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: no known allergies / adverse drug reactions attending: chief complaint: stemi major surgical or invasive procedure: cardiac catheterization history of present illness: 82yom w/ pmh htn, dyslipidemia presents to the ccu after having had an inferior stemi. pt reports that 1 day pta he was doing water aerobics and after workout had generalized weakness, but no cp/sob. afterwards he was feeling well and went about the rest of his day. today, he was washing his windows at 1:30pm when he began having substernal chest pressure. he went to the clinic where ekg revealed st elevations in ii, iii, avf and depressions in avl. given 2 ntg, 5 minutes apart and became acutely diaphoretic and hypotensive (bp60/p). st elevations worsened. bp came up to 102/60 after 1l ns. patient administered 4 asa and instructed to chew. taken to ed by ambulance, where initially he was chest pain free. . in the er, initial vs 97.2 54 120/62 18 99% 4l. at 6:15pm he had recurrence of the chest pain and st elevations in ii,iii, avf with depressions in avl. a code stemi was called at this time. he received heparin gtt, plavix load, and was emergently taken to the cath lab. in the cath lab, he was found to have a 70% proximal and 80% mid lad lesion, as well as a 100% proximal right lesion. des was placed to the rca lesion. the only complication of the catheterization was transient bradycardia to the 40's. . in the ccu, patient is chest pain free. he has absolutely no complaints. . on review of systems, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. he denies recent fevers, chills or rigors. all of the other review of systems were negative. . cardiac review of systems is notable for absence of current chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: 1. cardiac risk factors: -diabetes, +dyslipidemia, +hypertension 2. cardiac history: -cabg: -percutaneous coronary interventions: -pacing/icd: 3. other past medical history: benign prostatic hypertrophy gerd erectile dysfunction low back pain/sciatica seborrheic dermatitis retinal detachment ?paget's disease colon polyps anemia actinic keratosis hemangiomas social history: patient is married and lives with his wife and his mother in . he is a native of and moved to this country in . -tobacco history: none -etoh: social (0-3 drinks/week) -illicit drugs: none family history: nc physical exam: general: wdwn m 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 with jvp 8cm. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: ctab in anterior fields, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominal bruits. extremities: no c/c/e. no femoral bruits. r groin w/ no hematoma. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: femoral 2+ dp 2+ pt 2+ left: femoral 2+ dp 2+ pt 2+ pertinent results: labs on admission: 06:18pm glucose-125* na+-140 k+-3.5 cl--100 tco2-27 06:18pm hgb-12.4* calchct-37 06:00pm pt-13.6* ptt-25.3 inr(pt)-1.2* 06:00pm wbc-9.8 rbc-4.14* hgb-12.7* hct-36.9* mcv-89 mch-30.6 mchc-34.3 rdw-13.1 06:00pm calcium-8.9 phosphate-3.3 magnesium-2.3 cardiac enzymes: 06:00pm blood ctropnt-0.07* 03:43am blood ck-mb-63* mb indx-10.2* ctropnt-2.57* 01:49pm blood ck-mb-33* mb indx-6.9* ctropnt-1.22* 06:35am blood ck-mb-13* mb indx-5.1 ctropnt-0.83* ekg: sinus bradycardia. st segment elevation in leads ii, iii and avf with reciprocal st segment depression in lead avl suggestive of acute st segment inferior wall myocardial infarction. c cath 1. selective coronary angiography of this right dominant system revealed two vessel coronary artery disease. the lmca was normal in appearence. the lad had a long 70% proximal and 80% mid vessel stenosis. the lcx had mild luminal irregularities. the rca had a 100% proximal total occlusion with left to right collaterals. 2. limited resting hemodyanmics revealed mild systemic hypertension, with a central aortic pressure of 142/69 mmhg. 3. successful ptca/stenting of proximal rca occlusion with 3.5 x 23 mm promus des, post dilated with 3.5 mm nc balloon at high pressure (details under ptca comments). final angiogran showed 0% residual stenosis, no dissection and normalf flow. 1. two vessel coroanry artyer disease with total occlusion of the rca. 2. successful primary pci of proximal rca with des. 3. consider pci of lad if recurrent ischemia or positive ett. cxr impression: no acute cardiopulmonary process. echo the left atrium is mildly dilated. