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: substernal chest pain major surgical or invasive procedure: 1)cardiac catheterization with bare metal stent to right coronary artery. 2) thrombin injection under us guidance for left groin pseudaneurysm history of present illness: the patient is a 61 year old man with a history of controlled hypertension, hypercholesterolemia, and type ii diabetes. on the day of admission, patient reported 2 hours of constant substernal chest pain accompanied by nausea, diaphoresis, and dizziness. the chest pain started while the patient was watching his grandchildren-he was not exerting himself. of note, the patient reports new onset of bilateral lower extremity edema over the past two weeks. his daugther also reported that her father had some new chest pain over the last two weeks (he never had chest pain before.) he has no past history of shortness of breath, orthopnea, palpiations, or cardiac catheterization. he did have a stress test many years ago and an episode of syncope in 12/98 that was worked up with a holter monitor that was read as normal. . in the ed, vital signs were as follows: hr60-98, bp 150-204/96-100, and o2sat 98-100%. he was given , o2, metoprolol, nitro, integrillin, and . ekg showed nsr with rate around elevation in the inferior territory with st elevation of 2mm in iii, 1mm in ii and avf. st depression in avl, i, and v2. at catheterization, the patient was found to have moderate 3v cad and acute inferior mi; this was stented with bare metal stenting of the rca. the patient was treated with heparin bolus, integrillin bolus and infusion, and nitroglycerin drip. cath was complicated by difficult access with multiple attempts to cannulize the right groin followed by a multiple attempts to cannulize the left groin. left groin access was eventually obtained. following the procedure, the patient had a femstop applied to the right groin; he had one episode of bradycardia down to the 40s with sbp in the 60s which resolved after one dose of atropine. past medical history: 1) hypertension 2) hypercholesterolemia-in , total cholesterol 214, hdl 38, triglycerides 580 3) dmii 4) gerd 5) colonic polypectomies in , 6) gout 7) left ankle fusion 8) spinal fusion social history: patient lives with his wife who is a pediatric nicu nurse. he has two children and three grandchildren. he does not smoke and drinks alcohol rarley. family history: paternal grandmother died of a myocardial infarction at the age of 58. physical exam: vs: bp 145/87 hr 75 rr 11 02 97% on ra gen: well developed and well nourished middle aged male in no acute distress. oriented to person, place, and time. mood, affect appropriate. heent: normal cephalic and atraumatic. sclera anicteric. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of less than 10 cm. cv: distant heart sounds due to habitus. normal s1, s2. systolic murmur at lusb. 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, obese. no hsm or tenderness. ext: 1+, bilateral, pedal edema. no femoral bruits. femstop in place in left groin, evidence of ecchymosis/hematoma in both groin locations. skin: no stasis dermatitis, ulcers, scars, or xanthomas. . pulses: right: carotid 2+ dp 1+ left: carotid 2+ dp 1+ pertinent results: medical decision making: ekg status post cardiac cath and rca stent placement demonstrated nrs with rate of 79bpm, normal axis, and resolution of st wave elevation. cardiac cath performed on with multiple attempts at right groin catheterization and multiple left groin attempts-left groin finally successfull. rca was found to be occlueded with moderate 3 vessle disease. rv 26/11, pa 27/21/22, pcwp 16/16/15, ci 1.84, co 4.24. bare metal stent deployed to the proximal-mid rca. abdominal pelivic ct on showed no retroperitoneal bleed. did show sigmoid diverticulosis. echo- normal chamber sizes. mild lvh with ef > 60% there is hypokinesis of the basal and midventricular segments of the inferior and posterior walls. borderline rv dysfunction. no as, ar, ms. trivial mr, tr. normal pap pressure groin us - left pseudoanureysm wbc-12.2*# rbc-4.32* hgb-11.9* hct-35.2* mcv-82 mch-27.5 mchc-33.7 rdw-15.1 plt ct-328 wbc-11.4* rbc-3.64* hgb-10.4* hct-30.7* mcv-84 mch-28.7 mchc-34.0 rdw-15.6* plt ct-313 4:25p.m. hct-29.0* hct-29.0* wbc-10.9 rbc-3.35* hgb-9.5* hct-27.9* mcv-83 mch-28.4 mchc-34.1 rdw-15.6* plt ct-257 hct-30.2 12:16pm blood pt-11.7 ptt-23.5 inr(pt)-1.0 glucose-153* urean-19 creat-1.3* na-143 k-4.3 cl-107 hco3-25 glucose-158* urean-21* creat-1.5* na-139 k-4.4 cl-103 hco3-26 glucose-96 urean-20 creat-1.5* na-141 k-4.2 cl-104 hco3-27 urica:7.8 glucose-102 urean-19 creat-1.4* na-138 k-4.1 cl-102 hco3-28 angap-12 10:33am blood alt-29 ast-63* ld(ldh)-334* alkphos-56 amylase-33 totbili-0.7 12:05pm blood ck(cpk)-116 ck-mb-3 ctropnt-<0.01 06:57pm blood ck(cpk)-449* ck-mb-38* mb indx-8.5* 11:49pm blood ck(cpk)-511* ck-mb-37* mb indx-7.2* ctropnt-1.51* 10:33am blood ck(cpk)-479* ck-mb-26* mb indx-5.4 ctropnt-1.23* 04:25pm blood ck(cpk)-360* ck-mb-16* mb indx-4.4 ctropnt-0.94* 10:33am blood %hba1c-7.0*# 10:33am blood triglyc-137 hdl-35 chol/hd-3.4 ldlcalc-57 07:40am blood glucose-102 urean-19 creat-1.4* na-138 k-4.1 cl-102 hco3-28 angap-12 brief hospital course: 61 yo male with a history of hypertension, hypercholesterolemia, type ii diabetes, and two week history of bilateral bilateral lower extermity edema found to have rca inferior st segment elevation mi based on cardiac enzymes and ekg demonstrating st elevations in the inferior leads. he was catheterized with bare mental stent placement in the rca. catheterization complicated by left groing hematoma. . #) interior stemi: after bare metal stent placement to the mid-proximal rca, there was resolution of st elevations