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: penicillins attending: chief complaint: chest pain major surgical or invasive procedure: coronary angioplasty x 2 bare metal stent to lad x 2 history of present illness: 58 yo m with a history of asthma and seasonal allergies who presents with chest pain, found to have stemi with 90% lad lesion successfully stented complicated by right femoral hematoma. . the patient states that at around 8pm after dinner on the day prior to admission he developed nausea and emesis x3. this was followed by 7 out of 10 nonradiating substernal chest pain. the patient presented to an osh where he was found to have likely stemi with st elevations in i, avl, v1-3 with q's in v1- depressions in ii, iii, avf, v5- depressions in avr. the patient received aspirin, plavix, nitro and heparin. he was transferred to cath lab where he was found to have 90% hazy lad lesion successfully stented with bare metal stent. procedure was notable for the development of a right femoral hematoma. angioseal was used for closure and pressure was held for 30 minutes in the cath lab. . on review of symptoms, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. he denies recent fevers, chills or rigors. he denies exertional buttock or calf pain. all of the other review of systems were negative. . cardiac review of systems is notable for absence of dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: asthma seasonal allergies hiatal hernia degenerative disk disease of the spine sleep apnea social history: denies tobacco, etoh or drug use. family history: no family history of premature cad. physical exam: admission physical examination: vs: 98.4 83 123/59 16 95% 2l gen: comfortable. nad. cv: distant heart sounds. rrr. normal s1 and s2. no m/r/g. pulm: cta bilaterally. abd: soft, nontender. ext: no edema. right femoral cath site with 1+ pulse, no bruit. rle dp pulse 2+. pertinent results: admission labs: 03:00am blood wbc-12.6* rbc-4.49* hgb-13.4* hct-39.0* mcv-87 mch-29.8 mchc-34.3 rdw-13.8 plt ct-229 01:45pm blood neuts-80.6* bands-0 lymphs-13.6* monos-4.9 eos-0.8 baso-0.1 03:00am blood plt ct-229 10:37am blood pt-13.8* ptt-26.5 inr(pt)-1.2* 03:00am blood glucose-185* urean-19 creat-1.0 na-139 k-4.2 cl-104 hco3-19* angap-20 05:23am blood calcium-9.5 phos-2.9 mg-1.9 cholest-177 05:23am blood triglyc-110 hdl-38 chol/hd-4.7 ldlcalc-117 ldlmeas-124 06:30am blood %hba1c-5.9 cardiac enzymes: 03:00am blood ctropnt-0.19* 10:33am blood ck-mb-455* mb indx-10.1* 06:06pm blood ck-mb-197* mb indx-6.6* ctropnt-6.94* 06:15am blood ck-mb-55* mb indx-3.9 05:45am blood ck-mb-12* mb indx-2.6 ctropnt-4.64* 05:35pm blood ck-mb-10 mb indx-2.8 cardiac catheterization: 1. coronary angiography of this right dominant system revealed single vessel coronary artery disease. the lmca, lcx, and rca were all without angiographically evident flow limiting stenosis. the proximal lad had a 90% hazy thrombotic lesion. 2. resting hemodynamics revaled aortic systolic pressure of 101 mm hg. 3. left ventriculography was not performed. 4. successful stenting of the proximal lad with a 3.0 x 18 mm vision bms. final angiography revealed no residual stenosis, no angiographically apparent dissection and timi iii flow. 5. right femoral arteriotomy site was closed with a 6 french angioseal device. cardiac catheterization: 1. coronary angiography revealed stent thrombosis of proximal lad. lcx had no significant disease. rca was not examined. 2. resting hemodynamics revealed a sbp of 137mmhg and dbp of 92mmhg. 3. successful pci/stent to proximal lad (stent thrombosis) with stent placed at distal edge of previous stent. 3.0x12mm bare metal stent deployed and posted with 3.5mm nc balloon to 26atms. excellent result with normal flow down vessel and no residual stenosis. tte: the left atrium is normal in size. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is moderate regional left ventricular systolic dysfunction with anterior, anteroseptal, apical, and distal inferior severe hypokinesis/akinesis (lad distribution). the remaining segments contract normally (lvef = 30%). no masses or thrombi are seen in the left ventricle. right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated at the sinus level. the ascending aorta is moderately dilated. