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: chest pain major surgical or invasive procedure: cardic catheterization with des to lad history of present illness: mr. is a 32 year old male h/o dmii and dyslipidemia who presented to an osh with chest pain. the patient, who works as a trash collector, reports that he developed chest pain after jogging for about 2 hours behind the garbage truck. notably, he is not usually this active. after completing this jogging he got into his car to drive home when he began to feel generally uncomfortable. he then developed an achy feeling across his shoulder blades and along his left chest. this achiness also radiated to his neck. he also notes feeling nauseas and diaphoretic. after making the drive home he called 911 given concern that he might be having a heart attack. patient notes that this achy pain across his chest lasted until he arrived at the osh and was relieved by morphine and nitro. . on arrival to the osh, ecg demonstrated st elevations in the precordial leads and reciprocal depressions in the inferior leads. trop i 0.01 and ck 249. he was loaded with plavix (600mg x 1) and started on heparin gtt, nitro gtt and integrilin gtt. he was transferred to for cardiac cath. . at patient taken immediately to the cath lab where coronary angiography demonstrated 100% mid lad stenosis and 70% diagonal branch stensosis. the mid lad was stented with ood result. patient was continued on integrilin and started on plavix. . on the floor, patient denies any chest pain or shortness of breath. on ros he reports flu like symptoms last week that included diarrhea, nausea and vomiting. he did not have any fevers but did have occasional chills. . on review of systems, s/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. s/he denies recent fevers, chills or rigors. s/he denies exertional buttock or calf pain. all of the other review of systems were negative. . cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: 1. cardiac risk factors: dm ii, dyslipidemia, ? hypertension 2. cardiac history: -cabg:none -percutaneous coronary interventions:none -pacing/icd:none 3. other past medical history: - obesity - marijuana abuse - s/p r acl repair social history: works as a garbage collector. lives with his wife. -tobacco history:non-smoker -etoh: occasionally will have 2-3 beers. not daily or weekly. -illicit drugs:marijuana multiple times daily family history: father: mi @ 42, dm ii mother: dm sister: gestational dm uncle: mi @ 50 physical exam: vs: t=96.8 bp=130/66 hr=75 rr=68 o2 sat=98% on 2l general: well appearing caucasian male . oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple, no elevation of jvp 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: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ neuro: cn ii-xii grossly intact, 5/5 strength in all 4 ext pertinent results: 10:58pm blood wbc-13.0* rbc-4.64 hgb-14.5 hct-40.0 mcv-86 mch-31.2 mchc-36.3* rdw-13.1 plt ct-324 10:58pm blood glucose-126* urean-18 creat-0.8 na-141 k-4.3 cl-105 hco3-26 angap-14 10:58pm blood calcium-8.9 phos-4.6* mg-2.0 cholest-205* 06:40am blood albumin-4.3 mg-2.0 10:58pm blood pt-12.8 ptt-26.4 inr(pt)-1.1 06:40am blood alt-59* ast-93* ld(ldh)-660* alkphos-51 totbili-0.9 10:58pm blood triglyc-282* hdl-40 chol/hd-5.1 ldlcalc-109 ldlmeas-130* 10:58pm blood %hba1c-6.1* 10:58pm blood ck(cpk)-1794* 10:58pm blood ck-mb-219* mb indx-12.2* ctropnt-2.43* 05:30am blood ck(cpk)-2688* 05:30am blood ck-mb-300* mb indx-11.2* ctropnt-6.06* 01:54pm blood ck(cpk)-2044* 01:54pm blood ck-mb-186* mb indx-9.1* ctropnt-5.16* . ecg: sinus rhythm. slight st segment straightening in leads v1-v2 raising consideration of acute myocardial infarction. no previous tracing available for comparison. . cardiac cath: 1. selective coronary angiography of this right dominant system demonstrated one vessel cad. the lmca was without significant obstruction. the mid lad was occluded. the diagonal had a 70% ostial stenosis. the lcx had no significant disease. the rca had a 30% mid stenosis. 2. limited resting hemodynamics demonstrated normal systemic arterial pressures with bp of 135/89 mmhg. 3. successful ptca, manual aspiration thrombectomy, and placement of a 3.0x23mm xience drug-eluting stent in the mid-lad were performed. the stent was post-dilated proximally using a 4.0mm diameter balloon and distally using a 3.5mm diameter balloon. final angiography showed normal flow, no apparent dissection, and no residual stenosis. (see ptca comments.) 4. the right common femoral arteriotomy was successfully closed using a mynx device. final diagnosis: 1. one vessel coronary artery disease. 