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: aspirin / toradol attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization rca stent placement history of present illness: 49 yo male with h/o imi in ', htn, hypercholesterolemia, former cocaine user, + tob user, s/p ptca + stent of rca which was shown in 4/00 to have mild restenosis, also with poor medication complicance (not taking bb or plavix x2 years) presented to hospital on with sscp radiating to neck and arm, ce neg but persistent cp not relieved by transfered to for ptca. last cath with mild 1vd with 50% rca stenosis just proximal to previous minimally restenosed stent. during hospitalization at from to , pt was taken to cath showing 70% mild rca occlusion, but could not receive drug coated stent d/t aspirin allergy. pt was supposed to stay for elective aspirin desensitization in the micu prior to stent placement, but chose to leave ama and follow up for future elective stenting. he presents now for aspirin desensitization and cardiac cath. . on interview, pt reports decrease in exercise tolerance x 3 weeks and numerous episodes of sscp associated wtih sob and radiation to he r arm at rest. no associated n/v/diaphoresis. cp episodes not more with activity. denies pnd, orthopnea, le edema. cp episodes last 20-30 minutes, resolved wtih slntg. denies recent cocaine use. past medical history: cad (imi in 99 s/p rca stent, angio of jailed pda in ', no increasing cad 00,00,02,02. htn (on atenolol 100mg at home, not taking) h/o rheumatic heart dz in in (after strep throat) c/p pericarditis. chronic cresendo angina (all started after his pericarditis) hyperlip. not taking his lipitor meniere's dx (deaf in right ear) laminectomy x 2 social history: the patient has a one half to two pack per day times 30 years. the patient drinks roughly 32 ounces of alcohol per day, on weekends, and sometimes drinks three to four bottles of wine or hard liquor. no intravenous drug abuse. denies recent cocaine. the patient is married with children. he works for the postal office. very noncompliant with meds (on no medications x 2 years). physical exam: 98.6 72 114/81 16 96%ra well-app, sitting upright in chair, nad no jvd appreciated no o/p erythema or lesions rrr, s1s2 nl, no murmurs, 1+ femoral pulses bilaterally without bruits, r pulse > l. dp 2+ bilaterally lungs cta b legs without edema pertinent results: 07:06pm wbc-9.2 rbc-4.37* hgb-15.2 hct-44.0 mcv-101* mch-34.7* mchc-34.5 rdw-12.6 07:06pm plt count-324 07:06pm neuts-60.8 lymphs-30.8 monos-4.3 eos-3.2 basos-0.9 . 07:06pm glucose-75 urea n-12 creat-0.7 sodium-140 potassium-4.4 chloride-104 total co2-27 anion gap-13 07:06pm calcium-8.9 phosphate-2.4* magnesium-2.1 . 07:06pm pt-12.5 ptt-36.9* inr(pt)-1.0 . left heart cath on previous admission (): selective coronary angiography revealed a right-dominant system. the lmca, lad and lcx were all non-obstructed with no evidence for flow-limiting stenoses. the rca had a 70% lesion just proximal to the previously placed stent with minimal instent restenosis. 2. left ventriculgraphy was deferred. 3. resting hemodynamics revealed a mildly elevated central aortic pressure (systolic 145mmhg). 4. asa allergy previously documented requires asa densensitization prior to drug-coated stenting. . cath : 1. selective coronary angiography demonstrated single vessel disease. the rca had an 80% lesion just proximal to the previously placed stent. the lmca, lad, and lcx were angiographically normal vessels. 2. successful pci of the rca with a 3.0 x 13 mm cypher des (overlapping with the prior stent). 3. successful closure of the right femoral arteriotomy site with a 6 french angioseal device. brief hospital course: 1. cad: - the patient was admitted at night for aspirin desensitization in preparation for cath the following day. after admission, he began to complain of mid l chest pain radiating to the shoulder and neck. ekg showed non-specific tw flattening in the inferior leads. the pt was given sl ntg x 3 without effect, followed by 2mg morphine without effect, followed by heparin/integrilin and nitro drips. after several hours, the pain was reduced. the pt was ruled out for mi by enzymes x 3 sets. - the pt described this pain on the night of admission as similar to that at home, but more severe. the following morning he still described himself as having pain -- his "baseline chest pain" that has been present for years. he looked comfortable. - the patient was begun on aspirin, plavix, and also maintained on heparin/integrilin drips overnight. he received pre-cath hydration with d5w/bicarb. - aspirin desensitization was begun with aspirin, ranitidine, and solumedrol. given his ivp dye rash history, he received additional solumedrol, pepcid, and benadryl. - the pt underwent rca stent with a cipher drug-coated stent the morning after admission. he had no further c/o chest pain after cath and was d/c'ed to home wthout complication. . 2. hyperlipidemia: statin was continued during this hospitalization. 3. fen - npo the night of admission, followed by cardiac healthy diet. 4. access - piv 5. prophylaxis - heparin and h2 blocker medications on admission: discharge medications from previous admission several days prior: . 1. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 2. atorvastatin calcium 40 mg tablet sig: two (2) tablet po hs (at bedtime). 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. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual prn (as needed). disp:*30 tablet, sublingual(s)* refills:*2* 5. clonazepam 0.5 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 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* discharge medications: 1. atenolol 50 mg tablet sig: one (1) tablet po bid (2 times a day). 2. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. isosorbide dinitrate 10 mg tablet sig: one (1) tablet po tid (3 times a day). 4. clonazepam 0.5 mg tablet sig: one (1) tablet po tid (3 times a day). 5. atorvastatin calcium 40 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 6. 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* 7. lisinopril 5 mg tablet sig: one (1) tablet po hs (at bedtime). 8. darvocet-n 100 100-650 mg tablet sig: one (1) tablet po every 4-6 hours as needed for pain for 6 doses. disp:*6 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: chest pain discharge condition: stable and improved discharge instructions: please call your doctor or return to the er if you have any return of chest pain, difficulty breathing, weakness, or bleeding. . please take all your medications as directed. . please stop smoking. followup instructions: please follow up with your cardiologist dr. on monday, at 11am. 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 intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension need for desensitization to allergens old myocardial infarction 

Answer: The patient is high likely exposed to