on ekg. patient was placed on , , and integrilin infused for 18 hours after the stent placement. cardiac enzymes were cycled and trended downward. patient was placed on beta blocker at 25mg po bid. on , started acei/captopril at 12.5mg po tid and then changed to lisinopril 10mg po daily. an echo performed on that showed an ejection fraction of 60%. the patient was monitored on telemetry throughout the admission and remained in normal sinus rhythm. during this admission, the patient's cardiac risk factors were addressed. the patient is a non-smoker. a fasting lipid profile was obtained and found to be normal so the patient was continued on his home statin regimine. was consulted to follow the patien't diabetes and offer a nutirtional consult. #) left groin pseudoanureysm-on , the patient's hct dropped from admission hct of 35.2 to 28.4 at 7pm and 27.8 at midnight. patient also complained of back pain and there was concern about a possible retroperitoneal bleed. patient had an abdominal/pelvic ct that showed no retroperitoneal bleed. on , the patient had a groin us showed left pseudoanureysm. #) type ii diabetes: the patiend was placed on sliding scale and standing insulin. a hbalc was found to 7.0. was consulted and followed the patient for dm management. recommended discontinuation of avandia and changed his home insulin regimine to novalog 70/30 38 units every morning and novalog 70/30 32 units every evening. #)heme/anemia: patient has a history of anemia of unknown source. hct dropped on from 35.2 on admission of 27.8. the patient was given 1 unit of packed red blood cells due to ischemia risk and there was an appropriate bump in hct (27.8 to 32.3.) patient did not appear to be activley bleeding: he has good urine output, stable ms, and good perfusion. hct on and have been stable at 29. hct before discharge ()was 30.2 #)backpain: patient continued to complain of his known back pain and was started on on his home dose of cyclobenzaprine 10mg po tid prn for back pain. #)depression - patient started on his home dose citalopram hydrobromide 20 mg po hs and amitriptyline hcl 25 mg po hs. #) right knee pain-on , the patient complained of right knee pain that he felt was similar to his gout joint pain. due to his and use, the patient was started on codeine sulfate 15-30 mg po q4-6h:prn. a uric acid level on was found to be elevated at 7.8. the patient will follow up as an outpatient with rheumatology. medications on admission: 1) advair 2) prilosec 20 mg daily 3) avandia 4mg daily 4) tricor 48mg daily 5) 81mg daily 6) novalog 70/30 36units qam and 32 units qpm 7)crestor 10 mg daily 8) lisinopril 40mg daily 9) citalopram 20mg qhs 10) elavil 25-50mg qhs 11) rhinocort prn discharge medications: 1. fenofibrate micronized 145 mg tablet sig: one (1) tablet po daily (). disp:*30 tablet(s)* refills:*2* 2. rosuvastatin 20 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 3. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 5. amitriptyline 25 mg tablet sig: 1-2 tablets po hs (at bedtime). 6. acetaminophen-codeine 300-30 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. disp:*40 tablet(s)* refills:*0* 7. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 8. citalopram 20 mg tablet sig: one (1) tablet po hs (at bedtime). 9. cyclobenzaprine 10 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for back pain. 10. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 11. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 12. humulin 70/30 100 unit/ml (70-30) suspension sig: one (1) subcutaneous twice a day: 38 units sc qam, 32 units sc qpm. discharge disposition: home discharge diagnosis: 1)inferior st elevation myocardial infarction due to occlusion of the right coronary artery. treated with catheterization and bare metal stent placement. 2) left groin pseudoanureysm discharge condition: in good condition discharge instructions: 1) please be sure to return to the hospital if you experience any chest pain, dizziness, episodes of sweating, loss of consciousness, shortness of breath on exertion, back pain that is different from your normal back pain, change in sensation in your right or left leg, or pain in your right or left leg. 2) please be sure to take your daily and asprin. do not discontinue these medications unless your are told to do so by your cardiologist. 3) you may resume activity as tolderated 4) please note new novalog dosing: novalog 70/30 38u am, 32u pm followup instructions: 1) please call dr. office, , in cardiology to schedule a follow-up appointment in 4 weeks. his office may call you with an appointment, but please call if you haven't heard from his office within the next 2 days. 2) follow up with clinic for diabetes care and a nutrition consult as previously scheduled. 3) we scheduled you a new patient appointment in the clinic with , md phone: date/time: 1:30p.m. please call if you need to reschedule or would like to see another physician. 4) we scheduled an appointment with clinic, dr. , on at 2:15 pm. this office is located at . please call if there is a problem with this appointment. 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 injection or infusion of other therapeutic or prophylactic substance angiocardiography of right heart structures transfusion of packed cells 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 esophageal reflux pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled gout, unspecified hematoma complicating a procedure peripheral vascular complications, not elsewhere classified acute myocardial infarction of other inferior wall, initial episode of care cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure aneurysm of artery of lower extremity 

Answer: The patient is high likely exposed to