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. trace aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. impression: moderate regional left ventricular systolic dysfunction, c/w cad. dilated thoracic aorta. femoral ultrasound: no evidence of right groin hematoma, pseudoaneurysm, or av fistula. abdominal/pelvis ct: brief hospital course: mr. was found to have a stemi with 90% occlusion of the lad; a bare metal stent was placed. the catheterization on was complicated by development of a right femoral hematoma. femoral us on showed no bleed, pseudoaneurysm or av fistula, and hct remained stable. he was placed on aspirin 325 mg qd, plavix 75 mg qd and atorvastatin 80 mg qd; integrilin was continued for 18 hours after the catheterization. on the morning of , he developed chest pain with acute st segment changes on ekg. he was taken to the cath lab and was found to have stent thrombosis of the proximal lad. he underwent successful restenting of the lad. plavix was increased to 150 mg po daily and no further complications were encountered. below is a problem based summary: # non-st elevation mi: as above, patient underwent successful ptca with bms to lad, complicated by right femoral hematoma and subacute in stent thrombosis. repeat ptca with overlapping bms was performed. patient tolerated both procedures well and was able to ambulate with physical therapy. patient will likely require cardiac rehabilitation, will defer further management to primary cardiologist. #. acute systolic heart failure: after mi, tte revealed lvef = 30% and moderate regional left ventricular systolic dysfunction with anterior, anteroseptal, apical, and distal inferior severe hypokinesis/akinesis (lad distribution). anticoagulation was started to prevent ventricular wall thrombus formation. patient was started on beta blocker and ace inhibitor with good toleration; for details please see medications section. patient may require repeat tte as outpatient, defer to primary cardiologist. # right groin hematoma. significantly improved at time of discharge. # asthma. no acute exacerbation during hospitalization, patient maintained on home regimen of albuterol prn. # fen: patient tolerated a cardiac diet # prophylaxis: anticoagulated with heparin # code: patient remained full code during hospitalization. medications on admission: monthly allergy medicine injection discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 2. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. warfarin 5 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). disp:*30 tablet(s)* refills:*2* 4. clopidogrel 75 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 5. outpatient lab work please check pt, ptt, inr and chem 7. please fax results to pcp (phone ). 6. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. toprol xl 100 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* discharge disposition: home discharge diagnosis: primary 1. stemi 2. instent thrombosis 3. acute systolic heart failure secondary 1. asthma 2. sleep apnea discharge condition: hd stable, afebrile. discharge instructions: you were admitted to the hospital because you were having a heart attack. you underwent a heart catheterization that was able to open the obstruction. after this procedure, you experienced a blood clot within the stent and this obstruction was opened as well. please keep all of your follow-up appointments and have your blood tests done as directed. the following changes have been made to your medications. 1. you are taking plavix 150 mg once daily. you must take this medication everyday for your stent to remain open. 2. you are also taking lisinopril 5 mg once daily toprol xl, 100 mg once daily and atorvastatin 80 mg once daily for your heart. 3. you have been started on blood thinnner for you heart. you are taking coumadin 5 mg once daily. you will have your inr level checked at your primary doctor's office in the next few days. 4. you should take aspirin 325 mg once daily. if you develop chest pain, shortness of breath, palpitations, pain or bleeding from your procedure site or any other concerning symptoms, you should call your doctor or come to the emergency room. followup instructions: you have a follow up appointment with your primary doctor, dr. on tuesday, at 2 pm. at that time you should have your blood electrolytes, kidney function and inr checked. you also have an appointment with a cardiologist dr. on tuesday, at 4 pm. procedure: insertion of non-drug-eluting coronary artery stent(s) insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor left heart cardiac catheterization non-invasive mechanical ventilation 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: other primary cardiomyopathies coronary atherosclerosis of native coronary artery acute myocardial infarction of other anterior wall, initial episode of care hematoma complicating a procedure asthma, unspecified type, unspecified other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure unspecified sleep apnea cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure other complications due to other cardiac device, implant, and graft acute systolic heart failure 

Answer: The patient is high likely exposed to