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 with stent placement history of present illness: 79 m with history of htn, hl, recent left parieto-occipital ich with hematoma evacuation on , presents initially to hospital with chest pain. described to be acute onset of substernal chest pain without radiation. at , ekg had inferior -elevations, was given 324mg aspirin and 2 sl ntg, which improved pain. he was started on nitro drip with subsequent drop in systolic bp to 70 mmhg. nitro drip was stopped and he remained pain free, -segments however remained elevated. osh cardiology declined cardiac catheterization given recent hemorrhagic cva, and was therefore transferred here for further evaluation. . upon arrival, patient initially without chest pain. the patient has expressive aphasia secondary to cva making history somewhat limited. he report no radiation of chest pain, although with mild associated shortness of breath. his wife/hcp describes recent chest "twinges" with exertion over the past two weeks, but none at rest until this evening when he was awoke from sleep with pain. they both deny any new/changed neurologic defecits and report aphasia and hand coordination have improved. . he was initially hemodynamically stable with sinus bradycardia of 60bpm, bp 125/75 mmhg, rr 16bpm, sao2 100% on 2l nc. at the time he was in no acute distress, with clear lung fields, and normal s1s2 on cardiac exam without murmurs, rubs, or gallops. his extremities are warm with good distal pulses and no edema. ekg at the time showed sinus bradycarda, normal axis and intervals, inverted t-waves inferiorly. . neurosurgery was consulted who said that it is fine to anticoagulate. . the chest pain then returned and lead ii on telemetry was noted to again have -elevation. he was taken urgently to the cardiac cathterization lab, was found to have a large distal 90% rca proximal thrombus and diffusely diseased lad with 40% proximal and 60-70% mid vessel. export thrombectomy was performed and ic integrillin was administered with successful integrity bms stent placement. past medical history: 1. cardiac risk factors: -diabetes, +dyslipidemia, +hypertension 2. cardiac history: - cabg: none - percutaneous coronary interventions: none - pacing/icd: none 3. other past medical history: left parieto-occipital ich with hematoma evacuation on social history: achieved a master's in music and worked as a professional musician. he is married with . . he never smoked. he never used any drugs, and he uses drinks per week, sometimes two bourbons up to three in one day. family history: positive for his mother and father who had heart disease as well as his brother who is deceased in the early 70s due to a lymphoma. he has one sister that is alive. two daughters and one son that are alive and healthy. physical exam: t 98.0 bp 123/77 (120-144) p 69 (60s-80s) rr 18 98% ra uo: 330 in/1150 out over 24 hrs yesterday. heent: jvp flat cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. short systolic murmur heard best in llsb. lungs: ctab, no crackles, wheezes or rhonchi anteriorly and laterally. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: trace edema, no c/c. no femoral bruits. pertinent results: 07:15am blood wbc-5.7 rbc-4.37* hgb-13.2* hct-41.1 mcv-94 mch-30.3 mchc-32.2 rdw-13.1 plt ct-210 07:15am blood glucose-109* urean-15 creat-0.9 na-142 k-4.0 cl-102 hco3-32 angap-12 07:15am blood calcium-9.3 phos-3.7 mg-2.2 echo the left atrium and right atrium are normal in cavity size. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). 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 stenosis or aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. there is an anterior space which most likely represents a prominent fat pad. impression: mild symmetric left ventricular hypertrophy with normal global and regional biventricular systolic function. brief hospital course: 79 m with history of htn, hl, recent left parieto-occipital ich with hematoma evacuation on presents with chest pain found to have thrombus of rca s/p stenting with resolution of chest pain. . # rca thrombus/inferior-posterior-?right ventricle stemi: pt with large rca found to have thrombus subtotally occluding artery. chest pain resolved after stenting and patient treated with ic integrillin. ecg reveals interior-posterior stemi with iii>ii and i and avl depression, with questionable involvement of rv as well given borderline elevation in rv leads. furthermore, pt with hypotension on ng, lending evidence to preload dependence. pt also with bradycardia at time likely due to rca involvement. post cath he was admitted to the ccu. he was continued on aspirin and plavix (which will continue for 1 year). his blood pressure and pulse stabilized. echo showed lvef 55%. he was called out the floor, where he remained stable. he was discharged home on aspirin, plavix, metoprolol, lisinopril and atorvastatin. . # ich: his neuro status was closely monitored given the use of aspirin and plavix with his recent ich with hematoma evacuation. his speech appeared at baseline. he had no other symptoms. his neurologist was contact to discuss care. . # htn: on lisinopril at home. started metoprolol and increased lisinopril. . # hld: switch from pravastatin to high dose atorvastatin. . # gerd: takes prilosec at home. . # bph: continue flomax medications on admission: calcium carbonate 500 mg by mouth metoprolol 50 mg b.i.d. prilosec 20 mg daily pravachol 40 mg per day trazodone p.r.n. flomax 0.4 mg by mouth qhs melatonin lisinopril 5 mg kcl 20 meq daily trazadone 25 mg qhs discharge medications: 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 2. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. tamsulosin 0.4 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po hs (at bedtime). 4. trazodone 50 mg tablet sig: 0.5 tablet po hs (at bedtime) as needed for insomnia. 5. aspirin 81 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:*0* 6. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. metoprolol succinate 100 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:*0* 8. ranitidine hcl 150 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*30 capsule(s)* refills:*0* 9. calcium carbonate 500 mg calcium (1,250 mg) capsule sig: one (1) capsule po twice a day. 10. melatonin oral discharge disposition: home with service facility: discharge diagnosis: -elevation myocardial infarction hypertension left parieto-occipital intracranial hemorrhage 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 here at the . you presented to the hospital with a heart attack and were taken to the cardiac catheterization lab where you recieved a stent to one of your blocked heart vessels. your pain resolved and you were discharged home in a stable condition. new medications: please do not stop taking aspirin and plavix medications under any circumstances without consulting with your cardiologist. 1. aspirin 81 once daily 2. clopidogrel (plavix) 75mg once daily for at least a year 3. atorvastatin 80mg once daily 4. ranitidine 150 mg twice daily medications changed: 1. lisinopril: dose increased from 5mg to 10mg once daily 2. metoprolol: dose increased from 50 twice a day to 100mg once daily medications stopped: 1. pravastatin. switched to atorvastatin 2. omeprazole. switched to ranitidine followup instructions: name: , : internal medicine address: 545a centre , , phone: **youre dr visit you within 24-48 hours for a follow up visit from your hospital stay.** department: cardiac services when: wednesday at 11:00 am with: , md building: sc clinical ctr campus: east best parking: garage department: neurology when: wednesday at 2:00 pm with: drs. & haussen building: sc clinical ctr campus: east best parking: garage md, procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters injection or infusion of platelet inhibitor left heart cardiac catheterization 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 other specified cardiac dysrhythmias acute myocardial infarction of inferoposterior wall, initial episode of care late effects of cerebrovascular disease, aphasia 

Answer: The patient is high likely exposed to