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: cp, stemi major surgical or invasive procedure: cardiac catheterization. bms to right coronary echocardiogram history of present illness: 49yo man with hx of hyperlipidemia, htn who had a stemi. he was driving his truck today and suddenly experienced sscp. it was , stabbing "clamp-like," radiating to left arm and assoc with sob and dizziness. it worsened over 2-3 minutes and he pulled his truck over and called 911. he had no nausea, palpitations, or syncope. ems arrived and administered 4 sprays of ntg with cp improving to . pt refused morphine for pain control. ekg showed ste inferiorly so ems called code-stemi and brought pt to the . . pt was in ed for <10m and received asa 325, plavix 600. he was brought to cath lab. cath lab: pt received heparin and integrillin boluses. found to have 95% mid rca lesion and upon stenting, sbp dropped to 80s. dopa started and increased to 20mcg/m with good bp control. then had hr to 30s so atropine 1mg given. bms placed in mid rca and dopa weaned off. pt was cp free after stent placement. . currently, he feels well. he c/o mild lbp which is chronic. otherwise, denies cp, palpitations, sob, abd pain. . exercise tolerance: can walk up 3 flights of stairs without cp but with mild sob. can lift >100 lbs of wt without cp. . ros: neg for f/c/syncope. no recent uris or abd pain. chronic constipation. denies hx of stroke, tia, dvt, pe, bleeding. no claudication. pos for mild periph edema. denies pnd, orthopnea past medical history: peptic ulcer disease: 2yrs ago, eval in . htn hyperchol s/p appy s/p femur repair (right) no dm social history: pos tob: ppd x 2 months. prior 2ppd x30 yrs. prior heavy etoh but quit yrs ago drives truck x 30 yrs lives in with wife. does not keep in touch with children no hx of ivdu family history: mom: cabg age 56, htn dad: not sure of other family physical exam: vs: afeb, 133/93 97% ra hr 70 rr 18 gen: wdwn middle aged male in nad, resp or otherwise. oriented x3. mood, affect appropriate. pleasant. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple with jvp of 8 cm. beard is full and . cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no s4, no s3. no murmurs chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. no crackles, wheeze, rhonchi. abd: obese, soft, ntnd, no hsm or tenderness. no abdominial bruits. ext: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ without bruit; 2+ dp left: carotid 2+ without bruit; 2+ dp sheath in right fem (being pulled presently) pertinent results: 136 103 11 ---------------< 123 3.3 20 0.8 ck: 116 trop-t: <0.01 wbc: 9.8 hct: 42 plt: 398 pt: 15.0 ptt: 150 inr: 1.3 peak ck 315, peak troponin t 1.74 cardiac catheterization: 1. selective coronary angiography of this right dominant system revealed two vessel coronary artery disease. the lmca had no angiographically apparent flow limiting epicardial coronary artery disease. the lad had a 70-80% stenosis of the distal d1. the lcx had mild luminal irregularities. the rca had a hazy 95% stenosis in the mid-portion. 2. resting hemodynamics revealed mildly elevated right sided filling pressures with rvedp of 15 mmhg. there was mild pulmonary artery systolic hypertension with pasp of 40 mmhg. the cardiac index was preserved at 3.9 l/min/m2. there was evidence of mild systolic and diastolic systemic arterial hypertension with sbp 140 mmhg and dbp 96 mmhg. 3. successful ptca and stenting og the mid rca with a 3.5 x 18 mm vision bms which was postdilated with a 3.75 x 13 mm high sail balloon at 12 atm. final angiography revealed no residual stenosis, no dissection and slow flow in the am which improved with ic adenosine. (see ptca comments) final diagnosis: 1. two vessel coronary artery disease. 2. elevated right sided filling pressures, mild pulmonary artery systolic hypertension, and mild systolic and diastolic systemic arterial hypertension. 3. acute inferior stemi managed by pci of the mid rca with a bms. tte (echo): the left atrium is normal in size. the estimated right atrial pressure is 0-5 mmhg. left ventricular wall thicknesses are normal. there is mild regional left ventricular systolic dysfunction with akinesis of the basal inferior wall, and hypokinesis of the inferior septum and inferolateral wall. the remaining segments are normal to slightly hyperkinetic (lvef = 45-50%). the right ventricular cavity is mildly dilated. there is focal basal right ventricular free wall hypokinesis. the aortic root is moderately dilated at the sinus level. 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. there is an anterior space which most likely represents a fat pad. impression: mild regional left ventricular dysfunction, c/w cad. mild regional right ventricular systolic dysfunction. no pulmonary hypertension or significant valvular disease seen. brief hospital course: cad / stemi: 49yo man with hx of hyperlipidemia, hypertension, tobb abuse presents with cp and was found to have a stemi- st elevations in inferior leads- q wave infarct upon repeat ecgs, patient was taken to cath lab emergently, er to cath lab time 9 minutes. found to have a mid rca lesion and received a bare metal stent for this. prior he was plavix loaded. continued on plavix 75mg daily x 3 months at least, ideally 1 year. aspirin 325mg daily, beta blocker, statin and ace inhibitor started. patient pain free post intervention. echo revealed a slightly depressed ef of 45-50%, mild regional left ventricular systolic dysfunction with akinesis of the basal inferior wall, and hypokinesis of the inferior septum and inferolateral wall. given ck peak of only 315 and patient is asymptomatic would repeat in 3 months as a component of this may be stunned myocardium. fasting lipids reveal a total cholesterol of 177, triglycerides of 255, hdl of 24, ldl of 102. patient started on lipitor 80mg daily in the acute setting. discharged uneventfully. tobbacco use: patient using chantix and has cut down his smoking over the past 2.5 months, he was urged to quit smoking and seemed to be contemplative. communication: wife pcp: . in : medications on admission: verapamil 240/480 niacin 1500mg daily chantix spiriva daily asa 81 daily 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). disp:*30 tablet(s)* refills:*2* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. atenolol 25 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary: - stemi, right coronary occlusion - s/p bare metal stent to right coronary - copd - tobb abuse - htn - hyperchol discharge condition: well discharge instructions: you came in with a st elevation myocardial infarction. you underwent cardiac catheterization and you had a stent placed in your right coronary artery. it is very important that you take plavix and aspirin everyday. please also continue with all of your other medications. we have made the following changes to medications: 1. aspirin 325 daily 2. atenolol 25mg daily 3. lisinopril 5mg daily 4. plavix 75mg daily 5. atorvastatin 80mg daily 6. stop your niacin, verapamil. continue your spiriva and chantix. . we are happy that you have agreed to stop smoking. this will greatly improve your health. . please contact your pcp or go to an emergency department for any chest pain, shortness of breath, abdominal pain, sweating, or nausea. please see your pcp and cardiologist soon. . please, no heavy lifting for 1 month. followup instructions: pcp: . , phone , fax . apt scheduled for thursday, at 10:00 am . you need to see a cardiologist within the next 1-2 months. procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters injection or infusion of platelet inhibitor 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 tobacco use disorder unspecified essential hypertension chronic airway obstruction, not elsewhere classified other and unspecified hyperlipidemia acute myocardial infarction of other inferior wall, initial episode of care 

Answer: The patient is high likely exposed to