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: left groin swelling, bilateral arm pain major surgical or invasive procedure: repair- ruptured pseudoaneurysm. prbc transfusion history of present illness: cc: atypical chest pain history of present illness: please note, this patient was transferred from vascular surgery so this information relates to his course on medicine. please see separate note from surgery regarding his previous course. is an 81-year-old gentleman who has recently undergone cardiac catheterization, now developing the onset of atypical chest pain as he recovers from vascular surgery to repair a pseudoaneurysm which developed at the left common femoral artery puncture site. the patient also has an expanded hematoma of the same left groin site. mr. describes his current pain as bilateral forearm pain radiating to the elbows, not accompanied by diaphoresis, sob, cp. he states that this pain is similar to the pain when he had his mi. he states that this pain is usually brought on by walking and relieved when he stops or by slng. the patient denies pnd, orthopnea, doe, or pedal edema. of note, he states that this forearm pain is relieved after visits to his chiropracter and that he has had chronically reduced range of motion in his shoulders which he attributes to swimming for many years. at times, he also experiences this pain at rest. the patient had an mi on , and went to cardiac catheterization where a cypher stent was placed at his om1 occlusion. the patient had 60-70 % lad lesion and a 50% proximal rca lesion that were not intervened upon with the plan for a later stress test and intervention only if necessary. the patient was discharged and then readmitted on following complaints of anginal equivalent pain while flossing his teeth. upon readmission to the cardiac service, he was ruled out for an mi and underwent a sestamibi to further evaluate for any reversible ischemia. there was no new reversible ischemic area noted on the sestamibi. therefore, it was determined that the patient's pain was likely noncardiac and he was d/c'd on a cardiac healthy diet and his same home medicines from the previous discharge. he later developed the onset of a groin swelling at the site of his catheterization and was hospitalized to repair his pseudoaneurysm. past medical history: hypertension. benign paroxysmal positional vertigo. hypercholesterolemia. history of gout hx: cyst removed from right finger. social history: the patient lives at home independently with his wife. is very active, doing water aerobics 5x per week. he is a former advertising exec and has 11 grandchildren and great grandchildren. he has a history of cigar use, but none currently, and drinks alcohol socially. he denies recreational drug use. family history: mom died at 103, dad of brain ca age < 50, brother with cad as older adult physical exam: vs t 98.6 p 80 bp 100/54 r 20 o2 96% on ra gen - wdwn man lying in bed watching television. a + o x 3, pleasant cooperative heent - eomi, perrla, op clear, no jvd, mmm, cn ii-xii individualy tested and intact, conjunctiva not injected cor - rrr nl s1/s2, no m/r/g chest - ctab - w/r/r abd - s/nt/nd +bs ext - no c/c/e, wwp, 1+ pitting edema bilaterally to knees, radial, dp, pt 2+ bilaterally, left groin with bandages c/d/i, drain in place with serosanguinous fluid in bulb, scrotum markedly edematous, echymotic. upper arms without pain on flexion/extension but limited range of motion at shoulders. (patient states that this is d/t swimming for years). neuro - strength and sensation wnl x 4 ext pertinent results: ef 43 percent with hypokinesis noted at the base of the inferior and lateral walls echocardiogram showed mild lv hypertrophy, mild lv systolic dysfunction, 1 plus ar and 1 plus mr, and a borderline pulmonary artery systolic hypertension baseline lfts within normal limits. lipid panel with total cholesterol 200, ldl 120, hdl 52, and triglycerides 141. ck: 67 mb: notdone trop-*t*: <0.01 ctropnt > 0.10 ng/ml suggests acute mi ck: 65 mb: notdone ck: 57 mb: notdone trop-*t*: <0.01 brief hospital course: cv: mr. was placed on telemetry and had no events. his bilateral arm pain resolved in the evening and he had three sets of negative cardiac markers. his bilateral arm pain may be consistent with cervical stenosis. it was suggested that this be followed up as an outpatient with his primary care doctor. heme: of note, his hematocrit fell to 25 so he was transfused with 2 units of packed red blood cells. he tolerated this well and his hematocrit rose appropriately. ct scans of his abdomen and thighs showed no retroperitoneal bleed but some blood in the thighs. vascular: mr. surgical team pulled out his drain as he was putting out less serosanguinous fluid. he was transfered back to surgery in good condition for care of his pseudoaneurysms. medications on admission: 1. aspirin 325 mg once a day. 2. plavix 75 mg once a day. 3. lipitor 10 mg once a day. 4. allopurinol 300 mg once a day. 5. lisinopril 5 mg once a day. 6. atenolol 25 mg once a day. 7. imdur 30 mg qd 8. slng 9. 1000 mg omega fish oil discharge medications: 1. aspirin oral 2. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever, pain. 3. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po qd (once a day). 4. atorvastatin calcium 10 mg tablet sig: one (1) tablet po qd (once a day). 5. lisinopril 5 mg tablet sig: one (1) tablet po qd (once a day). 6. atenolol 25 mg tablet sig: one (1) tablet po qd (once a day). 7. isosorbide mononitrate 30 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po qd (once a day). 8. multivitamin capsule sig: one (1) cap po qd (once a day). 9. allopurinol 300 mg tablet sig: three (3) tablet po qd (once a day). 10. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 11. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual x 3 prn () as needed for prn chest pain. discharge disposition: home discharge diagnosis: cad s/p mi and catheterization with stenting to om1 and lad pseudoaneurism in groin hypertension hypercholesterolemia discharge condition: stable. discharge instructions: minimize activity for the next week. follow-up with dr. within one week. you will be taking all the same medications as you were before you were hospitalized. please return to the hospital if you feel lightheaded or faint, experience chest pain, or have an increase in size or pain of the groin or leg area. followup instructions: contact dr. office () within one week for follow-up. you already have an appointment to see dr. in one week (. he can check your hematocrit at that time. procedure: venous catheterization, not elsewhere classified injection or infusion of other therapeutic or prophylactic substance other repair of aneurysm transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension gout, unspecified hematoma complicating a procedure peripheral vascular complications, not elsewhere classified cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure subendocardial infarction, subsequent episode of care aneurysm of artery of lower extremity 

Answer: The patient is high likely exposed to