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: planned right carotid stent placement for asymptomatic 80% stenosis. major surgical or invasive procedure: catheterization and carotid stent placement. history of present illness: 67 year-old male with diabetes, hypertension, hyperlipidemia, cad s/p lad and lcx stents in , and right carotid stenosis admitted to the ccu after right carotid stent placement with subsequent labile blood pressures. the right carotid stenosis was discovered after he was noted to have a carotid bruit by dr. . the patient was asymptomatic. work-up for carotid bruit included carotid ultrasound with right peak systolic velocities 332, 79, and 109 cm/sec in the ica, cca, and eca respectively, with peak ica end-diastolic velocity 117. mri/mra neck which showed a high grade and critical, greater than 95% stenosis involving the suprabulbar right ica, 1 cm above the right carotid bifurcation in the neck. cta head and neck showed 60% short segment focal stenosis within without left-sided stenosis. he was referred for percutaneous carotid intervention as part of the crest study. he has been seen by dr. as well as dr. from neurology for his pre-procedure evaluation. . catheterization revealed no significant left vertebral disease. the bifurcation of the /eca had mild disease. the had an 80-85% stenosis. there was no significant intracranial disease and there was cross filling via a patent acom. an acculink stent was placed to the right carotid. final angiography revealed <40% residual stenosis with no dissection or angiographic embolization. the patient was placed on neosynephrine gtt for hypotension which was titrated up to 0.6mcg/kg, although the patient's blood pressure was labile with systolics as high as 200 off neosynephrine. . on cardiac ros, patient denies chest pain, dyspnea on exertion, claudication, pnd, orthopnea, edema, lightheadedness, paroxysmal nocturnal dyspnea, palpitations, syncope or presyncope. the patient denied neurologic complaints. review of systems otherwise negative in detail. past medical history: 1. coronary artery disease with imi status post stent to lcx and lad 2. hypertension 3. hyperlipidemia 4. diabetes 5. glaucoma social history: no tobacco or alcohol use. family history: the patient's sister underwent cabg at age 62. mother died of cad at age 83. no family history of sudden death. physical exam: vitals: bp 148/83 hr 86 rr 18 general: breathing comfortably, in no acute distress heent: pink conjunctiva neck: jvp 8cm, no thyromegaly lungs: ctab, no adventitous breath sounds heart: pmi 5th intercostal space, mid-clavicular line. rrr, normal s1s2 with no m/r/g abdomen: soft, nabs, non-distended, non-tender, no hepatosplenomegaly extremities: no cyanosis or clubbing, trace edema le skin: no stasis dermatitis or ulcers pulses: right: carotid not palpated due to sensitivity but no bruit; femoral arterial line in place, dp 1+ pt 1+ left: carotid 2+ dp 1+ pt 1+ pertinent results: labwork on admission: 07:46pm plt count-258 07:46pm ck-mb-notdone ctropnt-<0.01 07:46pm ck(cpk)-48 07:46pm potassium-4.1 06:10am blood glucose-132* urean-22* creat-1.1 na-138 k-4.1 cl-106 hco3-22 angap-14 . ecg study date of 11:16:30 am sinus bradycardia. incomplete right bundle-branch block. left anterior fascicular block. since the previous tracing of probably no significant change. . c.cath study date of comments: 1) diagnostic angiography revealed a type 1 aortic arch with no signficant disease. the left vertebral and left /eca/cca had no significant disease. there was some cross filling by the posterior and anterior communicating arteries. the right ica had an 80-85% stenosis. 2) successful ptca and stenting of the r ica with a 7.0/10 tapered x30 mm acculink stent which was postdilated up to 5.0 mm. final angiography revealed <30% residual stenosis, no dissection, and normal flow. . chest (portable ap) compared with , there is a new contour abnormality in the region of the ascending aorta and azygos vein. there is no pneumothorax, cardiomegaly, consolidation, or pleural effusion. . labwork on discharge: 04:30am blood wbc-12.1* rbc-3.36* hgb-10.6* hct-29.8* mcv-89 mch-31.5 mchc-35.6* rdw-12.9 plt ct-218 04:30am blood glucose-138* urean-20 creat-1.0 na-142 k-4.0 cl-109* hco3-23 angap-14 brief hospital course: 67 year-old male with coronary artery disease status post lcx/lad stents, type ii diabetes, admitted for right carotid stent placement for asymptomatic right carotid stenosis as part of crest study. . 