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: codeine / lisinopril attending: chief complaint: indigestion major surgical or invasive procedure: percutaneous coronary intervention () comments: 1. selective coronary angiography revealed mild lmca disease. the lad was totally occluded after the second diagonal which had a 70% lesion. the lcx had a 90% lesion distal to om1. om1 was subtotally occluded proximally. it was not clear if this represented a collateral or the subtotally occluded parent vessel. given how easily the wire crossed it is likely the latter. 2. succesful intervention on the lcx with a 3x18mm vision post-dilated to 3.0mm and intervention on om 1 with a 3.0x28mm vision stent. final angiography revealed no dissection and timi 3 flow. see ptca comments. 3. limited hemodynamics revealed blood pressure of 155/100 with hr 69 in sinus rhythm. the patient did have a vagal episode at the start of case with bp down to 83/55 in the setting of getting iv nitro 20mcg. this was treated successfully with atropine and ivf. final diagnosis: 1. three vessel coronary artery disease per diagnostic cath at osh 2. successful intervention on lcx and om1 with bare metal stents. history of present illness: the patient is a 65 year-old male with a history of mi, htn, hyperlipidemia, type-2 dm, s/p cabgx4 in , who presented on with "indigestion", increasing nausea, and doe. this indigestion was the same as the feeling he had during his mi in . he presented to osh, where a dobutamine stress test resulted in vt/vf arrest. he received defibrillation x2 and amiodarone bolus, returning to nsr. cardiac cath at osh showed severe native 3 vessel disease with occluded svg-om1, om2 and rca, along with a patent svg-lad and an ef of 35%. the patient was transfered directly to for cardiac intervention. he received 2 bms to the lcx and was brought up to the floor for further management. past medical history: 1. iwmi () - had angioplasty in 2. cabgx4 () - svg to om1, om2, rca, and lad 2. type-2 dm 3. hyperlipidemia 4. htn 5. hypothyroid 6. neuropathy 7. retinopathy 8. dysthymic disorder 9. h/o bell's palsy 10. osteoarthritis 11. copd 12. obstructive sleep apnea social history: patient is a jehova's witness, does not want to receive blood products. social history is significant for the absence of current tobacco use. 44 pack year history, but quit when he was 30. rare etoh drink, no drugs. family history: there is a positive family history for stroke x3 (maternal grandfather), mi in paternal gradfather when he was 40yo. physical exam: vs - t: afebrile, p: 64, bp 135/75, rr: 18, sat 95% ra. gen: white middle aged male lying in bed, 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, jvp 8cm. cv: distant heart sounds. rr, normal s1, s2. ii/vi systolic murmur heard best at ulsb. no 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, no crackles, wheezes or rhonchi. abd: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. ext: cool to touch. no c/c/e. l femoral cath site with some blood stained under tegaderm bandage. no signs of active bleeding. skin: no stasis dermatitis, ulcers, scars, or xanthomas. . pulses: right: carotid 2+ dp 1 pt 1+ left: carotid 2+ dp 1+ pt 1 pertinent results: 08:50pm ck-mb-6 ctropnt-0.05*, ck(cpk)-220* 04:21am blood ck-mb-6, blood ck(cpk)-193* 12:40am blood ck-mb-5, ck(cpk)-225* 06:00am blood ck-mb-5, ck(cpk)-213 08:50pm pt-12.8 ptt-24.6 inr(pt)-1.1, plt count-215, wbc-10.0 rbc-3.92* hgb-12.3* hct-35.2* mcv-90 mch-31.3 mchc-35.0 rdw-13.5, magnesium-1.9 * 08:50pm glucose-171* urea n-21* creat-1.0 sodium-135 potassium-4.4 chloride-99 total co2-27 anion gap-13 07:00am blood calcium-9.2 phos-3.2 mg-2.1 06:00am blood glucose-234* urean-19 creat-1.1 na-138 k-4.3 cl-100 hco3-30 angap-12 06:00am blood wbc-8.4 rbc-3.73* hgb-11.7* hct-32.6* mcv-87 mch-31.3 mchc-35.9* rdw-13.7 plt ct-224 brief hospital course: #. cad: the patient's post-catheterization check and labs were all unremarkable. he was continued on asa, plavix, statin, metoprolol, amlodipine. . #. pump: lvef 45%. . #. rhythm: nsr. continued on amiodarone 400mg po daily, tele was negative. given the patient's vfib on dobutamine, ep was consulted for possible icd placement. they determined that an icd was not necessary at the time and recommended d/c'ing the amiodarone. . # htn: patient was continued on metoprolol and amlodipine. valsartan 40mg po daily was added. pt's sbp persistently in 140s-150s. pt restarted on hctz for discharge. . dm2 - patient with longstanding dm2. his home meds were held and he was placed on a sliding scale, but bglucose was to 300s. was consulted and recommended lantus 15 units qdinner with sliding scale. pt had teaching regarding insulin injections, fingersticks, sliding scales. will f/u as outpatient with pcp, to get