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. there is mild focal basal inferior/infero-lateral hypokinesis suggested on long axis views. the remaining segmetns are dynamic and therefore the overall lvef is normal (lvef>55%). no masses or thrombi are seen in the left ventricle. there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the aortic arch is mildly dilated. the aortic valve leaflets (3) are mildly thickened. there is a minimally increased gradient consistent with minimal aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. compared with the report of the prior study (images unavailable for review) of , subtle regional lv systolic dysfunction is new brief hospital course: 82yom with htn, dyslipidemia presents after inferior stemi. he is now status post to rca. . # coronaries: patient is s/p inferior stemi with to rca. started on atorvastatin 80mg daily, plavix 150mg x 1 week then 75mg daily, asa 325mg daily, lisinopril 5mg daily, metoprolol succinate 25mg daily. cardiac enzymes peaked at trop 2.57 as above. follow-up echo showed mild lv dysfunction as above. the lad also had a long 70% proximal and 80% mid vessel stenosis. pci to the lad should be considered if there is recurrent ischemia or positive ett. he will follow-up with dr. , but ett still needs to be obtained. he was cleared by physical therapy on the day of discharge. . # pump: echo showed mild lv dysfunction. started on metoprolol succinate and lisinopril. euvolemic on exam at time of discharge. . # rhythm: patient initially bradycardic in the setting of inferior wall stemi, but this eventually improved and he was able to tolerate beta blocker. . # htn: stopped hctz and nifedipine as no cardiac benefit. started bb and acei as above. . # dyslipidemia: goal ldl is less 70 (last was 106 while on lipitor 10mg daily). started atorvastatin 80mg daily as above. medications on admission: hctz 25mg daily lipitor 10mg daily potassium (micro-k 10) 20meq daily nifedipine xl 90mg daily omeprazole 20mg daily colace 100mg mvi fish oil vitamin a,c,e-zinc-copper discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. clopidogrel 75 mg tablet sig: asdir tablet po daily (daily): 2 tablets through , then one tablet daily. separate from omeprazole by 4 hours. disp:*36 tablet(s)* refills:*2* 4. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 5. multivitamin tablet sig: one (1) tablet po daily (daily). 6. omega-3 fatty acids capsule sig: one (1) capsule po bid (2 times a day). 7. docusate sodium 100 mg capsule sig: two (2) capsule po hs (at bedtime). 8. metoprolol succinate 25 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po once a day. disp:*30 tablet extended release 24 hr(s)* refills:*2* 9. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: discharge diagnosis: primary: inferior st elevation mi discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr it was a pleasure taking care of you. . you were admitted to and were found to have a heart attack and a stent was place in your occluded right coronary artery. you were started on medications to protect your heart as well as stabilize plaques and ensure patency of new stent. . changes to your medications: to ensure stent patency: -start taking plavix two 75mg tablets daily through friday , then take one tablet daily. please separate from omeprazole by 4 hours. -start taking aspirin 325mg tablets. take one tablet daily ** do not stop taking these medications unless advised by your cardiologist or pcp** . to aid your heart in remodeling after your heart attack: start taking lisinopril 5mg tablets. take one tablet daily. start taking metoprolol succinate 25mg daily . to stabilize plaques: start taking atorvostatin 80mg tablets. take one tablet daily . stop taking hydrochlorothiazide and nifedipine. . again it was a pleasure taking care of you. please contact with any questions or concerns. followup instructions: please call dr. in cardiology at ( to make an appointment in the next 2 weeks. since you were discharged on a sunday we couldn't make this appointment for you. please call dr. , your pcp, for an appointment in the next 1-2 weeks. department: when: wednesday at 11:10 am with: , rnc building: none campus: east best parking: garage department: center when: wednesday at 1:10 pm with: eye imaging building: campus: east best parking: garage department: center when: wednesday at 1:30 pm with: , m.d. building: sc clinical ctr campus: east best parking: garage procedure: coronary arteriography using two catheters left heart cardiac catheterization 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: coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) other and unspecified hyperlipidemia acute myocardial infarction of other inferior wall, initial episode of care 

Answer: The patient is high likely exposed to