2. placement of a drug-eluting stent in the mid-lad. . ecg: sinus rhythm. slight st segment elevation in leads v1-v3 raising consideration of acute transmural ischemia. compared to the previous tracing of the findings are similar. . tte: the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. lv systolic function appears depressed (ejection fraction 40 percent) secondary to hypokinesis of the anterior septum, anterior free wall, and apex. there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. there is no pericardial effusion. . femoral vascular ultrasound: focused examination was performed in the region of the right common femoral vein and common femoral artery. there is no intraluminal thrombus, pseudoaneurysm, or av fistula identified. no fluid collections to suggest hematoma are noted. impression: no hematoma, pseudoaneurysm or av fistula identified. brief hospital course: assessment and plan: this is a 32 yo m h/o dm ii and dyslipidemia who presented to an osh with cp found to be having stemi and transferred to for cardiac cath which revealed severe mid lad lesion that was stented. # coronaries/stemi: patient found to be having stemi at osh and transferred for c.cath. he underwent cath with placement of xience drug-eluting stent in the mid-lad with good result. he continued integrillin gtt started at osh for additional 18 hours post procedure. he remained cp free post-cath. post-procedure transthoracic echo demonstrated ef 40%. patient had tenderness at right groin access site post-procedure though a femoral vascular u/s did not reveal pseudoaneurysm or hematoma. he was started on plavix 75mg daily, asa 325 mg daily, metoprolol succinate 50 mg daily, atorvastatin 80 mg daily and lisinopril 10 mg daily. plan is for patient to get a cardiology referral from his pcp and follow up with this person in weeks. . . # pump: no evidence of volume overload on this admission. as noted above, patient echo following cath that showed ef 40%. . # rhythm: remained in sinus rhythm. occasional nsvt immediately 24hrs post-revascularization. . # dm ii: a1c 6.1. patient maintained on insulin sliding scale while inpatient and transitioned back to outpatient regimen of metformin and glipizide on discharge. . # htn: patient believes he has had bps > 140/80 on multiple pcp . he has never been prescribed an anti-hypertensive. pressures remained in the normotensive range since admission. as noted above, he was started on a bb and ace. patient was a full code on this admission. medications on admission: metformin 850 mg po bid glucatrol xl 5 mg po daily discharge medications: 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*4* 2. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*4* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. toprol xl 50 mg tablet sustained release 24 hr sig: 1.5 tablet sustained release 24 hrs po once a day. disp:*45 tablet sustained release 24 hr(s)* refills:*2* 6. metformin 500 mg tablet sig: eight y (850) mg po twice a day. 7. glipizide 5 mg tablet extended rel 24 hr (2) sig: one (1) tablet extended rel 24 hr (2) po once a day. discharge disposition: home discharge diagnosis: primary diagnosis: - st elevated mi (myocardial infarction) i.e. heart attack secondary diagnosis: - diabetes - s/p r acl repair discharge condition: good, no chest pain, vitals stable discharge instructions: you had a heart attack and a drug-eluding stent placed at your left anterior descending coronary artery. because of this you need to take plavix every day to keep the stent open. try your best not to miss of plavix because without it the stent in place is at risk of closing. your heart's ejection fraction is slightly depressed at 40% (normal being 55%), but this may improve over time. medication changes: - start taking asprin 325mg daily to prevent future heart attacks - start taking plavix 75mg daily to keep the stent open for 1 year - start taking toprol xl 75mg daily to slow down and protect the heart - start taking lisinopril 50 to decrease blood pressure and protect the heart - start taking atorvastatin 80mg daily to decrease cholesterol if at any point your symptoms return and you have severe chest pain, shortness of breath, or pass out or have fevers > 101 please return to the ed followup instructions: please call your primary care doctor dr. and from him get a referral for a cardiologist to follow up with. this plan was discussed with dr. to keep your new cardiologist close to home. please see this cardiologist within 2-3 weeks. procedure: coronary arteriography using two catheters injection or infusion of platelet inhibitor 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 diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute myocardial infarction of other anterior wall, initial episode of care other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to