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: nausea and abdominal discomfort major surgical or invasive procedure: cypher stents to left anterior descending artery history of present illness: 64 y/o male w/ hx high cholesterol and borderline htn, presents to ed by way of pcp w/ 1 day of indigestion and palpitations which came on while having nacho's and beer. states he was in his usoh until this episode. denies shortness of breath, chest pain, diaphoresis, dizziness, syncope. past medical history: high cholesterol borderline hypertension social history: lives with wife. history of smoking. alcohol use "occasional" physical exam: gen: nad but very mildly diaphoretic neck: no jvd card: rrr, nl s1s2, no mrg lungs: clear abd; soft , nt, nd, nabs ext: wwp, no cce pertinent results: ekg in ed: sinus rhythm with borderline resting sinus tachycardia. borderline low limb and lateral precordial voltage. extensive anterior and lateral q wave myocardial infarction pattern, probably recent, with st segment elevations in those leads and probable slight reciprocal change in leads iii and avf. right axis deviation attributable to loss of lateral qrs forces here. if findings are more chronic, then underlying ventriciular aneurysm is suspected. clinical correlation is suggested. no previous tracing available for comparison. . 12:10pm wbc-15.1*# rbc-4.81 hgb-14.2 hct-41.8 mcv-87 mch-29.6 mchc-34.1 rdw-13.0 12:10pm neuts-85.2* lymphs-8.9* monos-5.6 eos-0.2 basos-0.2 12:10pm ck-mb-449* mb indx-12.4* 12:10pm ctropnt-5.35* 12:10pm alt(sgpt)-88* ast(sgot)-461* ck(cpk)-3608* alk phos-104 tot bili-0.8 . cardiac catheterization report: procedure: right heart catheterization: was performed by percutaneous entry of the right femoral vein, using a 7 french pulmonary wedge pressure catheter, advanced to the pcw position through a 8 french introducing sheath. cardiac output was measured by the fick method. left heart catheterization: was performed by percutaneous entry of the right femoral artery, using a 6 french left catheter, advanced to the ascending aorta through a 6 french introducing sheath. coronary angiography: was performed in multiple projections using a 6 french xblad guide and a 6 french jr4 catheter, with manual contrast injections. percutaneous coronary revascularization was performed using placement of drug-eluting stent(s). conscious sedation: was provided with appropriate monitoring performed by a member of the nursing staff. hemodynamics results body surface area: 2.01 m2 hemoglobin: 14.2 gms % post angio **pressures right atrium {a/v/m} 15/16/12 right ventricle {s/ed} 43/15 pulmonary artery {s/d/m} 43/25/32 pulmonary wedge {a/v/m} 25/24/22 aorta {s/d/m} 119/78/96 **cardiac output heart rate {beats/min} 91 rhythm sr o2 cons. ind {ml/min/m2} 125 a-v o2 difference {ml/ltr} 50 card. op/ind fick {l/mn/m2} 5.0/2.5 **resistances systemic vasc. resistance 1344 pulmonary vasc. resistance 160 **% saturation data (nl) svc low 58 pa main 65 ao 91 **arterial blood gas inspired o2 concentr'n 0.21 po2 71 pco2 36 ph 7.46 other hemodynamic data: the oxygen consumption was assumed. **arteriography results morphology % stenosis collat. from **right coronary 1) proximal rca normal 2) mid rca normal 2a) acute marginal normal 3) distal rca normal 4) r-pda normal 4a) r-post-lat normal 4b) r-lv normal **arteriography results morphology % stenosis collat. from **left coronary 5) left main normal 6) proximal lad normal 6a) septal-1 normal 7) mid-lad discrete 100 9) diagonal-1 diffusely diseased 12) proximal cx normal 13) mid cx normal 13a) distal cx normal 14) obtuse marginal-1 normal 15) obtuse marginal-2 normal **ptca results lad **baseline stenosis pre-ptca 100 **technique ptca sequence 1 guiding cath xblad 3. guidewires whisper initial balloon (mm) 2.0 x 20 final balloon (mm) 3.0 x 13 # inflations 11 max pressure (psi) 300 **result stenosis post-ptca 0 success? (y/n) y ptca comments: we elected to treat the totally occluded lad with ptca/stenting. heparin and integrilin were administered prophylactically. a 6 french xblad 3.5 guide provided adequate support after selective engagement in the lad. a choice ptxs wire and whisper wire were used to cross into the distal lad with moderate difficulty due to angulation of the mid-lad. a 2.0 x 20 mm voyager was used to dotter through the occlusion (restoring flow) and to predilate at 6 atm. we were unable to cross with a 2.5 x 28 mm cypher des, so the lad was further predilated with a 2.5 x 12 mm quantum maverick at 6, 10 and 12 atm, and then with a 2.75 x 15 mm quantum maverick at 12 atm in 3 inflations. the wire was exchanged for a stablizer xs wire, and the stent was delivered with the use of the choice ptxs wire as a buddywire. the stent was deployed at 18 atm, and a 3.0 x 13 mm cypher des was then deployed in overlapping fashion more proximally at 20 atm. the sds was used to post-dilate the overlap area at 14 atm. we then crossed through the stent into the jailed diagonal and used the 2.0 x 20 mm voyager to balloon the ostium at 6 atm. intracoronary nitroprusside was administered in the mid-lad through the lumen of the 2.0 x 20 mm voyager. final angiography demonstrated no dissection, no residual stenosis within the lad and a 20% residual at the ostium of the diagonal, with timi-3 flow. technical factors: total time (lidocaine to test complete) = 1 hour 26 minutes. arterial time = 1 hour 23 minutes. fluoro time = 39.3 minutes. contrast: non-ionic low osmolar (isovue, optiray...), vol 255 ml, indications - hemodynamic premedications: asa 325 mg p.o. anesthesia: 1% lidocaine subq. anticoagulation: heparin 1500 units iv other medication: eptifibatide 7.30 cc iv eptifibatide 13.0 cc/hr iv tng 10 mcg/min/iv nitroprusside 250 mcg ic fentanyl 25 mcg iv clopidogrel 300 mg po midazolam 0.5 mg iv cardiac cath supplies used: .014 , choice pt xs, 300cm .014 guidant, whisper .014 cordis, stabilizer xs supersoft 300 2.0 guidant, voyager 20 2.5 , quantum maverick, 12 2.75 , maverick, 15 6f cordis, xblad 3.5 300 cm mallincrodt, optiray 100cc 2.5 cordis, cypher otw, 28 3.0 cordis, cypher rx, 13 comments: 1. selective coronary arteriography of this right-dominant system revealed single vessel disease. the lmca was free of angiographically-evident flow-limiting stenoses. the lad was totally occluded at the level of the first diagonal branch. the lcx had mild luminal irregularities. the rca had mild luminal irregularities. 