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: the patinet is a 46 year old male with a history of esophogeal spasm who was transfered from after presenting with chest pain. the patient was playing hockey the evening of presentation, when he began to develop sub-sternal chest pressure starting at 10:00pm. the chest pressure escalated in intensity to sub-sternal chest pressure. the patient drove home after showering, and began to feel progressivly unwell. he began to experience bilateral arm heaviness, left greater than right, and left arm numbness. at , he had a hr of 76, bp 124/71, and was 100% on ra. an ekg was obtained, which showed 1mm st elevations in ii, iii, avf. cardiac markers were flat. the patient was given asa 325, plavix 600mg, heparing bolus + gtt, integrillin, and started on a nitro gtt. he was transfered to for emergent cardiac cath. on arrival to the cath lab, the patient had reduced chest pain at 1/10. his symptoms began at 10:00 pm. he was seen at at 11:20pm. he arrived to at 1:02pm, and baloon was deployed at 1:23 pm. a mynx device was deployed following the procedure, a small hematoma was noted, and pressure applied. the patient was transfered to the ccu for further monitoring, as no floor beds were available. . on review of systems, 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: esophageal spasm social history: -tobacco history: none -etoh: drinks / week -illicit drugs: none family history: the patient reports extensive family history of cad. his maternal gradmother died of an mi in her 40s, and both is parents had cad with internventions in there 60s. physical exam: vs: bp=124 / 72 hr=86 rr=12 o2 sat= 100% on 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. no xanthalesma. neck: supple with jvp of 6 cm. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: no c/c/e. no femoral bruits. smal quarter size hematoma in right cath size with minimal tenderness. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ pertinent results: 06:21am blood wbc-11.5* rbc-4.76 hgb-14.3 hct-38.5* mcv-81* mch-30.1 mchc-37.2* rdw-13.7 plt ct-269 06:21am blood glucose-110* urean-20 creat-0.8 na-137 k-4.0 cl-103 hco3-22 angap-16 06:21am blood ck(cpk)-238* 03:30pm blood ck(cpk)-315* 05:19am blood ck(cpk)-249* 06:21am blood ck-mb-14* mb indx-5.9 ctropnt-0.07* 03:30pm blood ck-mb-23* mb indx-7.3* ctropnt-0.26* 05:19am blood ck-mb-13* mb indx-5.2 06:21am blood %hba1c-5.6 06:21am blood triglyc-70 hdl-59 chol/hd-3.2 ldlcalc-118 . ecg: sr @ 75 with 2 pvcs, normal pr interval, evevations ii, iii, avf (iii > ii) w/o reciprocal changes. . post-intervention ecg: sr @ 75, normal pr interval, normal axis, resolved st elevations in inverior leads, tw flattening in iii, avf. . cardiac catheterization (preliminary report) right dominant system - lmca normal - lad normal - lcx normal - rca with 70% mid ulcerated lesion with normal flow which was stented with a xience stent without residual and normal flow. - no mr/normal lv fxn on ventriculargram . transthoracic echo: the left atrium is normal in size. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses and cavity size are normal. there is mild regional left ventricular systolic dysfunction with mild basal inferior hypokinesis. there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. 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. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. brief hospital course: mr. presented with chest pain and was found to have an inferior myocardial infarction with ecg changes and elevated cardiac enzymes. he went to the cath lab and had a des placed in his right coronary artery. he was chest pain free after this intervention and his ekg improved. his cardiac enyzmes peaked with a ck of 315, ckmb of 23, mbi of 7.3 and troponin of 0.26. these then trended down. he remained chest pain free throughout the rest of this admission. he was started on aspirin 325, plavix 75mg po qday, metoprolol 12.5mg po bid and lipitor 80mg po qday. he was given integrillin for 12 hours post-procedure. his lipid panel and hba1c were checked. he had an ldl of 118 and hba1c of 5.6%. on discharge, his metoprolol was changed to toprol xl 25mg po qday. an echocardiogram showed preserved ef with no wall motion abnormalities and normal ventricular systolic function. he remained in sinus rhythm and had no rhythm abnormalities. he was continued on omeprazole and diltiazem for his history of esophageal spasm. he was put on sub-cutaneous heparin for dvt prophylaxis and was given a cardiac diet during this admission. . mr. was discharged with prescriptions for plavix, lipitor and metoprolol. he will need to have a repeat cardiac catheterization in weeks. he will follow-up with his cardiologist and this appointment was scheduled for him prior to discharge. he walked with pt prior to discharge and was hemodynamically stable. medications on admission: omeprazole 40mg daily diltiasem er 120mg daily discharge medications: 1. diltiazem hcl 120 mg capsule, sustained release sig: one (1) capsule, sustained release po daily (daily). 2. 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* 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*11* 4. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*2* 6. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 7. zyrtec oral discharge disposition: home discharge diagnosis: primary - st elevation myocardial infarction secondary - esophageal spasm discharge condition: stable, without chest pain discharge instructions: you were transferred to this hospital for treatment of your acute heart attack. you underwent cardiac catheterization which found a blockage in one of your coronary arteries so a stent was placed to open the blockage. you had no further chest pain during your hospitalization. medication changes: 1. you were started on asiprin 325 mg daily. 2. you were started on plavix 75 mg daily. 3. you were started on atorvastatin 80 mg daily. 4. you were started on toprol 25 mg daily. otherwise continue to take your outpatient medications as prescribed. it is very important that you continue to take the medications which you were started on while hospitalized. you will need to undergo a cardiac rehabilitation in 4 to 6 weeks. go to the emergency room or call your primary doctor if you experience chest pain, shortness of breath, dizziness, blood in your stool, or black stool. followup instructions: an appointment was made for you to follow up with a new cardiologist, dr. for at 1:45pm. you must register on the ground floor then take elevator up one flight to the cardiology office. address: campus. . ma. phone: fax: procedure: coronary arteriography using two catheters 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 hematoma complicating a procedure acute myocardial infarction of other inferior wall, initial episode of care cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure family history of ischemic heart disease dyskinesia of esophagus 

Answer: The patient is high likely exposed to