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 with stenting history of present illness: 64 yo m with severe cad (s/p 4v cabg ', 6 stents '), dm, hyperchol, htn with baseline stable angina treated by ntg sl has been having cp at rest. at baseline pt needs to take ntg with mod activity (>1 flight of stairs) or sex. his symptoms have been getting worse over the past 2 weeks. the night of admission he began to have pain while walking short distances and after an argument. he then began to have pain, diaphoresis, and palpitations while sitting during a play and called an ambulance. found to have bp 300/150 in field and brought to ed. here found to have bp 229/87 and given o2, morphine, nitropaste, metoprolol, asa, ativan, and heparin gtt. denied sob, f/c, abd pain, leg swelling, pnd, orthopnea, ha, va changes. of note, the pt had been on asa and plavix since his stents in ' but had stopped since when he had a prostate procedure. past medical history: 1) cad - as above in pmh (most recent cath and stenting was and done at ) 2) prostate ca - s/p seed implants 3) htn 4) high cholesterol 5) dm x 5 years 6) gout 7) pagets - dx on bone scan for prostate ca work up, no symptoms or further treatment 8)gerd 9) tongue cancer - ' s/ ,xrt, chemo social history: no tobacco use 1 scotch per day lives with wife and retired consultant family history: cancer physical exam: t 97.3 bp 229/87 -> 148/79 p 97 r 15 o2 100 on 2l nc wt 210 lbs gen - a+o x 3 nad heent - eomi, pupils (l 4->3 mm, r 3->2mm) errl, op clear neck - supple, no jvd, scar from tongue ca on r cor - rrr no murmur chest - cta b abd - s/nt/nd +bs, guiac - per ed ext - no c/c/e, bruit over r femoral artery pertinent results: 04:34am glucose-101 urea n-22* creat-1.4* sodium-141 potassium-3.6 chloride-108 total co2-23 anion gap-14 04:34am ck(cpk)-129 04:34am ck-mb-4 ctropnt-0.04* 04:34am calcium-9.2 phosphate-3.7 magnesium-1.9 04:34am wbc-6.9 rbc-4.48* hgb-13.6* hct-40.7 mcv-91 mch-30.3 mchc-33.3 rdw-13.7 04:34am plt count-229 10:30pm ck(cpk)-150 10:30pm ctropnt-0.03* ekg - sinus tach, nl axis, nl int q in iii, avf cardiac cath 1. three vessel coronary artery disease. 2. successful stenting of the distal and the proximal lad with two drug eluting stents. 3. unsuccessful attempt for pci of the om/ramus due to inability to cross the lesion despite using several wires. echo 1. the left atrium is moderately dilated. 2. there is mild symmetric left ventricular hypertrophy with normal cavity size and systolic function (lvef>55%). regional left ventricular wall motion is normal. 3. the aortic valve leaflets (3) are mildly thickened. 4. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. brief hospital course: 64 yo m with severe cad (s/p 4v cabg ', 6 stents '), dm, hyperchol, htn with baseline stable angina treated by ntg sl has been having cp at rest. 1) cad/htn - pt was taken to cath and found to have lesions in the om/ramus and lad. the lad was stented however the om could not be stented. in the lab he became hypertensive to the 190's which was controlled with labetalol and nitro drips. he was transferred to the ccu. stable bp since however had 1 episode of cp when taken off of the nitro gtt. this resolved upon restarting his imdur. echo revealed normal ef, mild dys dysfunction, and mod la enlargement. ace held b/c pt was having increasing cr in setting of dye load. since then restarted on his oral anti hypertensives and has been stable. ck/mb has been trending down since cath. trop has been increasing however this is likely due to his crf. he was sent out on an increased dose of metoprolol (50mg ). he was instructed to watch for s/s of low bp. 2) crf - the pt came in at his baseline cr of 1.3. with the cath dye load he increased to 1.7 but has remained stable at 1.6. ace has been held throughout his admission due to this rise. sent out without ace. will f/u with outpt cardiologist. if cr improves then can consider restarting ace. 3) dm - pt's glucose well controled on oral agents with an insulin sliding scale. (oral agents were stopped when he was npo) medications on admission: metoprolol 25mg isosorbide 60mg qam/30mg qpm glucatrol xl 10mg avandia 4mg qday allopurinol 50mg qday lisinopril 40mg qday lipitor 20mg qday flomax 0.4mg qday asa/plavix stopped discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. atorvastatin calcium 40 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 3. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. isosorbide mononitrate 60 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po qam (once a day (in the morning)). 5. isosorbide mononitrate 30 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po qpm (once a day (in the evening)). 6. tamsulosin hcl 0.4 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po hs (at bedtime). 7. allopurinol 100 mg tablet sig: 0.5 tablet po daily (daily). 8. glipizide 10 mg tab, sust release osmotic push sig: one (1) tab, sust release osmotic push po bid (2 times a day). 9. rosiglitazone maleate 4 mg tablet sig: one (1) tablet po daily (daily). 10. metoprolol tartrate 50 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: unstable angina severe cad prostate cancer htn hypercholesterolemia diabetes type ii gout gerd discharge condition: stable discharge instructions: please take all of your medications as indicated on the discharge paper work. if you have chest pain at rest (especially if it does not respond to nitroglycerine) please call your physician or go to the emergency room. also if you experience shortness of breath, fevers, chills, or dizziness call your physician. also we have increased your metoprolol to 50mg twice a day. please call your cardialogist if you have any dizziness or fainting. please watch your cath site(right groin) if a lump develops or there is redness and warmth please inform your physician. followup instructions: please follow up with your cardiologist in 1 week (dr. ). have your creatinine rechecked. if stable or decreasing, should restart lisinopril. md procedure: coronary arteriography using two catheters injection or infusion of platelet inhibitor left heart cardiac catheterization insertion of drug-eluting coronary artery stent(s) diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome pure hypercholesterolemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified coronary atherosclerosis of autologous vein bypass graft gout, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease malignant neoplasm of prostate retention of urine, unspecified personal history of malignant neoplasm of tongue 

Answer: The patient is high likely exposed to