2. hemodynamic evaluation after pci revealed mildly elevated right-sided pressures (mean ra was 12 and rvedp was 15 mmhg), moderately elevated left-sided pressures (mean pcw was 22 mmhg), and moderately elevated pulmonary pressures (pa was 43/25 mmhg). the cardiac index was normal at 2.5 l/min/m2 (using an assumed oxygen consumption). 3. successful pci of the lad with two overlapping cypher des (3.0 x 13 mm and 2.5 x 28 mm) (see ptca comments). final diagnosis: 1. one vessel coronary artery disease. 2. elevated right and left sided pressures. 3. successful primary pci of the lad for acute st-elevation myocardial infarction (anterior location). . echo: measurements: left atrium - long axis dimension: 3.9 cm (nl <= 4.0 cm) left atrium - four chamber length: *5.7 cm (nl <= 5.2 cm) right atrium - four chamber length: *5.5 cm (nl <= 5.0 cm) left ventricle - septal wall thickness: 1.0 cm (nl 0.6 - 1.1 cm) left ventricle - inferolateral thickness: 0.9 cm (nl 0.6 - 1.1 cm) left ventricle - diastolic dimension: 5.4 cm (nl <= 5.6 cm) left ventricle - ejection fraction: 35% (nl >=55%) aorta - valve level: *4.0 cm (nl <= 3.6 cm) aorta - ascending: 3.3 cm (nl <= 3.4 cm) aortic valve - peak velocity: 1.2 m/sec (nl <= 2.0 m/sec) mitral valve - e wave: 0.8 m/sec mitral valve - a wave: 0.6 m/sec mitral valve - e/a ratio: 1.33 mitral valve - e wave deceleration time: 150 msec tr gradient (+ ra = pasp): *31 mm hg (nl <= 25 mm hg) interpretation: findings: left atrium: elongated la. right atrium/interatrial septum: mildly dilated ra. left ventricle: normal lv wall thickness. normal lv cavity size. moderate regional lv systolic dysfunction. no lv mass/thrombus. right ventricle: normal rv chamber size and free wall motion. aorta: moderately dilated aortic root. normal ascending aorta diameter. aortic valve: normal aortic valve leaflets (3). no as. trace ar. mitral valve: normal mitral valve leaflets with trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. mild pa systolic hypertension. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. pericardium: no pericardial effusion. conclusions: the left atrium is elongated. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. there is moderate regional left ventricular systolic dysfunction with severe hypokinesis of the mid to distal septum and anterior walls an akinetic apex (lad). no masses or thrombi are seen in the left ventricle. right ventricular chamber size and free wall motion are normal. the aortic root is moderately dilated. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. trace aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. impression: normal lv cavity size with moderate regional lv systolic dysfunction c/w cad (lvef 35%). normal rv cavity size and systolic function. moderately dilated aortic root. mild biatrial enlargement. mild pulmonary hypertension. . brief hospital course: in the pt was noted to have ekg c/w recent anterior mi. he was taken to the catheterization lab where he was found to have one vessel coronary artery disease, elevated right and left sided pressures. there the patient underwent a successful primary pci of the lad with a cypher stent for acute st-elevation myocardial infarction. pt had no arrythmias in the post catheterization period. an echo fond ef of 35% without regional hypokinesis and akinesis at the apex (see results section). pt was started on beta blocker, aspirin, increased statin dose, an ace inhibitor, plavix, and coumadin. he was instructed to take plavix for only three months. he was discharged to home with follow-up scheduled for the cardiology clinic. medications on admission: glucosamine-chondr-msm 500-400mg--as needed for pain in joints ibuprofen 600mg--one tablet by mouth three times a day for 3-5 days then as needed.lipitor 10mg--take one daily meclizine hcl 25mg--one three times a day for dizziness sildenafil citrate 100mg discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*90 tablet, delayed release (e.c.)(s)* refills:*0* 2. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po daily (daily) for 30 days. disp:*90 tablet(s)* refills:*0* 3. atorvastatin calcium 40 mg tablet sig: two (2) tablet po daily (daily). disp:*180 tablet(s)* refills:*0* 4. warfarin sodium 5 mg tablet sig: one (1) tablet po daily (daily) for 14 days. disp:*14 tablet(s)* refills:*0* 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*0* 6. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). disp:*45 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: acute myocardial infarction discharge condition: stable discharge instructions: return to emergency department if you have chest pain, shortness of breath, or dizziness. followup instructions: provider: , m.d. where: phone: date/time: 10:00 . provider: , md where: cardiac services phone: date/time: 3:45 procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor insertion of drug-eluting coronary artery stent(s) diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension acute myocardial infarction of other anterior wall, initial episode of care 

Answer: The patient is high likely exposed to