), and ranitidine. your doses of lisinopril, toprol xl(metoprolol), warfarin(coumadin) and lasix(furosemide) may be adjusted by dr. at your next appointment so you received only 1 month supply. the psyllium is over the counter as needed for constipation. check and record your fasting finger stick glucoses every other morning until you follow up with your primary care physician. weigh yourself daily. if you gain > 2 lbs/day, please call your primary care physician. have your blood drawn for inr and follow up the results with your pcp. if you experience shortness of breath, chest pain, nausea/vomiting, lightheadedness, palpitations, or loss of consciousness, call your physician /or go to the emergency dept. you can do light activity as tolerated, but do not expect to be back to your normal activities for at least 4 weeks. followup instructions: follow up with your primary care physician, . , on monday at 10:30 am. he can monitor your blood pressure, your diabetes, and your bloodwork to make sure your warfarin dose is in the ideal range. you have an echocardiogram (ultrasound of the heart) scheduled for thursday at 1 pm at , floor 4. you are on the waitlist for an appointment with dr. within 3-4 weeks. his assistant, , should be calling you with the appointment. you will be fit into his schedule, but they could not give exact time today. please call dr. office at if you have not heard from by noext week or if you have any questions or concerns. other appointments: please follow up with dr. as needed for your heartburn. you would likely benefit from a repeat endoscopy. provider: ,bec clinic where: clinic date/time: 7:30 provider: , orthopedic private practice where: orthopedic private practice date/time: 9:00 procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor catheter based invasive electrophysiologic testing excision or destruction of other lesion or tissue of heart, endovascular approach cardiac mapping insertion of drug-eluting coronary artery stent(s) diagnoses: subendocardial infarction, initial episode of care anemia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled peripheral vascular disease, unspecified depressive disorder, not elsewhere classified hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) other specified cardiac dysrhythmias diarrhea postmyocardial infarction syndrome 

Answer: The patient is high likely exposed to