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: pollen extracts / carvedilol attending: chief complaint: left sided substernal chest pain radiating to arm and jaw. major surgical or invasive procedure: per-cutaneous cardiac catheterization with drug-eluting stent of mid left anterior descending artery. history of present illness: pt is a 77 yo m with a h/o dilated cardiomyopathy (ef 20%), afib on coumadin, s/p biv pcm secondary to complete heart block, dm, cri (baseline 1.4-1.7), pvd s/p superficial femoral artery stent transferred from osh for st elevation mi. pt awoke this am with left sided substernal chest pain raditating to his arm and neck lasting 4 hours. sub-lingual ntg was given by ems and reduced his pain from to . his ecg at demonstrated st elevation in leads v2-v4, on a background of biventricular pacing. he was hemodynamically-stable, but had exam findings of heart failure. he was transferred to for emergency catheterization for acute anterior . past medical history: dilated cardiomyopathy (ef 20%), afib (coumadin), s/p biventricular pcm secondary to complete heart block, dm, cri (1.4-1.7), pvd s/p superficial femoral artery stent, htn, h/o tia, copd, right internal carotid artery w/ 60-69% stenosis, hypercholesterolemia social history: the patient lives alone. he is a retired biochem teacher. he is a former cigarette smoker. he does not drink alcohol. family history: father died secondary to a cerebrovascular accident. physical exam: 158/68 hr 76 wt 88 kg gen: nad heent: mmm. anicteric. perrl. neck: jvd to mid ear at 0 degrees lungs: ctab ant/lat cv: rrr. nl s1s2. no m/r/g. no s3s4 abd: obese. soft. nt/nd. +bs ext: no palpable dp pulses b/l. l le w/ 3+ pitting edema, r le w/ 1+ pitting edema pertinent results: 08:18pm ck(cpk)-4051* ck-mb-346* mb indx-8.5* glucose-314* urea n-25* creat-1.5* sodium-137 potassium-5.3* chloride-103 total co2-24 anion gap-15 01:46pm ck(cpk)-4132*ck-mb-348* mb indx-8.4* ctropnt-14.11* calcium-9.5 phosphate-2.9 magnesium-1.9 cholest-88 triglycer-83 hdl chol-36 chol/hdl-2.4 ldl(calc)-35 wbc-12.2* rbc-4.60 hgb-13.4* hct-38.6* mcv-84 mch-29.0 mchc-34.7 rdw-14.3 plt count-292 * echo: the left atrium is dilated. left ventricular wall thicknesses are normal. the left ventricular cavity is moderately dilated. overall left ventricular systolic function is severely depressed (ejection fraction 20 percent) secondary to severe global hypokinesis with some relative preservation of the basal and midventricular segments of the inferior and posterior walls. there is no ventricular septal defect. the right ventricular cavity is dilated. there is focal hypokinesis of the apical free wall of the right ventricle. the aortic valve leaflets (3) are mildly thickened but not stenotic. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. moderate tricuspid regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is a small pericardial effusion. the effusion appears circumferential. there are no echocardiographic signs of tamponade. * ct head w/o contrast 12:28 pm 1. no evidence of acute intracranial hemorrhage. 2. evidence of previous infarcts in the posterior right temporal and left occipital lobes, as well as chronic small vessel ischemic changes. 3. there is no evidence of acute territorial infarct. * cath 1. two vessel cad. 2. acute anterior myocardial infarction, terminated by primary pci. 3. markedly elevated filling pressures and pulmonary artery hypertension. 4. congestive heart failure. * cxr portable congestive heart failure with interstitial pulmonary edema. brief hospital course: pt is a 77 yo m with a h/o dilated cardiomyopathy (ef 20%), afib on coumadin, s/p biv pcm secondary to complete heart block, dm, cri (baseline 1.4-1.7), pvd s/p superficial femoral artery stent transferred from osh for . 1. - pt underwent a cardiac cathederization on revealing a totally occluded lad after a small first diagonal branch. two drug-eluting stents were placed in the proximal lad with residual distal occlusion. pt was started on integrelin gtt, plavix, 325, and lipitor 40. ace-inh was restarted and titrated to lisinopril 10 . his b-blocker was restarted on the day of discharge. bp meds were weaned back given his recent likely cva (described below) and goal was for sbp>130. 