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 history of present illness: patient is a 65 yo male gastroenterologist with h/o htn, hypercholesterolemia, former smoker, and gerd who presents with chest pain. two days pta developed stuttering substernal chest 'pressure' with nausea that he attributed to longstanding gerd. denies radiation or associated sob, diaphoresis. at 7pm the day pta, the pain became constant and he presented to the osh for evaluation. at osh, ecg revealed st elevations in iii & avf with st depressions in avl & v3-v6 concerning for acs. cardiac enzymes were elevated (ck 524, mb 45, tni 2.8). he was given asa 325mg, plavix 600mg load, and heparin/integrillin/nitro gtt's and transferred to for cardiac catheterization. cardiac catheterization revealed totally occluded rca with thrombus and 90% proximal lad lesion. thrombectomy was attempted but aborted as clot nearly dislodged during extraction. angiojet was performed with distal embolization of the thrombus which was then stented with a cypher. final recanalization revealed timi 3 flow with distal pda cutoff likely due to thrombus. of note, during the cath the patient was in sinus bradycardia and briefly developed junctional escape rhythm in the 30's requiring atropine. he is transferred to the ccu for close monitoring for heart block in the setting of stemi and complicated cath. ros: reports exercise (3 miles walking without cp, sob). denies orthopnea, pnd, edema. has had h/o palpitations that resolved with bb. past medical history: 1)htn 2)hypercholesterolemia 3)tobacco abuse 4)gerd 5)gout 6)bph social history: retired gasterenterologist. former smoker. occ etoh. no ivda. family history: mi in brother (50's) and father (40's) physical exam: vitals t 97.4 hr 70 bp 128/72 rr 14 sao2 97% ra general: wdwn, nad, breathing comfortably on ra heent: perrl, eomi, anicteric sclera, conjunctivae pink neck: supple, trachea midline, no thyromegaly or masses, no lad cardiac: rrr, s1s2 normal, no m/r/g, no jvd pulmonary: ctab abdomen: +bs, soft, nontender, nondistended, no hsm extremities: warm, 2+ dp pulses, no edema neuro: a&ox3, speech clear and logical, cnii-xii intact, moves all extremities pertinent results: laboratory results: 11:20am glucose-146* urea n-15 creat-0.9 sodium-134 potassium-3.9 chloride-105 total co2-21* anion gap-12 11:20am ck(cpk)-715* 11:20am ck-mb-71* mb indx-9.9* ctropnt-0.61* 11:20am cholest-140 11:20am triglycer-60 hdl chol-58 chol/hdl-2.4 ldl(calc)-70 01:20pm plt count-209 05:55pm ck-mb-85* mb indx-7.4* ctropnt-1.93* 05:55pm ck(cpk)-1142* 05:55pm potassium-3.7 05:23am blood wbc-6.6 rbc-3.76* hgb-11.8* hct-34.5* mcv-92 mch-31.5 mchc-34.3 rdw-14.5 plt ct-191 05:25am blood wbc-7.7 rbc-3.77* hgb-12.0* hct-34.4* mcv-91 mch-31.8 mchc-34.8 rdw-14.8 plt ct-169 05:25am blood plt ct-169 05:25am blood glucose-94 urean-12 creat-1.1 na-141 k-3.5 cl-104 hco3-30 angap-11 05:25am blood ck(cpk)-291* 05:25am blood ck-mb-9 ctropnt-1.78* 05:25am blood calcium-8.4 phos-3.7 mg-1.9 relevant imaging: 1)cardiac catheterization (): two vessel coronary artery disease. successful ptca, thrombectomy, and stenting of the mid rca with a drug eluting stent. 3. plan pci of the lad in weeks. 2)echo ():the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size and systolic function (lvef>55%). regional left ventricular wall motion is normal. right ventricular chamber size and free wall motion are normal. the aortic root, ascending aorta, and the aortic arch are mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no 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 a small pericardial effusion. brief hospital course: mr. is a 65 yo male with htn, hypercholesterolemia, former smoker who presents with stemi s/p des to rca. found to have sinus bradycardia with occasional junctional escape rhythm. transferred to ccu for close monitoring. 1) stemi: patient presented with substernal chest pressure with new ekg changes and elevated cardiac enzymes consistent with an stemi. he was given asa & plavix and started on an integrillin gtt. he underwent cardiac catheterization, now s/p pci of rca with des. he has a residual 90% lad lesion that was not intervened upon on this admission. he was initially transferred to the ccu for closer monitoring. his medical regimen was optimized with asa, plavix, lipitor, lopressor, and lisinopril. he was noted to be in sinus bradycardia with occasional juntional escape rhythm on telemetry. he was asymptomatic and there was no evidence of av block. post cath echo showed preserved ef. patient will return in 1 month for repeat pci of lad lesion. 2)hypertension: patient on atenolol at home. this was changed to lopressor after cath; tolerated well. 3)hyperlipidemia: patient on zocor at home. this was changed to high-dose atorvastatin given acute coronary syndrome. 4)gerd: continued on ppi. 5)gout: continued on home regimen of allopurinol. remained asymptomatic. 6)bph: continued on hytrin. medications on admission: atenolol 25mg zocor 20mg qd hytrin 5mg qd omeprazole 20mg qd allopurinol 300mg qd 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. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. allopurinol 300 mg tablet sig: one (1) tablet po daily (daily). 5. terazosin 5 mg capsule sig: one (1) capsule po hs (at bedtime). 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 7. metoprolol succinate 25 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). disp:*30 tablet sustained release 24hr(s)* refills:*2* 8. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: 1. inferior stemi, with thrombus in rca and pda 2. residual cad: 90% proximal lad stenosis discharge condition: hemodynamically stable discharge instructions: 1)please continue to take all your medications as prescribed. 2)please scheduled follow up with your cardiologist at . 3)if you develop chest pain, shortness of breath, a slow heart rate, dizziness, lightheadedness, bleeding or any other concerning symptoms, please call 911 and go to the nearest emergency room immediately. 4)of note, you have been started on several new medications, including some that make your blood thin and predispose to bleeding, and some that lower your heart rate and blood pressure. if you develop any side effects from these new medications, please contact your doctor immediately. followup instructions: please call to set up a follow up appointment with your cardiologist for the week after your discharge. you still have a 90% lesion in your proximal left anterior descending (lad) coronary artery which may need an intervention in the near future. please discuss this further with your cardiologist. procedure: coronary arteriography using two catheters intraoperative cardiac pacemaker injection or infusion of platelet inhibitor left heart cardiac catheterization insertion of drug-eluting coronary artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension cardiac complications, not elsewhere classified other specified cardiac dysrhythmias acute myocardial infarction of other inferior wall, initial episode of care 

Answer: The patient is high likely exposed to