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: acute ami s/p thrombolysis major surgical or invasive procedure: cardiac cath with stent placement history of present illness: mr. is a 54 yom with minimal pmh who was mowing lawn at 11 am and suddenly experienced accelerating exertional 7/10 intensity sscp. symptoms initally attributed to "swallowing air," and patient self-induced eructation with minimal relief. continued mowing lawn despite increasing pain, noted diaphoresis and feeling of warmth. no dyspnea, nor lightheadedness. single episode of nausea spontaneously relieved after one minute. patient returned to house with continuous chest discomfort, unsuccessfully "trying to find comfortable position." describes burning sscp , with weakness in arms. no other symptoms. at 4 pm, patient called wife and related continuing symptoms, and ems was activated to transport patient to hospital. per osh records: at : sbp 122/84 p68 r20 on arrival at 1700h. given lopressor iv (5mg x2), reglan, morphine iv. 10 units retavase x 2 (17:29), heparin 4k bolus, 1k/hr maintenance. started on nitroglycerin gtt for bp control. past medical history: hypertension diagnosed 2 years ago, no treatment. patient has minimal past medical history, but does not see a physician . social history: quit tobacco ~30 years ago after brief 1 ppd history. rare social alcohol use. no ivda. lives with wife, owns ups store. family history: father with cva in age 60's. no significant history of cad in family. physical exam: vs: 140/72. p68r r12 gen: alert, overweight male in no distress cv: s1 s2 with no s3/s4. no bruit. lungs: clear anterior and posterior fields bilaterally. abd: overweight, no hsm. ext: trace edema bilaterally. 2+ pulses tp and dp bilaterally.. . pertinent results: labs: tropt 17.2. 139 | 4.1 | 101 | 24 | 18 | 1.1 < 118 15.9 > 15.0 / 41.3 < 231 ca 8.9, mg 1.9 po4 3.5. pt 14.7 ptt 34.8 inr 1.5 ck 3392, mb 483 ekg: at lgh: 1600h: 4 mm ste v3-v4, q waves ii and iii. 1744h ~1.5 mm ste v3-v5, axis 90 degrees. q waves ii-iii. at : 1930h nsr 64 1mm ste v2-v4 with biphasic t waves in this distribution. cxr: pending. . cath : lmca: mild plaquing lad: diffuse dz, worsening to focal 90%, d1 w/ 60-70% stenosis. lcx: small diffusely dz av vessel w/ modest om ramus: large w/ irregularities rca: proximal diffuse plaques . hemo: pcw: 20 ra: 14 pa: 41/22 (30) lv: 129/34 rv: 41/21 brief hospital course: a&p: 54 year old male with large ami s/p thrombolysis at osh. on presentation to pain free with resolving st segment changes. revascularization with retavase at osh with resolving st segments. . ##cardiac cad - initially patient continued on asa, and heparin (goal 50-70) given bleeding diathesis after thrombolytics. no gpiib/iiia inhibitor was used. no plavix given upcoming cath and possibility of surgical management. - also started on lipitor 80 mg po qd, beta blocker (metoprolol) and captopril - patient markedly hypertensive (sbp 160) on arrival - received iv ntg gtt for pressure control which was weaned off and acei and bb titrated up appropriately. peak ck ~3392. - pt under went a cardiac cath which revealed lad lesion which was stented with . . pump - no previous estimates of heart function. no signs of heart failure on exam. echo done post cath with ef 35%. given ef of 35% and apical, inferior and lateral apical akinesis pt started on coumadin for likely 3 month course. d/c home with lovenox until coumadin therapeutic. . rhythm - sinus, recurrent bradycardia into 50's, asymptomatic. # respiratory - pt noted to have apnea alarms at night on tele as well as during the cardiac cath. he will likely need full work up for osa with sleep study as outpatient. . medications on admission: none discharge medications: 1. toprol xl 25 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day: for blood pressure control and heart protection. :*30 tablet sustained release 24hr(s)* refills:*2* 2. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily): to reduce cholesterol. :*30 tablet(s)* refills:*2* 3. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 4. warfarin 1 mg tablet sig: five (5) tablet po once a day: 5 tablets as directed - adjust dose as instructed for proper anti-coagulation. :*150 tablet(s)* refills:*0* 5. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily): to prevent stent re-stenosis. :*90 tablet(s)* refills:*3* 6. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily): for blood pressure control. :*30 tablet(s)* refills:*2* 7. enoxaparin 100 mg/ml syringe sig: one (1) injection subcutaneous q12h (every 12 hours): for anti-coagulation. use as directed until instructed to stop by your physician. :*14 injection* refills:*2* 8. outpatient lab work inr - please draw labs and have them sent to dr. at clinic. telephone (. please draw on 9. outpatient lab work inr - please draw and send results to dr. at clinic. (. please draw on . 10. outpatient lab work inr - please draw and send results to dr. at clinic. (. please draw on . 11. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) sublingual once a day: take in case of chest pain and call your physician. :*20 tablets* refills:*0* discharge disposition: home discharge diagnosis: myocardial infarction hypertension discharge condition: stable and pain free discharge instructions: you were admitted to the hospital with a heart attack. you underwent coronary artery stenting to re-open the coronary artery, but your heart sustained some damage from the event. you will need continuing care from a primary care physician and cardiologist to ensure proper management of your health issues. you will follow-up with dr. as your primary care physician on at 2pm in the south suite of the of the building. please call the office to confirm this appointment. (. you will follow up with dr. in cardiology on at 1:30 pm. the address is . . you will need to have lab work checked each friday for the next 3 weeks to monitor your coumadin level. you will have your blood drawn by a nurse at dr. office and he will review the results and let you know if any adjustments are needed in your coumadin dose. you have a prescription for these blood draws. his office is located in the building on the of . it is in the south suite on the . the address of the building is . if you develop chest pain, shortness of breath, lightheadedness, severe dizziness, persistent or worrisome abdominal pain, or other worrisome symptoms, seek immediate medical attention. followup instructions: dr. - cardiology follow-up and cardiac rehabilitation. dr. - primary care. monitoring of inr. coumadin nurse - on fridays - results to . md procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor insertion of drug-eluting coronary artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension diastolic heart failure, unspecified 

Answer: The patient is high likely exposed to