endocrinologist to follow him back in , nh. . #hypothyroidism: longstanding, the patient was continued on levoxyl. his tsh returned elevated at 5.2, likely secondary to affects of amiodarone. amiodarone was d/c'd, pt to f/u with pcp. . #hyperlipidemia: longstanding, the patient was continued on his statin, ezetimibe. . #. prophylaxis: patient given heparin 5000 units sc tid. he was continued on his home protonix 40mg po daily pci report comments: 1. selective coronary angiography revealed mild lmca disease. the lad was totally occluded after the second diagonal which had a 70% lesion. the lcx had a 90% lesion distal to om1. om1 was subtotally occluded proximally. it was not clear if this represented a collateral or the subtotally occluded parent vessel. given how easily the wire crossed it is likely the latter. 2. succesful intervention on the lcx with a 3x18mm vision post-dilated to 3.0mm and intervention on om 1 with a 3.0x28mm vision stent. final angiography revealed no dissection and timi 3 flow. see ptca comments. 3. limited hemodynamics revealed blood pressure of 155/100 with hr 69 in sinus rhythm. the patient did have a vagal episode at the start of case with bp down to 83/55 in the setting of getting iv nitro 20mcg. this was treated successfully with atropine and ivf. final diagnosis: 1. three vessel coronary artery disease per diagnostic cath at osh 2. successful intervention on lcx and om1 with bare metal stents. medications on admission: 1. norvasc 10mg 2. asa 325mg 3. insulin ss 4. hctz 25mg 5. lipitor 80mg 6. metformin 850mg tid 7. protonix 40mg 8. synthroid 100mcg 9. tegretol 200mg tid 10. toprolxl 200mg 11. zetia 10mg 12. actos 45mg 13. prandin 2mg --> held upon admission 14. zoloft 50mg --> held upon admission 15. trimterene 50mg discharge medications: 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 4. levothyroxine 100 mcg tablet sig: one (1) tablet po daily (daily). 5. carbamazepine 200 mg tablet sig: one (1) tablet po tid (3 times a day). 6. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). 7. sertraline 50 mg tablet sig: one (1) tablet po daily (daily). 8. sodium chloride 0.65 % aerosol, spray sig: sprays nasal tid (3 times a day) as needed. 9. valsartan 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 10. rosuvastatin 20 mg tablet sig: two (2) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 11. insulin glargine 100 unit/ml solution sig: fifteen (15) subcutaneous before dinner. disp:*qs qs* refills:*2* 12. metoprolol succinate 100 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*2* 13. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 14. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po once a day. 15. insulin syringes (disposable) syringe sig: one hundred (100) miscellaneous asdir. disp:*100 syringes* refills:*2* 16. glucometer test strips test strips to be used as directed to test glucose 3-4 times daily. dispense #500 refills #2 17. humalog 100 unit/ml solution sig: asdir subcutaneous four times a day: please see attached sheet with instructions on how much humalog to take. disp:*qs qs* refills:*2* discharge disposition: home with service facility: new hamspire vna discharge diagnosis: primary diagnoses 1. unstable angina 2. ventricular fibrillation/cardiac arrest 3. cad 4. type 2 diabetes secondary diagnoses 1. htn secondary diagnoses 1. htn 2. hyperlipidemia discharge condition: stable discharge instructions: you are being discharged home with a diagnosis of unstable angine and ventricular fibrillation/cardiac arrest. you underwent cardiac catheterization that demonstrated blockages, and 2 stents in your blood vessel. please follow-up with your scheduled appointments. . **please use the insulin dosing sheet to determine the insulin doses that you need. **please be sure to discuss how you're managing with insulin shots at your appointment with your pcp. **please have your pcp check your electrolytes in 1 week (due to starting valsartan). **please have your pcp recheck thyroid function tests in 6wks. **please discuss how long you need to take plavix with your cardiologist. if you experience chest pain, chest tightness, shortness of breath, or any other symptom similar to what caused you to come to the hospital, please seek medical care immediately. followup instructions: f/u with cardiologist, dr. on @ 8 am f/u with pcp, . @ 11:30 am procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters left heart cardiac catheterization transposition of cranial and peripheral nerves insertion of two vascular stents excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on two vessels diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified coronary atherosclerosis of autologous vein bypass graft ventricular fibrillation 

Answer: The patient is high likely exposed to