2. chf - dcm w/ pcwp 40 at cardiac catherization. history of bivent pacer with ef of 15%. tte 2 days post revascularization showed ef 20% w/ severe global hypokinesis. he was diuresed with natrecor x24 hours and remained euvolemic off of the drip for >72 hours prior to discharge. he will continue lasix at rehab/home on a prn basis. 3. probable cva - on hd#2 patient developed acute onset of mental status changes, primarily involving word finding difficulties and slow/slurred speech. he was evaluated by the stroke team who also noted mild weaknees in right ue. lysis was considered, however, given his recent cath and elevated pt from anticoaggulation for afib, this was felt not to be an option. he had two negative ct of the head. an mri was contraindicated given his pacemaker. he will need to have a cta of the brain sometime in the futuer as an outpatient. he mental status gradually improved during the hospitalization, but never returned to baseline. he was seen by speech and swallow and felt to have no acute needs. cartoid u/s was not repeated given examination in . although not definitive, it was felt that he had a minor ischemic cva as a complication of his mi. 4. afib- heparin started hd#2, turned off after ms changes but restarted once ct head w/o evidence of bleed. overlapped with coumadin with goal inr 2.0-3.0. his inr was 3.3 on date of discharge and he was instructed to hold coumadin until inr <3.0. 5. arf on crf - creat bumped from 1.5 -> 2.1 with diuresis. once stopped, creat normalized at 1.6 (baseline). 6. copd - stable on mdis. likely partially responsible for elevated pulmonary pressures at catherization. 7. dispo - pt worked with patient on at least one occasion and felt he was not safe for home. he was stubborn and initially refused rehab, but eventually was agreeable. he will be d/c'd to ticu where his cardiologist will be able to participate in his care. medications on admission: coumadin, dig 0.25 qd, lisinopril 10 mg po , 81 mg po qd, lipitor 10 mg po qd, glipizide 10 mg po qd, zyrtec, coreg 3.125 mg pi , albuterol ih prn discharge medications: 1. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po qd (once a day) for 300 days. disp:*300 tablet(s)* refills:*0* 2. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. 3. digoxin 250 mcg tablet sig: one (1) tablet po qd (once a day). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. glipizide 10 mg tablet sig: two (2) tablet po bid (2 times a day). 6. atorvastatin calcium 10 mg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*2* 7. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po qd (once a day). 8. lisinopril 10 mg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*2* 9. toprol xl 25 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day. 10. lasix 20 mg tablet sig: one (1) tablet po please take if your weight increases by 2 lbs in one day. disp:*30 tablet(s)* refills:*2* 11. warfarin sodium 2.5 mg tablet sig: one (1) tablet po hs (at bedtime): please hold on evening of and recheck in am. goal inr . . discharge disposition: extended care facility: - discharge diagnosis: myocardial infarction with stent of left anterior descending artery. discharge condition: fair. discharge instructions: please call your primary care physician or return to the hospital if your chest pain recurs or any other problems arise. followup instructions: 1. provider: where: date/time: 9:00 2. provider: , surgery where: surgery date/time: 10: 3. follow up appointment with dr. . at 4:30 pm. 4. thurs at 1:30 pm for nuclear stress test at hospital. please do not eat or drink 4 hours prior to the test. please do not have caffeine 24 hrs prior to the test. please call with questions. procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor injection or infusion of nesiritide insertion of drug-eluting coronary artery stent(s) diagnoses: other primary cardiomyopathies congestive heart failure, unspecified acute kidney failure, unspecified acute myocardial infarction of other anterior wall, initial episode of care chronic airway obstruction, not elsewhere classified atrial fibrillation occlusion and stenosis of carotid artery without mention of cerebral infarction hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease cerebral embolism without mention of cerebral infarction 

Answer: The patient is high likely exposed to