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: tylenol-codeine #3 attending: chief complaint: chest pain major surgical or invasive procedure: - percutaneous coronary intervention w/ drug-eluting stent placement (x2) in right coronary artery. history of present illness: 54 year old male with pmh of hypercholesterolemia admitted with chief complaint of chest pain. pt reports that this afternoon he had substernal chest pain and diaphoresis. previously he was in good health and denies any h/o angina. . in the ed ekg revealed ste in inferior leads and in v5/v6. pt was loaded with 600mg of plavix, given 325 asa and given heparin bolus. . cath revealed 70% mid-rca lesion and occlusion of pda. thrombectomy of rca and pci placed in rca and pda lesions. was given fentanyl for cp. . on transfer to ccu pt was in sinus rhythm, sbp 160 and vitals were otherwise unremarkable. venous sheath was still in place. pt still complaining of chest pain and ste have not yet resolved, but improved. . on review of systems, s/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: 1. cardiac risk factors: dyslipidemia. 2. cardiac history: unremarkable. 3. other past medical history: left inguinal hernia. social history: works as skilled metal worker. lives with fiance in but stays every night with his mother in . primary caretaker of mother, has limited support from siblings. - tobacco history: no - etoh: no - illicit drugs: no family history: father died of mi mother s/p quadruple bypass physical exam: vs: t=afebrile (tmax=99.7, range=97-99.7 x 24 hrs) bp=91-114/59-79 hr=80-104 rr=16-20 o2-sat= 95-97% general: nad. oriented x3. heent: sclera anicteric, non-injected. perrl, eomi. neck: supple. no lymphadenopathy or asymmetry noted. cardiac: pmi located in 5th intercostal space, midclavicular line. regular rate and rhythm. normal s1, s2. no m/r/g or s3/s4 noted. no thrills, lifts. lungs: 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. venous sheath in place 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+ . exam at discharge: general:54 yo m in no acute distress heent: perrla, no pharyngeal erythemia, mucous membs moist, no lymphadenopathy, jvp non elevated chest: ctabl no wheezes, no rales, no rhonchi cv: s1 s2 normal in quality and intensity rrr no murmurs rubs or gallops abd: soft, non-tender, non-distended, bs normoactive. pos hernia. ext: wwp, no edema. dps, pts 2+. neuro: cns ii-xii intact. 5/5 strength in u/l extremities. gait wnl. skin: no rash psych: a/o , calm, appropriate pertinent results: admission and hospital course labs 10:22pm plt count-227 10:22pm neuts-55.7 lymphs-37.0 monos-5.2 eos-1.4 basos-0.7 10:22pm wbc-8.3 rbc-5.00 hgb-15.5 hct-42.0 mcv-84 mch-31.0 mchc-36.8* rdw-13.5 10:22pm calcium-8.6 phosphate-3.3 magnesium-2.1 10:22pm glucose-160* urea n-15 creat-0.7 sodium-142 potassium-3.1* chloride-109* total co2-19* anion gap-17 10:30pm pt-17.9* inr(pt)-1.6* 10:22pm blood ctropnt-<0.01 04:51am blood ck-mb-261* mb indx-8.1* ctropnt-7.56* 01:22pm blood ck-mb-209* mb indx-7.2* 05:12am blood ck-mb-83* mb indx-5.1 10:22pm blood ck(cpk)-106 04:51am blood ck(cpk)-3224* 01:22pm blood ck(cpk)-2917* 05:12am blood ck(cpk)-1614* 04:51am blood triglyc-155* hdl-34 chol/hd-6.3 ldlcalc-150* . discharge labs 07:15am blood wbc-8.0 rbc-4.70 hgb-14.6 hct-40.6 mcv-86 mch-31.0 mchc-35.9* rdw-13.4 plt ct-201 05:12am blood pt-14.9* ptt-36.4* inr(pt)-1.3* 07:15am blood glucose-134* urean-19 creat-0.8 na-141 k-4.1 cl-104 hco3-28 angap-13 . imaging cardiac cath: comments: 1. selective coronary angiography of this right dominant system demonstrated two vessel coronary artery disease. the lmca was normal. the lad was patent. the lcx had less than 50% stenosis. the rca had a 70% mid-vessel lesion and a subtotal occlusion before the bifurcation with complete occlusion of the pda. 2. limited resting hemodynamics revealed systolic and diastolic arterial hypertension. 3. successful aspiration thrombectomy, ptca and stenting of the distal rca into the pda with a 3.0 x 18 mm promus des (see ptca comments). 4. successful direct stenting of the mid rca with a 3.5 x 28 mm promus des (see ptca comments). 5. successful rfa angioseal (see ptca comments) final diagnosis: 1. two vessel coronary artery disease. 2. normal ventricular function. 3. successful aspiration thrombectomy and pci fo the distal rca into the pda with a 3.0 x 18 mm promus des. 4. successful pci of the mid rca with a 3.5 x 28 mm promus des. tte: the left atrium and right atrium are normal in cavity size. the estimated right atrial pressure is at least 15 mmhg. left ventricular wall thicknesses and cavity size are normal. there is mild to moderate regional left ventricular systolic dysfunction with severe hypokinesis of the basal 2/3rds of the inferior and inferolateral walls. the remaining segments contract normally (lvef = 40-45 %). transmitral and tissue doppler imaging suggests normal diastolic function, and a normal left ventricular filling pressure (pcwp<12mmhg). right ventricular chamber size is normal with focal basal free wall hypokinesis. the ascending aorta is mildly dilated. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. impression: normal left ventricular cavity size with regional biventricular systolic dysfunction c/w cad (prox/mid rca distribution). mild pulmonary artery systolic hypertension. brief hospital course: mr. is a 54 yo male with pmh of hyperlipidemia who presented with chest pain and found to have stemi s/p 2 drug-eluting stent placement. . # acute inferior myocardial infarction (stemi): initial ekg showed st elevation in ii, iii, avf, v5 and v6, as well as st depression in i, avl, avr, v1 and v2. pt underwent emergent catheterization, which revealed 70% stenosis of rca, and 100% occlusion of pda. aspiration thrombectomy was performed, and 2 drug-eluting stents were placed (distal-rca into pda, mid-rca). post-pci echocardiogram performed on hd 2 was notable for mild lv dysfunction, w/ ef of 40-45%, and severe hypokinesis of basal inferior/inferolateral walls and mild pulmonary hypertension. his post-cath course was complicated by right groin hematoma at the site of access on hd 2, but resolved without intervention. he also developed low-grade temps to tmax of 100.5, but was without other concerning signs or symptoms for infection or acute thromboembolic event. he was started aspirin, plavix, atorvastatin, lisinopril, and metoprolol. he tolerated these medications well, and at time of discharge, pt had experienced no observed arrhythmias on telemetry, and was asymptomatic, feeling well and ready to go home. . # hypertension: pt was previously on hctz/lisinopril, stopped secondary to side-effects (lightheadedness). he was started on metropolol and lisinopril for long-term improved cardiac outcome. . # hyperlipidemia: at time of admission, pt was not on any lipid-lowering medications, and lipid panel on this admission revealed ldl of 150, borderline low hdl and tg 155. as pt is status-post acute myocardial infarction, he was started on atorvastatin, which will require long-term continuation. . transitional issues: - will have follow-up with np on , previous outpatient cardiology (dr. on , and dr. on - will recommend cbc + bmp check-up at first outpatient consultation. - dry weight estimated at 89kg. will aim for healthy weight reduction via low-salt/low-fat cardiac diet. medications on admission: none. discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*11* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. metoprolol succinate 50 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po daily (daily). disp:*30 tablet extended release 24 hr(s)* refills:*2* 6. nitrostat 0.4 mg tablet, sublingual sig: one (1) tablet sublingual as directed as needed for chest pain. disp:*25 tablets* refills:*0* discharge disposition: home discharge diagnosis: st elevation myocardial infarction acute systolic dysfunction dyslipidemia discharge condition: medically stable. mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr. , it was a pleasure taking care of you during your hospitalization at . you were admitted because you had a heart attack. images of your heart (catheterization) showed that critical vessels that supply blood to your heart were blocked, and so 2 stents (drug-eluting) were placed in order to keep the blood vessels open. echocardiogram (which is an ultrasound of your heart) after the catheterization procedure showed impaired heart function. these findings predispose you to future heart problems, including fluid backup in your lower extremities and lungs. please start taking the following medications in addition to your home medications: 1. metoprolol - to lower your heart rate, control your blood pressure and help your heart pump better. 2. atorvastatin - to lower your cholesterol and prevent future plaque build-up in your heart's arteries. 3. plavix - to prevent re-occlusion of your stented arteries or blockage of the drug-eluting stent that was placed. 4. aspirin - to prevent platelet blockage of the drug-eluting stent that was placed. 5. lisinopril - to control your blood pressure and help your heart pump better. 6. nitroglycerin - to alleviate heart-related chest pain. please take this medication if you have chest pain at home that is similar to the chest pain that brought you to the hospital. take one tablet, wait 5 minutes, then take another tablet. please call 911 if you still have chest pain after 2 tablets, and please call dr. if you use nitroglyerin at all. it is very important that you are compliant with these medications, especially plavix (clopidogrel) and aspirin. skipping or changing doses of these medications can result in life-threatening blockage of the arteries that were blocked during this heart attack. do not stop unless your cardiologist, dr. , tells you that it is ok. in addition, please: 1. weigh yourself every morning, and call your primary care physician if your weight goes up by more than 3 lbs (total). 2. continue the exercise plan that the physical therapist discussed with you during this admission. 3. involve your family and friends in your lifestyle modifications (including low-salt/low-fat diet, aerobic exercise and new medication regimen) in order to facilitate the long-term maintenance of this care. thank you for entrusting your health to our staff. please contact the () if you have chest pain again or any other concerning symptoms. followup instructions: name: , np location: medical associates, p.c. address: , stes 3a, b, , phone: appointment: thursday at 10:45am name: , md specialty: cardiology address: ,ste 2c, , phone: appointment: tuesday at 10:30am department: cardiac services when: tuesday at 9:00 am with: , m.d. building: sc clinical ctr campus: east best parking: garage procedure: coronary arteriography using two catheters injection or infusion of platelet inhibitor left heart cardiac catheterization insertion of drug-eluting coronary artery stent(s) transposition of cranial and peripheral nerves insertion of two vascular stents excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on two vessels diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension 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 heart disease, unspecified 

Answer: The patient is high likely exposed to