1. right carotid stenosis: the patient was found to have an 80% ica stenosis on catheterization. the patient is status post stent without immediate complications. the patient's blood pressure and heart rate were labile during hospitalization secondary to baroreceptor irritation and the patient was monitored in the ccu for 36 hours. the patient was given neosynephrine as needed to keep systolic blood pressure 100-140. the patient's heart rate became as low as 29 during sleep. the patient's vagal response improved with intravenous fluids and exertion. the patient was instructed to hold all anti-hypertensives until blood pressure check at his primary care physician's office. the patient was continued on aspirin, plavix, and vytorin. the patient will follow-up with drs. and . . 2. possible ascending aortic aneursym: the patient was noted to have a possible ascending aortic aneursym on chest x-ray as above. the patient will have an outpatient mri/mra chest for further evaluation. . 3. coronary artery disease: no active issues during hospitalization. the patient was continued on aspirin, plavix, and vytorin. the patient's beta-blocker and ace-inhibitor were held for hypotension as above. . 4. pump: diastolic heart failure. the patient was euvolemic during hospitalization. the patient's lasix was held for hypotension as above. the patient was instructed to hold his beta-blocker and lasix until blood pressure check at his primary care physician's office. . 5. rhythm: the patient remained in sinus rhythm with bradycardia to 29 as above during hospitalization without other events on telemetry. the patient's beta-blocker was held as above. . 6. diabetes mellitus, type ii: the patient's metformin was held for 48 hours after contrast administration during catheterization. the patient's ace-inhibitor was held as above. . 7. glaucoma: the patient was continued on his outpatient regimen. . code: full. medications on admission: aspirin 325mg daily plavix 75 -sun and monday vytorin 10/40mg daily diovan 160mg daily furosemide 20mg daily lisinopril 40mg daily metoprolol 200mg glucophage 1000mg xalatan eye gtts 1 gtt both eyes qhs alphagan eye gtts-1gtt both eyes cosupt eye gtts-1 gtt both eyes discharge disposition: home discharge diagnosis: primary: 1. right internal carotid stenosis status post stent 2. possible ascending aortic aneursym . secondary: 1. coronary artery disease with imi status post stent to lcx and lad 2. hypertension 3. hyperlipidemia 4. diabetes 5. glaucoma discharge condition: afebrile, vital signs stable. discharge instructions: you were hospitalized after a procedure to stent your carotid artery. you will have some changes in your blood pressure and heart rate for the next few days because of this. you should hold metoprolol, lisinopril, diovan, and lasix until your blood pressure is rechecked. . while hospitalized, a chest x-ray showed a possible aortic aneursym. please call the number below to schedule an mri chest for follow-up. . please contact a physician if you experience fevers, chills, chest pain, shortness of breath, or any other concerning symptoms. . please take your medications as prescribed. - please hold metoprolol, lisinopril, diovan, and lasix until your blood pressure is rechecked. - you can restart metformin tomorrow. . please keep your follow-up appointments as below. followup instructions: follow-up with your primary care physician, . , on monday, at 1:00 pm. you will have your blood pressure checked at this time and can discuss restarting your blood pressure regimen. . please call to schedule an mri of the chest to assess for possible aortic aneursym. . previously scheduled appointments: provider: study phone: date/time: 11:00 . provider: , md, phd: date/time: 1:30 . provider: , md phone: date/time: 1:20 procedure: arteriography of cerebral arteries arterial catheterization percutaneous angioplasty of extracranial vessel(s) percutaneous insertion of carotid artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent procedure on single vessel diagnoses: pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes occlusion and stenosis of carotid artery without mention of cerebral infarction hypotension, unspecified diastolic heart failure, unspecified 

Answer: The patient is high likely exposed to