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: iodine attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization s/p rca cypher stent history of present illness: 56yo m with gerd, smoker and pos alcohol p/w chest pain at 1:30 am. this woke him up from sleep. he describes sharp sscp that did not radiate. he c/o diaphoresis and dizziness, no palpitation/nausea/sob. he had no prior occurence. ems called 1/2 hour later and was brought to cath lab at 3am. vs on the field bp 180/90 p117. . vs in ed bp 138/74 p80 r16 100%on nrb. ekg show imi pattern. he was started on lopressor, integrillin and heparin in ed. he received benedryl, solumedrol and pepcid for dye allergy. cypher stent was placed in rca. during procedure, patient was bradycardic to 50s with long pausese and also hypotensive to 70s. he received atropine and started on dopamine drip with good response. hd from pa cath show pcwp 24 for which he was given 20mg lasix. pa 47/25/33, ci 3.51, ra 20 . currently, patient c/o dry mouth and back pain from lying flat. otherwise denies chest pain, sob, palpitation, dizziness, gi symptoms, headahce, fever, chills. past medical history: splenomegaly from recent mononucleosis social history: 2ppd for 35 years, 2 vodka/whiskey per night, no drugs, works as engineer at xerox family history: grandfather died of cad at 76 physical exam: t97.2 p90 bp110/65 r 16 95% on 4l gen- well appearing obese gentleman, no distress heent- small but reactive pupils, anicteric, dry mucus membrane, neck supple, cannot appreciate jvd in supine position cv- regular, no rubs/murmur/gallop, no carotid bruit resp- clear bilaterally on anterior exam, no distress abdomen- obese, soft, nontender, nondistended, hard to assess hepatosplenomegaly ext- right groin no hematoma, no bruit, dp dopplerable bilaterally, pt 2+ bilaterally neuro- a+o x3, cn ii-xii intact . pertinent results: hgb a1c 6.1 ck peak 2633 na 139, k 3.9, cl 104, bicarb 24, bun 16, cr 1.0 . ekg: sinus rhythm. inferolateral st segment elevation with reciprocal depressions in leads i and avl, consider acute inferolateral myocardial infarction. . cath report (prelim): successful thrombectomy, ptca, and stenting of the proximal and mid rca was performed with a 3.0x33 mm cypher stent which was postdilated with a 3.5mm nc balloon. final angiography revealed 0% residual stenosis, no dissection, and timi 3 flow. (see ptca comments) . echo: left ventricle - ejection fraction: 45% to 50% (nl >=55%) conclusions: the left atrium is elongated. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is mild regional left ventricular systolic dysfunction with mild hypokinesis of the basal to mid inferior and inferolateral walls. the remaining segments contract normally. right ventricular chamber size and free wall motion are normal. the aortic arch is mildly dilated. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. 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: mild regional systolic dysfunction consistent with coronary artery disease. mild symmetric left ventricular hypertrophy. no structural valve disease. brief hospital course: mr is a 56 yo m who presented w/ cp and ecg w/ st elevations inferior leads and v4r consistent with rca thrombus and rv infarct. he was taken emergently to the cardiac catheterization lab where thrombectomy was performed and a cypher stent was placed to rca. his cath revealed disease-free lmca, lad, l cx, dominant rca with l-r collagerals. he was bradycardia in the lab requiring temp wire and hypotense requiring dopamine. hemodynamics were indicative of rv involvement. this is a summary of hospital course by problem list. . # cad: inferior mi s/p rca cypher stent and thrombectomy . he was admitted to the ccu on dopamine which was weaned off within a day and he was started on metoprolol, lisinopril and lipitor. he should continue aspirin for life, plavix x 12 months. . # pump: -v failure by cath hd(high rv and lvedp, high pcwp), cxr show mild chf but asymptomatic and on ra. echo w/o rv failure, mild-symmetric lvh with ef 45-55% (see results). . # rhythm: nsr . # fever: resolved. asymptomatic; no infiltrate on cxr. . # alcohol abuse: counselled on quiting, covered with ciwa scale. . # nicotine: counselled about quiting. would recommend that pcp continue to encourage and provide assistance with nictoine replacement and/or wellbutrin. . # - daughter/hcp - home 904-230 medications on admission: none discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*90 tablet, delayed release (e.c.)(s)* refills:*2* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily): take for 1 year to prevent stent thrombosis. disp:*90 tablet(s)* refills:*2* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*90 tablet(s)* refills:*2* 4. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. lab work sig: one (1) once for 1 doses: please have your pcp test your blood work. you should have a cmb (esp potassium, cr, bun) because you were started on lisinopril. . disp:*1 * refills:*0* discharge disposition: home discharge diagnosis: stemi discharge condition: good; afvss; chest-pain free discharge instructions: please continue to take all medications as prescribed. you had a heart attack and had a medicated stent placed in your right coronary artery; it is crucial that you take plavix for one year and aspirin for life to prevent occlusion of this stent. you also need to quit smoking, this is crucial to prevent further heart damage. you will need to follow up with cardiology here at the appointment listed below. . if you have any recurrence of chest pain, shortness of breath, jaw or arm pain you should go to the emergency department immediately. if you are lightheaded or have dizziness, please contact your pcp or cardiologist. if you have leg swelling please seek medical attention. followup instructions: with dr. at medical center. () tuesday at 9am; please arrive at 8:30 am fax . you need to make an appointment with your pcp to be seen within 7-10 days. please have them check electrolytes (cmb). procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor diagnostic ultrasound of heart insertion of temporary transvenous pacemaker system 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 congestive heart failure, unspecified paroxysmal ventricular tachycardia other specified cardiac dysrhythmias acute myocardial infarction of inferolateral wall, initial episode of care 

Answer: The patient is high likely exposed to