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: ami in cath lab folowing abnormal outpt ett major surgical or invasive procedure: cardiac catheterization echocardiogram history of present illness: 57 yo m hx htn, hyperlipidemia and obesity. pt presented with worsening of palpitation x6 months, less frequently for several years prior to that. describes these as sensation of fluttering, lasting seconds, associated with some nausea and weakness. denies any associated chest pain or associated with exertion. he evaluated with outpt event monitor revealing nsvt, started on toprol with some symptomatic improvement. in addition he had an outpt ett with a small reversible anterolateral defect. he presented today for elective cardiac cath. while performing diagnostic cath, pt developed heavy chest pain, nausea, palpitations. cath revealed an evolving anterior stemi, initially with 80% mid lad progressing to complete lad occusion, this was stented with 2 bare metal stent. a clot was noted in 1st diag., attempted ic eptifibatide, tpa, balloon dilation and aspiration catheter, however clot persisted. procedure performed via r radial approach, no groin sticks were attempted. after pt arrived in ccu, he developed an episode of nausea, diaphoresis, blurry vision following cleaning of his groin, felt to be a vagal reaction. bp reduced to 80's, hr remained in 80's. bp improved to 105/69 with 500 cc ns. pt's symptoms resolved. ekg repeated, unchanged. pt currently feeling well, denies cp, sob, nausea, diaphoresis. past medical history: htn hypercholesterolemia obesity sleep apnea (could not tolerate cpap) nsvt bronchospastic airway disease prior history of hematuria in the late ??????s (patient reports being told that his hematuria might be due to "varicose veins of the kidneys") gerd lower back pain, s/p steroid injections social history: patient smoked 4ppd for approximately 12-13 years, quitting about 30 years ago. patient is married with three children. he lives with his wife, (). works as a general contractor family history: no family history of premature cad physical exam: per dr. vs: t 97.6 bp 105/69 hr 70 rr 14 o2 96% on ra gen: wdwn obese middle aged male in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple without jvd. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abd: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. ext: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pertinent results: ekg demonstrated nsr, nl axis, nl intervals + rbbb, twi in v1, old, no st changes, no significant change compared with prior dated . admit labs: 134 97 12 ------------< 248 4.4 22 0.8 ca: 8.9 mg: 2.1 p: 3.5 . 15 11.9 >---< 249 43 . ck mb cholesterol 209, trig 124, hdl 51, ldl 133 . cardiac cath 1. selective coronary angiography in this left dominant circulation demonstrated single vessel coronary artery disease. the lmca had no flow limiting disease. the lad had a mid 80% stenosis after takeoff of a large diagonal branch. the d1 had no flow limiting disease. the lcx was a large vessel with no flow limiting disease. the major om and l-pda had no flow limiting disease. the rca was a relatively small vessel with no flow limiting disease. 2. opening aortic pressure was moderately elevated. 3. during the procedure, the patient developed chest pain and had runs of nsvt and then sinus tachycardia. the sinus tachycardia responded to iv metoprolol. upon re-engagement of the lmca with the guide catheter, the proximal to mid lad was found to be totally occluded along with the d1. 4. successful direct stenting of the lad lesion with two 3.0 bare metal stents. final angiography showed no residual stenosis in the stented segment of the lad with residual thrombus in the diagonal branch unchanged with administration of ic iib/iiia inhibitor and thrombolytic. there was normal flow in the distal vessel. (see ptca comments) final diagnosis: 1. one vessel coronary artery disease. 2. moderate systemic arterial hypertension. 3. successful pci of the lad. 4. residual angiographic evidence of thrombus in the diagonal branch of the lad. . echocardiogram: the left atrium is normal in size. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef 60%). there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are structurally normal. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. brief hospital course: pt is a 57 year old man with an abnormal ett referred for cardiac catheterization. pt developed anterior stemi during diagnostic part of the cardiac cath. hospital course by problem: . #) anterior stemi - patient was pretreated for his dye allegy. evolving anterior stemi found on cath, treated with two bare stents to the mid lad. pt had persistent clot in 1st diag. we treated with asa, plavix, statin, lisinopril, and beta blocker. integrillin peri-cath. he was monitored in the ccu postcath given the acute onset of the thrombus. he did well and was transitioned to the floor. we recommended plavix for at least 1 month then up to 1 year or as per his outpatient cardiologist. . # cards pump: echo showed above findings. function preserved. diastolic dysfunction noted. meds as above. . # cards rhythm: bb, tele. no events . # vagal: postcath and in the ccu, patient had a vagal episode. when his groin was examined, he developed nausea, diaphoresis, hypotension, bradycardia. it improved with 250cc ivf and in short time. there was no chest pain. the patient was otherwise assymptomatic. . #) hyperlipidemia: high dose statin . #) htn: continue bb, acei . #) nutrition: we discussed heart healthy diet options with patient. medications on admission: meds: pharmacy in fosinopril 10mg daily every morning omeprazole 20mg daily every morning lipitor 10mg daily every morning toprol xl 50mg daily every morning discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. atorvastatin 80 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*2* 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 5. metoprolol succinate 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*2* 6. fosinopril 10 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary: - stemi: acute occlusion noted duing cadiac cath of the lad - htn - hypercholesterolemia - obesity secondary: - gerd - hx lbp discharge condition: well discharge instructions: you came to the hospital for a cardiac catheterization. you had some blockages in your heart ateries and stents were placed. we added the following medications: 1. plavix: you must take this medication every day for the next month. we recommend that you take it for a year or per the recommendation of your cardiologist. 2. asa 325 daily 3. atorvastatin increased to 80mg daily . please followup with your pcp and cardiologist. please contact your physicians or the if you experience chest pain, abdominal pain, shortness of breath, nausea, sweating. . please adhere to a low salt, low carb diet. followup instructions: please followup with dr. within the next 1-2 weeks. please followup with your pcp within the next 1-2 weeks. procedure: insertion of non-drug-eluting coronary artery stent(s) left heart cardiac catheterization coronary arteriography using a single catheter injection or infusion of thrombolytic agent angiocardiography of right heart structures transposition of cranial and peripheral nerves insertion of two vascular stents excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension acute myocardial infarction of other anterior wall, initial episode of care cardiac complications, not elsewhere classified paroxysmal ventricular tachycardia other and unspecified hyperlipidemia cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure 

Answer: The patient is high likely exposed to