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: codeine / flexeril / lipitor attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization : cypher stent to proximal lad history of present illness: the patient is a 49 year old male with a history of heavy etoh use 17 years ago, dmii x 3 years (diet-controlled), htn, hl, a 30 pack year smoking history, with a history of negative mibi x 2 who presents with the chief complaint of substernal chest pressure. the patient had just gotten out of his car and was walking from his car when he experienced substernal chest pressure associated with shortness of breath, diaphoresis, no nausea/vomiting or radiating pain to jaw/left arm or back. the patient felt he was suffering a heart attack and drove himself to the ed where it was discovered he had large 3- elevation v1-v6 with peaked t waves v2-v5 with inverted t waves in iii and st depressions in ii, iii and avf. the patient did not become pain free until he had a stent placed in the cath lab. in the ed, he received 5 mg iv lopressor x2, heparin and integrillin, nitro gtt, morphine 2 and 4 mg iv, plavix 300 mg. his troponin was <0.01 in the ed. in the cath lab, the following were found: right dominant system with ef 50% with normal filling pressures and mild systemic hypotension lmca normal 100% lad after d1 without collaterals 50% om1 80% mid vessel rca cypher stent to lad in the cath lab, the patient had vfib arrest and was shocked with 200 j x 1 and returned to nsr. the patient at baseline denies physical activity but denies any difficulty going up 2-3 flights of stairs. he denies any orthopnea, paroxysmal nocturnal dyspnea, or increased swelling in his extremities. he sleeps with 2 pillows for comfort only. the patient states he usually gets sharp, substernal chest pain once a week at rest that is different in nature than the pressure he experienced on presentation. he relates his usual pain to his esophageal hernia. past medical history: dmii x 3 years htn hl h/o etoh use - drank quarts vodka, scotch/day 17 years ago esophageal hernia 2 herniated discs in lower back h/o narcotic addiction h/o iv drug use and cocaine use social history: the patient currently works for health. he smokes 1 ppd x 36 years. he denies current etoh use but admits to heavy etoh use 17 years ago with 1-2 quarts of vodka, scotch a day. he denies a history of dts, seizures. he also admits to a remote history of cocaine and iv drug use. he also has had a narcotic addiction which required methadone. family history: father deceased at age 65 from dmii, no history of cad mother deceased at age 68 from lung cancer has 2 siblings htn, no other medical issues physical exam: tc=97.3 p=69 bp=116/71 rr=18 100% on ra gen - nad, aox3, breath smelling of etoh heent - no jvd, no carotid bruits heart - rrr, no m/r/g lungs - ctab (anteriorly) abdomen - soft, nt, nd, + bs ext - right groin small hematoma, soft, no bruit, +2 d. pedis bilaterally, no c/c/e, sheath in place pertinent results: cxr : no cardiomegaly, no pleural effusions/pulmonary edema. no acute disease. 07:10am blood wbc-9.2 rbc-5.16 hgb-16.0 hct-45.0 mcv-87 mch-31.0 mchc-35.6* rdw-13.0 plt ct-236 07:10am blood wbc-8.0 rbc-5.74 hgb-17.2 hct-50.5 mcv-88 mch-29.9 mchc-34.1 rdw-13.0 plt ct-228 06:04am blood wbc-10.5 rbc-5.23 hgb-15.7 hct-46.2 mcv-88 mch-30.1 mchc-34.0 rdw-13.2 plt ct-224 11:35pm blood hct-42.9 plt ct-243 05:14pm blood wbc-13.4* rbc-5.01 hgb-15.1 hct-43.6 mcv-87 mch-30.1 mchc-34.6 rdw-13.1 plt ct-237 02:15pm blood wbc-9.3 rbc-5.63 hgb-17.1 hct-49.2 mcv-87 mch-30.4 mchc-34.9 rdw-13.2 plt ct-316 07:10am blood pt-13.0 ptt-25.6 inr(pt)-1.1 07:10am blood glucose-117* urean-14 creat-0.9 na-138 k-4.4 cl-107 hco3-22 angap-13 02:15pm blood urean-20 creat-1.1 na-139 k-3.2* cl-104 hco3-23 angap-15 07:10am blood ck(cpk)-179* 12:00am blood ck(cpk)-201* 06:04am blood ck(cpk)-741* 11:35pm blood ck(cpk)-763* 05:14pm blood alt-22 ast-28 ld(ldh)-171 ck(cpk)-319* alkphos-59 amylase-61 totbili-0.5 06:04am blood ck-mb-58* mb indx-7.8* ctropnt-1.73* 11:35pm blood ck-mb-60* mb indx-7.9* 05:14pm blood ck-mb-23* mb indx-7.2* 05:14pm blood %hba1c-6.1* 05:14pm blood triglyc-33 hdl-42 chol/hd-3.9 ldlcalc-116 cath study date of comments: 1. coronary angiography demonstrated a right dominant system with single vessel coronary artery disease. the lmca had no angiographically apparent, flow-limiting disease. the lad had no angiographically apparent, flow-limiting disease with a widely patent lad stent. the lcx had an om1 with a 50% lesion. the rca had a midvessel 70% lesion. 2. limited resting hemodynamics revealed normal central blood pressures of 131/81 mmhg. 3. successful placement of 3.5 x 13 mm cypher drug-eluting stent in rca postdilated with a 3.75 mm balloon. final angiography demonstrated minimal residual stenosis, no angiographically apparent dissection, and normal flow (see ptca comments). final diagnosis: 1. single vessel coronary artery disease. 2. normal central blood pressure. 3. successful placement of drug-eluting stent in rca. c.cath study date of comments: 1. selective coronary angiography revealed a right dominant system with two vessel coronary artery disease and abrupt occlusion of the lad. the lmca did not have any angiographic evidence of coronary artery disease. the lad had a total occlusion just after the take-off of the first diagonal branch, which was large. this was the infarct vessel and was stented (see below). the lcx had a 50% stenosis of its first om branch. the rca had a discrete 80% stenosis in the mid-vessel and was dominant. 