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: sulfamethoxazole attending: chief complaint: exertional dyspnea, positive stress test, carotid stenosis major surgical or invasive procedure: cardiac catheterization and stent to rca, ptca rpda. bilateral carotid catheterization with stents placed in right internal and right common carotid arteries. history of present illness: 79 yo m hx dm ii presented with exertional dyspnea for the past several months. sob with walking one block, also associated with left buttock pain. no chest pain, orthopnea, pnd, leg swelling, or lightheadedness. also develops low back pain intermittently with exertion. pt also notes intermittent blurry vision over the last weeks. it generally lasts less than 1h. it is associated with as well as driving. worsened by bright lights. outpt workup just prior to admission included carotid ultrasound () with l sided critical stenosis. stenosis noted to be 60-70% on the right. near occlusion in the proximal left ica. . stress test on , 6.5 minutes modified with 83% predicted hr, and ekg with 2-3mm inferolateral st segment depression. these changes resolved by 12 minutes of recovery, after 1 sl nitroglycerin. past medical history: diabetes ii, dyslipidemia, hypertension anemia mild gastritis osteoarthritis knee surgery peripheral neuropathy hernia repair x 2 bilateral venous ligation surgery x 2 1 year ago for right great toe ulcer/osteomyelitis-current still healing but he reports no infection. bilateral vein stripping bph social history: married. does not drink alcohol; had prior etoh use. smoked 1ppd for 25 years quit 25 years ago. likes to collect coins. favorite coin is a marine silver dollar. family history: 2 sisters with coronary disease, one died at age 84, the other one is 88. physical exam: vs: t 98.0 bp 133/63 hr 60 rr 12 o2 99% gen: wdwn middle aged male in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple without jvd, no carotid bruits bilat cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab anteriorally, no crackles, wheezes or rhonchi. abd: soft, ntnd. no hsm or tenderness. has midline ventral hernia longstanding. ext: no c/c/e. left groin sheath in place. pulses dopplerable. skin: no stasis dermatitis, ulcers, scars, or xanthomas. neuro: aaox3. cn ii-xii assessed and normal. motor: bilateral upper prox and distal. left lower ex not fully assessed given groin. right lower ex prox and distal . sensation decreased to upper calf bilat symmetric. visual fields full to confrontation. pertinent results: 05:35am blood wbc-5.7 rbc-2.90*# hgb-9.4*# hct-26.0* mcv-89 mch-32.3* mchc-36.1* rdw-14.1 plt ct-143* 05:35am blood glucose-140* urean-14 creat-0.9 na-138 k-3.8 cl-106 hco3-26 angap-10 09:21pm blood ck(cpk)-64 06:30am blood ck(cpk)-62 . coronary catheterization. - final diagnosis: 1. two vessel coronary artery disease. 2. preserved systolic ventricular function. 3. moderate diastolic dysfunction. 4. successful stenting of the mid rca with bare metal stent and balloon angioplasty of the ostial pda. . carotid catheterization. - final diagnosis: 1. syptomatic carotid artery disease. 2. successful stenting of the l ica with distal protection. 3. successful stenting of l cca dissection. . mri chest with and without contrast - impression: 1. stent within the origin of the left common carotid artery with flow seen distally. no dissection flap seen - blooming artifact from the stent obscures intraliminal detail. 2. no extent of dissection into the thoracic aorta. the remainder of the branch vessels, i.e. the right brachiocephalic and the left subclavian artery are widely patent. 3. there is a severe short segment stenosis of the right internal carotid artery at its origin (series 12, image 546). . carotid artery ultrasound - read by dr. . official read by radiology pending brief hospital course: 79 year old man with history of type two diabetes, htn, tobacco and tobacco history p/w positive outpt stress test and carotid stenosis for elective cardiac catheterization and carotid catheterization. . . 1. carotid stenosis - left internal carotid artery with critical stenosis and symptoms of l eye blurriness in the setting of borderline bp. stent placed in l-ica. there was dissection during procedure which was treated with successful stenting proximally. lack of dissection extension confirmed with mri. flow confirmed with post stent doppler studies. systolic blood pressure was difficult to maintain between 100-160 post cath and the patient required numerous fluid boluses. antihypertensive medications were held. he will followup with dr. later this month to determine need for restarting antihypertensives. . 2. coronary artery disease. - diagnosed on outpatient non-imaging stress test. cardiac catheterization on showed 2vd. a bare metal stent was deployed in the mid rca and balloon angioplasty of the ostial pda was perfomed. aspirin, plavix, and simvastatin were continued. atenolol and lisinopril were held to promote cerebral perfusion pressure. . 3. diabetes - the patient's home metformin was held and he was maintained on an insulin sliding scale. the metformin will be when he returns home. . 4. benign prostatic hypertrophy - we held terazosin to ensure good bp post procedure. medications on admission: pharmacy: , va pharmacy metformin 1000mg simvastatin 40mg , ?????? pill daily lisinopril 10mg ?????? pill daily in the am atenolol 50mg daily in the pm terazosin 5mg daily in the pm aspirin 81mg daily in the am multivitamin daily plavix 75mg daily (started with loading dose of 300mg 1 week ago) discharge medications: 1. aspirin ec 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po once a day. disp:*90 tablet(s)* refills:*3* 3. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) sublingual q5min () as needed for chest pain. 4. simvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 5. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 6. metformin 500 mg tablet sig: two (2) tablet po twice a day. 7. multivitamin tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: coronary artery disease. hypertension. hyperlipidemia. discharge condition: vital signs stable. neurology exam stable at baseline. mri shows no extension of common carotid dissection. discharge instructions: post stent activity guidelines. take plavix daily, uninterrupted for 1 month minimum. do not stop unless directed by dr. . please seek medical attention for chest pain unrelieved by nitroglycerin sublingual, shortness of breath, groin concerns, changing vision, lightheadedness, etc. . please drink at least 2 liters of fluid every day. . please take your medications as prescribed. the patient can restart his metform when he gets home. please advise the patient to hold all antihypertensive medications including lisinopril and atenolol until he sees dr. on the 21st. we are also adding a new medication - plavix. . please follow up with your appointments as documented below. followup instructions: dr. in 8:00am , np (dr. phone: date/time: 2:00 md, procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor left heart cardiac catheterization percutaneous angioplasty of extracranial vessel(s) percutaneous insertion of carotid artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent transposition of cranial and peripheral nerves insertion of two vascular stents excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel procedure on two vessels diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes personal history of tobacco use hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) accidental puncture or laceration during a procedure, not elsewhere classified occlusion and stenosis of carotid artery without mention of cerebral infarction other and unspecified hyperlipidemia hypotension, unspecified personal history of other diseases of circulatory system family history of ischemic heart disease 

Answer: The patient is high likely exposed to