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: s/p cardiac catheterization and bare metal stent placement to lad history of present illness: 85 yo m with hyperlipidemia, htn, who developed abdominal/l arm/chest pain earlier today and presented to an osh with stemi in v1-v2. he was started on asa, given plavix 600mg, started on heparin and integrillin. intra-cath, he had a bms to lad (95+% lesion) and was found to have a 40% lesion of his proximal lcx. his right heart cath showed ra pressure 15, pcwp 26, pa 45/26. past medical history: hyperlipidemia htn bph mi "20 years ago" with no intervention social history: formerly smoked 3 ppd, quit 24 yrs ago. drinks 1 shot of liquor every night. denies drug use. formerly worked as an attorney (retired). family history: non-contributory physical exam: t 97.1 hr 105 bp 153/93 rr 19 sat 97% on 2l nc gen: nad, comfortable heent: op clear neck: jvp 7cm, no carotid bruits chest: clear to auscultation anteriorly/laterally heart: mildly tachycardic, reg rhythm, no m/r/g abd: obese, soft, ntnd, nl bs, no hsm extr: 1+ pt pulses, trace dp pulses, no edema neuro: a&o x3, cn 2-12 intact pertinent results: 05:07am blood alt-70* ast-365* ld(ldh)-863* ck(cpk)-2993* alkphos-68 totbili-0.8 05:07am blood ck-mb-194* mb indx-6.5* 08:00pm blood ctropnt-1.89* 08:00pm blood glucose-121* urean-22* creat-1.0 na-134 k-3.9 cl-100 hco3-26 angap-12 10:16pm blood wbc-12.2* rbc-4.87 hgb-14.3 hct-41.5 mcv-85 mch-29.4 mchc-34.5 rdw-13.8 plt ct-268 05:07am blood %hba1c-6.2* -done -done . ecg (pre-cath): sinus tachycardia at 105 bpm, normal axis, normal intervals, st elevations in v1-v2 with st depressions in inferior leads and v5-v6 . brief hospital course: mr. was taken directly from hospital to the cardiac cath lab for a large anterior stemi. during the cath, he had a bare metal stent placed in his lad for a 95+% lesion. he also was found to have a 40% lesion of his proximal lcx which was not intervened upon. his right heart cath showed ra pressure 15, pcwp 26, pa 45/26. post-cath, he was admitted to the ccu for observation and did well. he was started on aspirin, clopidogrel, high-dose atorvastatin, and restarted on his home dose of lisinopril. metoprolol was also titrated up and he was discharged on toprol xl. he was called out to the floor on hospital day #2 and monitored for 72 hours. since he had had an anterior stemi and was thus at risk for a mural thrombus, he was maintained on a heparin drip. prior to discharge, he had a tte which showed an lvef of 35%, an lv aneurysm with possible mural thrombus, as well as focal akinesis of the anterior septum, distal anterior wall, and apex. due to the apical akinesis and question of mural thrombus, he is being discharged on warfarin with plans to followup with a new pcp here at and the . he will need warfarin for at least 6 months (to be further determined by his outpatient cardiologist and pcp). medications on admission: atenolol 50mg daily simvastatin 40mg daily lisinopril 20mg daily terazosin 1mg qhs zolpidem 5mg qhs imdur 30mg daily donepezil 5mg qhs nacl nasal spray 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:*2* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. sodium chloride 0.65 % aerosol, spray sig: sprays nasal qid (4 times a day) as needed for congestion. 6. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 7. toprol xl 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* 8. warfarin 2.5 mg tablet sig: two (2) tablet po at bedtime. disp:*60 tablet(s)* refills:*2* 9. donepezil 5 mg tablet sig: one (1) tablet po at bedtime. 10. terazosin 1 mg capsule sig: one (1) capsule po at bedtime. discharge disposition: home discharge diagnosis: primary diagnosis: anterior st-elevation myocardial infarction with possible mural thrombus secondary diagnosis: hypertension, hyperlipidemia, bph discharge condition: good discharge instructions: you have had a myocardial infarction or "heart attack" and have had a stent placed in one of the arteries which supplies blood to your heart. it is very important that you take all of your medications as prescribed, especially the plavix (clopidogrel) and aspirin, since these medicines will help to keep your new stent from clotting. do not stop taking the plavix or aspirin without talking to your cardiologist. you should avoid high-salt and high-fat foods including animal fats, fried foods, and greasy foods. fresh fruits and vegetables as well as lean, skinless chicken and non-fried fish are good alternatives. please discuss further dietary advice with your cardiologist. . please keep all of your follow-up appoinments. . your echocardiogram showed that you may have a blood clot within one of the of the heart. for this, you have been started on a blood thinning medication called warfarin (also known as coumadin). you should see your primary care physician days to have your blood checked since this blood thinner is a new medication. . call your doctor or return to the emergency room if you develop chest pain, shortness of breath, nausea/vomiting, if you are unable to take your medications, or you develop any other symptoms that are concerning to you. followup instructions: provider: , md phone: date/time: 2:30 . we have scheduled an appointment for you to see dr. as your new primary care physician on at 2:30 pm. you should go to the clinical center at he phone number to this office is . . you are being enrolled in the ' here at since you are being started on a new blood thinning medication (warfarin, also known as coumadin). they will contact you in the next 1-2 days to arrange for you to come in and have your blood drawn and check the levels of the blood thinning medication. dr. will follow up these results. if you do not hear from the in the next 1-2 days, you should call to arrange this. . please see dr. from the department of cardiology on at 11am. 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: coronary atherosclerosis of native coronary artery acute myocardial infarction of other anterior wall, initial episode of care hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) other and unspecified hyperlipidemia old myocardial infarction 

Answer: The patient is high likely exposed to