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: niacin attending: chief complaint: left internal carotid stenosis major surgical or invasive procedure: left internal carotid artery stent placement history of present illness: 71 year old man has a history of hypertension, hyperlipidemia, tobacco abuse, coronary artery disease s/p prior rca stenting and carotid artery disease s/p right ica stenting at ??????s hospital in , with asymptomatic 70-79% l ica stenosis admitted for elective angiography, l ica stent. he also has a known left carotid stenosis that has been followed by dr. from neurology. in he underwent routine screening of his carotids and was found to have progression in the stenosis on the left side. he has been completely asymptomatic. he is now being referred for angiography/stenting. past medical history: hypertension hyperlipidemia cad, s/p rca des pvd, asymptomatic carotid artery disease s/p stenting in ??????s, now with progressive moderate to severe left ica disease lumbar spinal stenosis/back pain with mild residual weakness of his left leg (s/p physical therapy and steroid injection) cataracts remote history of nephritis gerd right hernia repair appendectomy tonsillectomy bph social history: -tobacco history: smoked upto 1.5 packs a day for over fifty years. he currently smokes 8-10cigarettes per day. wife also smokes -etoh: rare -illicit drugs: denies married, 2 grown children family history: mother died suddenly at a young age, cause unknown father died of pe after cardiac surgery physical exam: vs: t=afeb bp=112/44 hr=65 rr=12 o2 sat= 98% ra general: wdwn 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. neck: supple, no jvd. carotid bruits b/l. cardiac: rrr, normal s1, s2. soft systolic murmur at usb. no thrills, lifts. no s3 or s4. lungs: enlarged a-p diameter, resps unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd, +bs. extremities: no c/c/e. inguinal dressing c,d,i. no hematomas or femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas.small cherry hemangiomas on chest. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ neuro: cn 2-12 intact. strength: proximal and distal muscles of b/l ues. distal le strength 5/5. sensory exam to light touch equal bilaterally. fnf intact. pertinent results: 05:59am blood wbc-8.0 rbc-3.13* hgb-9.5* hct-26.8* mcv-86 mch-30.5 mchc-35.6* rdw-13.2 plt ct-210 02:57am blood pt-13.5* ptt-36.7* inr(pt)-1.2* 05:59am blood glucose-104 urean-9 creat-0.7 na-139 k-3.9 cl-107 hco3-24 angap-12 06:39pm blood ck(cpk)-59 05:59am blood mg-1.9 02:57am blood mg-1.7 cholest-99 02:57am blood triglyc-164* hdl-30 chol/hd-3.3 ldlcalc-36 brief hospital course: 71 year old male with history of cad s/p des to rca, righ ica stent, l ica stenosi, admitted s/p l ica stent. #carotid stenosis - pt admitted s/p stent placement in left ica stent, which he tolerated well. pt was hypotensive post op (thought to be secondary to vagal stimulation from stent) requiring transient phenylephrine post op to keep sbp between 100 and 160. pt had regular checks of his neurologic status, which remained normal for every 2-4 hour checks by nursing staff, cardiac team and neurology consult. pt was continued on asa, plavix and a statin, while blood pressure medications and flomax were held. pt was instructed to restart his bp meds several days after discharge. # pt was continued on his finasteride but flomax held while hypotensive. # pt was continued on home ppi regimen medications on admission: plavix 75mg daily every morning finasteride 5mg daily every evening hctz 25mg daily every morning lisinopril 40mg daily every morning metoprolol xl 100mg, 1.5 tablets every morning zocor 80mg daily every evening aspirin 81mg daily every morning flomax 0.4mg daily every evening pepcid otc prn discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily): do not stop unless instructed to by your cardiologist. 3. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). 4. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). 5. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po once a day: restart on . 6. lisinopril 40 mg tablet sig: one (1) tablet po once a day: restart on . 7. toprol xl 100 mg tablet sustained release 24 hr sig: 1.5 tablet sustained release 24 hrs po once a day: restart on . 8. flomax 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po once a day: restart on . 9. pepcid 20 mg tablet sig: one (1) tablet po once a day as needed for heartburn. discharge disposition: home discharge diagnosis: carotid artery stenosis coronary artery disease discharge condition: stable. off pressors > 12 hours. ambulating. normal neuro exam. hr 69 bp 113/49 discharge instructions: you were admitted for a procedure to increase blood flow through the carotid arteries, that deliver blood to the brain. as an effect of this procedure your blood pressures were low and you were given medications to increase your blood pressures. this medication was stopped, but you should wait three days before starting medications that lower your blood pressure. you have a new, higher dose of 325 mg of enteric coated aspirin that you should take. please stop smoking as this greatly increases your risk of heart and vascular disease. information was given to you on admission regarding smoking cessation. followup instructions: you will need to call dr. office at to arrange a follow-up appointment in the next 1-2 weeks. provider: , m.d. phone: date/time: 3:40 procedure: arteriography of cerebral arteries percutaneous angioplasty of extracranial vessel(s) percutaneous insertion of carotid artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent procedure on single vessel diagnoses: other iatrogenic hypotension coronary atherosclerosis of native coronary artery tobacco use disorder unspecified essential hypertension percutaneous transluminal coronary angioplasty status occlusion and stenosis of carotid artery without mention of cerebral infarction other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to