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: metoprolol / cozaar attending: chief complaint: direct admission; ecg changes and global hypokinesis on echo at cardiology clinic major surgical or invasive procedure: cardiac catheterization with des to lad placement and removal of right internal jugular line history of present illness: yo man with history of atrial flutter and recurrent svt s/p placement, hypertension, referred to ed for evaluation for cardiac catheterization by his cardiologist when he was found to have ecg changes and new global hypokinesis and depressed ejection fraction on echocardiogram at his clinic visit. at the visit, the patient noted dyspnea on exertion over the past one to two months when he exercises. he walks three times per week on the treadmill. he also noted a 30 minute episode of left substernal chest pressure that developed about one week ago and resolved after three sublingual nitroglycerin tabs. this pain was not associated with shortness of breath, nausea, diaphoresis, and did not radiate. he does not get chest pressure when he exercises. over the past month he has developed some shortness of breath with laying flat at night. he has been told he has lower extremity swelling, but he did not note this. he denies fevers, chills, sweats, cough, palpitations, abdominal pain, nausea, vomiting, dysuria or hematuria. he has occasional consitpation, denies bloody or black stools. in the ed he was treated with clopidogrel, aspirin, and metoprolol. . previous work-up has included cardiac cath at osh in demonstrating mild mid-lad stenosis, no interventions done. he had a stress test in showing no ischemia. past medical history: coronary artery disease- s/p cath with mild-mid lad stenosis; stress : no ischemia postural hypotension aflutter s/p cardioversion in s/p pacemaer placement; 1st degree av block hypertension moderate mr insufficiency with baseline creat 1.6 s/p r carotid endarterectomy s/p b/l cataract surgery thrombocytopenia s/p hip fracture anemia prostate cancer neuropathy tonsillectomy rheumatoid arthritis myelodysplasia neuropathy bradycardia social history: patient lives with his wife. is a retired shoe-part factory owner tob: previous 30yrs x 1ppd, quit 30yrs ago etoh: none exercises at the gym 3-4x/week on bicycle for 10-15 minutes and walks mile a day family history: non-contributory physical exam: t 96.4 hr 54 bp 152/72 rr 20 100%2lnc gen: lying flat on back at 15degrees elevation, nad heent: left pupil scarred, reaction bilaterally, anicteric, left eyelid swelling with mild erythema, no discharge, op clear, mmm neck: supple, no lad, jvp 7cm cv: pmi nondisplaced, rrr, distant heart sounds, ii/vi sem resp: ctab abd: +bs, soft, nt, nd, no masses, no hsm ext: + edema neuro: a&ox3, motor and sensation intact grossly pertinent results: brief hospital course: yo man with history of coronary artery disease, found to have st-depressions and echo with global hypokinesis and reduced ef at cardiologist's office, admitted for cardiac cath, with hospitalization complicated by bleeding hematoma necessitating brief ccu stay. during his hospitalization the following issues were addressed:. 1. coronary artery disease: patient was admitted for cardiac catheterization. on admission he creatinine was elevated above baseline and his inr was elevated on coumadin. coumadin was held, and acute failure was treated with gentle hydration. he underwent cardiac cath with pci des to lad on . after cath, coumadin was resumed heparin gtt continued for a subtherapeutic inr in the setting of history of afib and recurrent svt. on he developed a large right groin hematoma, and hct dropped acutely from 27 to 19. he was taken to the ccu, a central line placed, and transfused 4units prbc. the hematoma stabilized with clamp pressure. he was called out of the ccu the following day, and required one subsequent unit prbc during his hospitalization to maintain a hct greater than 30. heparin and coumadin was discontinued. coumadin will likely be restarted as an outpatient by dr. when he is stable. he was continued on aspirin and plavix for secondary prevention. he is not on a beta-blocker or ace-i due to adverse reactionsin past (wheezing to former, arf to latter). his troponins did rise during the period of acute blood and hypotension loss due to demand ischemia. no further interventions were done. he was started on imdur for bp control. 2. chf: ef is reported at 35%. the patient remained euvolemic throughout. he was diuresed briefly after the blood transfusions. 3. afib: patient has a h/o afib maintained on rhythmol. this was changed to sotolol, which he tolerated well. anticoagulation will be restarted as an outpatient as discussed above. 4. acute failure on insufficiency: baseline creatinine is 1.6. the patient was admitted wit an elevated creat 2.4 that corrected with hydration. it remained stable throughout the remainder of his hospitalization. all medications were renally dosed. 5. pvd with ulcer. he was evaluated by in house and will f/u with dr. as an outpatient. dressing changes qd per vna. 5. dispo: patient was discharged to home with services. he will follow-up with dr. . medications on admission: coumadin folate 3 mg atorvastatin 10 mg po daily propafenone 225 tid clocein for sbp ppx finsasteride 5 mg po daily modafinil 200 mg po daily tamsulosin 0.4 mg po daily mirtazapine 7.5 mg po qhs torsamide 2.5 mg po daily pentoxyfylline 400 tid darvocet 1 tab daily oxybutynin xl 5 daily vitamin c 1g daily discharge medications: 1. atorvastatin calcium 10 mg tablet sig: one (1) tablet po daily (daily). 2. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). 3. modafinil 100 mg tablet sig: two (2) tablet po qd (). 4. mirtazapine 15 mg tablet sig: 0.5 tablet po hs (at bedtime). 5. pentoxifylline 400 mg tablet sustained release sig: one (1) tablet sustained release po tid (3 times a day). 6. ascorbic acid 500 mg tablet sig: two (2) tablet po daily (daily). 7. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 9. bimatoprost 0.03 % drops sig: one (1) drop ophthalmic () as needed for glaucoma. 10. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily) for 30 days. disp:*30 tablet(s)* refills:*0* 11. sotalol 80 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 12. senna 8.6 mg tablet sig: two (2) tablet po bid (2 times a day) as needed for constipation. disp:*60 tablet(s)* refills:*0* 13. imdur 30 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day. disp:*30 tablet sustained release 24hr(s)* refills:*2* discharge disposition: home with service facility: , discharge diagnosis: primary: coronary artery disease hematoma pvd with ulcer . secondary: hypertension myelodysplasia h/o recurrent svt discharge condition: stable discharge instructions: please hold your coumadin until you follow-up with dr. . please take all other medications as prescribed. . if you develop chest pain, shortness of breath, palpitations, or any other concerning symptom, please contact dr. and/or return to the emergency department. followup instructions: 1. please follow-up with dr. within the next two weeks. you can call to schedule an appointment. provider: call where: none cardiac services phone: date/time: 11:15 2. provider: clinic where: cardiac services phone: date/time: 10:30 3. provider: , surgery where: surgery date/time: 10:15 procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor transfusion of packed cells insertion of drug-eluting coronary artery stent(s) diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia acute kidney failure, unspecified cardiac complications, not elsewhere classified personal history of malignant neoplasm of prostate hematoma complicating a procedure other specified cardiac dysrhythmias unspecified disorder of kidney and ureter cardiac pacemaker in situ atherosclerosis of native arteries of the extremities with ulceration ulcer of heel and midfoot 

Answer: The patient is high likely exposed to