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: chest pain major surgical or invasive procedure: cardiac catheterization with stent placement history of present illness: this patient is a 68 year old male patient with a history of htn, tias and carotid stenosis who presents after developing sudden onset of at 230pm today while he was the passenger in a car. he was at rest, not exerting himself. he developed shortness of breath and nausea, and the pain spread down left arm with some numbness in his fingers. the pain lasted several hours. ems was called and he was taken to the er where he was found to have 2mm st elevation 2, 3, avf and left bundle branch block. . he was transferred to cath lab for emergent cath with bms to the rca. he has transient bradycardia following line wire placement. on admission to ccu he was without chest pain, sob, palpatations. . at baseline, patient denies ever having chest pain in the past, denies palpatations, shortness of breath, is able to climb stairs and exert himself without shortness of breath. . ros: patient has hx of multiple tias with no residual losses. denies hx of stroke dvt, pe, cough, bloody . patient comlains of numbness in fingers occassionally, both left and right. past medical history: htn: patient treated, but med dc/ed due to frequent episodes of hypotension nephrolithiasis, s/p lithotripsy hernia repair in the 60s carotid stenosis, unknown degree recurrent tias, initially on aspirin, recurrent, then started on coumadin; last in this year; no residual neurological deficit social history: - 40 pack years tobacco use. 1ppd x 40 years. quit last week. - admits to binge drinking occasionally (?1/week), and 1-2 beers every night, has never had seizures. - at baseline ambulatory, able to ambulate 2 flights of stairs without problems, independent in adls family history: - father died of "cancer" in his 80s, mother with heart problems, died at age 70, first mi in 60s, no h/o sudden death physical exam: vs: t 97.0, bp 114/66, hr 76, rr 14, o2 97 % on 4l gen: middle aged male in nad. oriented x3. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, mm dry. adentulous neck: supple with non elevated jvp. no bruits auscultated cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no s4, no s3. chest: unlabored, no accessory muscle use. no crackles, wheeze, rhonchi. some coarse sounds at base. abd: obese, ntnd, no hsm or tenderness. no abdominial bruits. ext: no c/c/e. no femoral bruits bl. groin with 4inch hematoma. left arm swollen from shoulder to wrist. small demarcated area of erythema on antecubital fossa at site of previous iv. pulses palpable, warm. pulses right: carotid 2+ without bruit; femoral 2+ without bruit; 2+ dp left: carotid 2+ without bruit; femoral 2+ without bruit; 2+ dp pertinent results: . echo: the left atrium is normal in size. left ventricular wall thicknesses and cavity size are normal. there is mild regional left ventricular systolic dysfunction with basal inferior/inferolateral akinesis (probable distribution of the rca). the remaining segments contract normally (lvef = 45%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. the pulmonary artery systolic pressure could not be determined. there is a trivial/physiologic pericardial effusion. impression: suboptimal image quality. mild regional left ventricular systolic dysfunction, c/w cad. no clinically-significant valvular disease. . carotid echo impression: 1. no significant ica stenosis bilaterally (graded as less than 40% bilaterally). 2. indirect findings suggesting an element of right vertebral artery stenosis proximal to the area of interrogation. . ue doppler impression: no evidence of deep venous thrombosis. . 07:01pm ck(cpk)-879* 07:01pm ck-mb-146* mb indx-16.6* ctropnt-1.94* brief hospital course: 68 yo man with inferior stemi, hemodynamically stable. . stemi/cad: pt with st elevations in ii, iii, avf and positive cardiac enzymes. chest pain resolved. patient taken directly to cath from osh and recieved bms to rca. he was on integrillin for 18hours post cath. on nitro gtt, which was titrated off quickly post cath. patient was started on plavix 75 daily, asa 325, simvastatin 80, lisinpril 2.5 daily, atenolol 25 daily. no recurrence of cp after cath. will follow up with cardiolgist at . . bradycardia: while in cath lab, normal hr since. rca lesion, distal to artery to av node. pt normotensive since, tolerating bblocker and ace. . le arm swelling: left arm larger than right, no pain, warm. has history of numbness in b/l fingers. le ultrasound shows noc|dvt . hx of tia: no residual deficits. no carotid stenosis. patient now on plavix and aspirin, so no need for coumadin in addition to this. medications on admission: home meds: coumadin 2.5/5 every other day asa . transfer medications: plavix 300 mg bolus plavix 75 mg po daily s/p heparin bolus 1555 heparin gtt at 1000/hr (turned off prior to cath) zofran 8mg at morphine 4mg asa 325mg in er integrillin being started by discharge medications: 1. 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:*0* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. simvastatin 80 mg tablet sig: one (1) tablet po at bedtime. disp:*30 tablet(s)* refills:*0* 4. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. atenolol 25 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). disp:*15 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary stemi secondary hypertension discharge condition: stable, chest pain free discharge instructions: 1. you were admitted from an outside hospital with a myocardial infarction, or a "heart attack." you were taken emergently to the catheterization lab and it was found that one of your coronary arteries was blocked. you had a stent placed to this coronary artery. you also had a carotid ultrasound to evaluate the arteries that supply your brain. it was found that your carotid arteries are patent and without evidence of occlusion. . 2. the following medication changes were made during your hospital stay: a) coumadin was discontinued as you are now on plavix and aspirin which serve as blood thinners to decrease your risk of stroke. b) plavix and high dose aspirin were started. it is imperative that you take both of these medications to minimize the risk of your stent occluding. c) you were also started on simvastatin, lisinopril and atenolol for your heart. . if you have any of the following symptoms, you should return to the ed or see your pcp: pain, difficulty breathing, palpitations, or any other serious concerns. followup instructions: you will receive a phone call from your pcp's office for an appointment. you should schedule your appointment and see your pcp 5 to 7 days. pcp: , . . it it important that you obtain a referral to a cardiologist from your pcp. should follow up with a cardiologist in the next 2 to 3 weeks. md, procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization 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: anemia, unspecified coronary atherosclerosis of native coronary artery unspecified essential hypertension other chronic pulmonary heart diseases acute myocardial infarction of other inferior wall, initial episode of care long-term (current) use of anticoagulants personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits raynaud's syndrome 

Answer: The patient is high likely exposed to