2. hemodynamics performed after the coronary intervention demonstrated normal filling pressures and a reduced cardiac output and index. there was mild systemic hypotension. there was no evidence of a gradient between the lv and the aorta on pullback of the catheter. 3. left ventriculography revealed an ef of 50% with apical hypokinesis. there was no mitral regurgitation. 4. successful primary ptca and stenting of the mid lad with a 3.5 x 23 mm cypher des. final angiography revealed no residual stenosis, no apparent dissection, and normal flow (see ptca comments). final diagnosis: 1. three vessel coronary artery disease. 2. preserved ventricular function. 3. acute anterior myocardial infarction managed by primary ptca and placement of a drug-eluting stent in the lad. chest (portable ap) 2:23 pm chest, one view: comparison with . the cardiac and mediastinal contours are stable and within normal limits. no pleural effusions, although the right costophrenic angle is incompletely imaged. no pulmonary edema, pneumothorax, or infiltrate. impression: no acute cardiopulmonary process. brief hospital course: the patient is a 49 year old male with a history of remote heavy etoh and drug use, dmii, 30 pack year tobacco history, hl and htn who presented with large anterior stemi s/p cypher stent to the proximal lad complicated by vfib arrest 1. cad - the patient underwent initial catheterization in the setting of his stemi which showed a totally occluded lad after the take-off of the first diagonal branch which was subsequently stented with a cypher stent. his cardiac cath was complicated by ventricular fibrillation arrest to which he resumed nsr after one shock of 300 joules. he was taken back to the cath lab on to address a 70% rca lesion which was stented with a cypher stent as well without further events. - the patient was continued on plavix and aspirin. - we held off on a b-blocker initially given his relative low bp in the cath lab but he was able to tolerate up to toprol xl 50 mg prior to discharge. in addition, we managed to titrate up to 5 mg of lisinopril. - the patient states that he did not tolerate lipitor in the past secondary to myalgias and elevated liver enzymes. we started the patient on crestor to see if he had an indiosyncratic effect with lipitor. crestor was started at a low dose which the patient tolerated well. 2. dmii - the patient does not check his blood sugars at home and although he has been seen in , he says he only went to one appointment. we checked a hba1c which was 6.1. he was maintained on a sliding scale insulin during his stay with blood sugars in the mid 100 range. the patient was given an appointment to follow up with as an outpatient for a tailored outpatient regimen. 3. htn - the patient took felodipine 5 mg qd and diovan/hctz 160/12.5 qd at home. we discharged the patient on toprol xl 50 mg and lisinopril 5 mg for cardioprotective effects. medications on admission: plendil 5 mg po qd diovan/hctz 160/12.5 po qd paxil 25 mg po qd asa 81 mg po qd nexium discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. nexium 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. 3. rosuvastatin calcium 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. paroxetine hcl 25 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). 5. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. metoprolol succinate 50 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). disp:*30 tablet sustained release 24hr(s)* refills:*2* 7. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. nitroglycerin 0.4 mg tablet, sublingual sig: one (1) sublingual up to 3 as needed: please place one tablet under the tongue if you experience any chest pain for up to three doses. if your pain is not relieved, please call 911 immediately. disp:*30 30* refills:*2* discharge disposition: home discharge diagnosis: anterior st elevation myocardial infarction diet-controlled type ii diabetes discharge condition: stable. discharge instructions: please call 911 or report to the er if you experience any chest pain. do not drive yourself to the er if you experience more chest pain. it is important for your health to stop smoking as you just had a heart attack. smoking raises your risk of heart disease and another heart attack. you must take your aspirin every day and plavix every day for the next 9 months. failure to do so may result in another heart attack or even death. followup instructions: please schedule an appointment to see your primary care physician 2 weeks. please call to schedule an appointment with your cardiologist, dr. , in 4 weeks. you are scheduled to see the diabetes center on friday, at 9:00 am with dr. . you may go to the center, . please call should you have questions. it is important that you have diabetic follow up after your heart attack. procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor injection or infusion of platelet inhibitor left heart cardiac catheterization left heart cardiac catheterization other electric countershock of heart insertion of drug-eluting coronary artery stent(s) insertion of drug-eluting coronary artery stent(s) diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery esophageal reflux tobacco use disorder unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified other and unspecified hyperlipidemia ventricular fibrillation lumbago examination of participant in clinical trial 

Answer: The patient is high likely exposed to