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: cardiac catheterization with bare metal stent to left anterior descending artery. history of present illness: 88 yo m with pmh significant for htn, h/o stroke and dvt on coumadin, dementia presents with chest pain. the patient is a poor historian due to his dementia and thus history of taken with the help of his wife. the patient was in his normal state of health until last night when he complainted of chest discomfort to his wife. the episode resolved until the am when he woke up and complainted of severe chest tightness to his wife. also was slightly diaphoretic, but denied sob, nausea or vomiting. the wife called 911 and he was taken to . . in the ed vs: 96.4 76 154/87 16 98% ra. the patient had ecg changes consistent with anterior stemi and code stemi was called. he got asa, plavix 600mg, heparin gtt and integralin bolus (no gtt). he was also given iv metoprolol 5mg x2 for bp and 1 sl nitro followed by a nitro gtt. cxr showed early interstitial pulmonary edema. labs were remarkable for a trop 0..09, ck 65 and mb: not done, cr:1.3 and potassium 5.6 (not-hemolyzed). he was taken to the cath lab. . the cath revealed 80% thrombotic mid-lad lesion that was stented with a 3.0x15mm bms, post with 3.0mm nc balloon. he also had 80% lesions in ramus and mid rca and a 90% stenosis in a small distal lcx. those lesions were not intervened upon. he remained hemodynamically stable throughout and without complications. . the patient denied any chest pain, sob, nausea, vomiting. . on review of systems, he denies any prior history of pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. he denies recent fevers, chills or rigors. 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 dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: 1. cardiac risk factors: hypertension 2. cardiac history: none 3. other past medical history: --h/o stroke with r sided weakness. --multiple dvt in the leg and upper ext. last dvt was . on life-long coumadin --dementia --h/o melanoma on his back s/p removal social history: retired sales engineer. lives with his wife. services -tobacco history: none -etoh: rare -illicit drugs: none family history: no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. physical exam: vs: t=97.8...bp=125/63...hr=67...rr=19...o2 sat=94% 2l general: nad. oriented x2. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of 8 cm. 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. mild crackles at the bases no 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 venoous stasis changes ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 1+ pt 1+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ pertinent results: ekg: sinus at 65 bpm, ni, , -elevations in v1-v4. no prior for comparison . cath report : lad: 80% hazy mid lcx: 80% large ramus, 90% mid small distal circumflex rca: 80% mid bare metal stent to lad, perclose right groin. cxr impression: minimal increased interstitial linear markings in the right lung base suggestive of early interstitial pulmonary edema. echo : the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is moderate regional left ventricular systolic dysfunction with akinesis of the mid- and distal anterior wall and septum, apex and distal inferior segment (mid-lad territory). the remaining segments contract normally (lvef = 35%). the lv apex is not visualized sufficiently for a thrombus to be definitely excluded, although one is not seen. right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic arch is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. impression: moderate regional left ventricular systolic dysfunction, c/w cad. mild mitral regurgitation. mild pulmonary hypertension. mildly dilated ascending aorta. 01:30pm blood ck(cpk)-65 01:30pm blood ck-mb-notdone 08:26pm blood ck(cpk)-175* 08:26pm blood ck-mb-16* mb indx-9.1* ctropnt-0.09* 03:24am blood ck(cpk)-247* 03:24am blood ck-mb-17* mb indx-6.9* ctropnt-1.00* 01:30pm blood ck(cpk)-1147* 01:30pm blood ck-mb-113* mb indx-9.9* 10:05pm blood ck(cpk)-951* 10:05pm blood ck-mb-71* mb indx-7.5* 05:20am blood ck(cpk)-731* 05:20am blood ck-mb-44* mb indx-6.0 ctropnt-2.81* 06:20am blood ck(cpk)-410* 06:20am blood ck-mb-11* mb indx-2.7 03:24am blood triglyc-112 hdl-41 chol/hd-4.1 ldlcalc-105 on discharge: glucose-101 urean-19 creat-1.2 na-140 k-4.8 cl-104 hco3-26 angap-15 wbc-10.8 rbc-4.24* hgb-12.5* hct-36.3* plt ct-630* brief hospital course: 88 yo m with pmh significant for htn, h/o stroke and dvt on coumadin, dementia presents with stemi s/p bms to 80% thrombotic mid-lad lesion. . # coronaries: pt with anterior stemi. he was taken to cath and s/p bms to 80% mid lad lesion without further complication. patient with 80% lesions in ramus and mid rca and a 90% stenosis in a small distal lcx that were not intervened as they were not likely the cause of his cp. timi risk score of 5 (12.4% mortality). pt developed another episode of chest pain, back discomfort and shoulder pain the following morning with no significant ecg changes. ce peaked only once to ck 1147, ckmb 113, trop 9.9. delay in elevation was considered to be due to delayed washout. pt was started on plavix in addition to asa 325, which should be continued for one year. also maintained on lipitor 80mg, metoprolol 37.5mg tid, lisinopril 10mg. imdur was uptitrated to prevent recurrance of anginal sx. pt developed no complications of his mi. he had no evidence of heart failure. follow up echo showed ef 35% with lv systolic dysfunction with akinesis of mid and distal anterior wall and septum, apex and distal inferior segment consistent with mid lad infarct. no intervention given pt already therapeutic on coumadin for h/o dvt. further intervention of mid rca and ramus lesions should be considered as outpt. medications on admission: atenolol 25 mg daily lisinopril 10 mg daily nemenda 10 mg daily exelon 1.5 mg daily coumadin 3 mg daily supplement: fibercon, coenzyme q10 discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*11* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. metoprolol succinate 100 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* 5. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. ranitidine hcl 75 mg tablet sig: one (1) tablet po twice a day. 7. warfarin 3 mg tablet sig: one (1) tablet po once a day. 8. isosorbide mononitrate 30 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* 9. rivastigmine 1.5 mg capsule sig: one (1) capsule po bid (2 times a day). 10. memantine 10 mg tablet sig: one (1) tablet po twice a day. 11. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed) as needed for eye pain. disp:*1 bottle* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: anterior st elevation myocardial infarction hypertension previous stroke on coumadin dementia discharge condition: mental status:confused - always level of consciousness:alert and interactive activity status:ambulatory - requires assistance or aid (walker or cane) discharge instructions: you had a heart attack which caused your heart muscle to be weak. a cardiac catheterization showed 3 blockages in your coronary arteries. one of the blockages was fixed and a bare metal stent was inserted. this should keep the artery open. you will need to take aspirin and plavix every day for at least one month and ideally one year to prevent the stent from clotting off and causing another heart attack. medication changes: 1. stop taking atenolol 2. start taking metoprolol instead to slow the heart rate 3. start taking imdur, a long acting nitroglycerin to prevent chest pain and lower the blood pressure 4. start taking aspirin and plavix every day to prevent the stents from clotting off. do not stop taking unless your cardiologist says it is ok to do so. 5. start taking ranitidine to prevent stomach upset from the plavix 6. start taking atorvastatin to lower your cholesterol and prevent another heart attack. 7. continue your warfarin and medicines for dementia 8. continue the eye drops if your eyes are dry at home. . weigh yourself every morning, md if weight goes up more than 3 lbs. followup instructions: primary care: , phone: date/time: tuesday at 11:00 am. . cardiology: , m.d. hospital , phone: ( date/time: wednesday at 1:00pm. please come to the hospital at 12:30pm to register and do new patient paperwork. procedure: coronary arteriography using two catheters 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 acute myocardial infarction of other anterior wall, initial episode of care hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified other persistent mental disorders due to conditions classified elsewhere chronic kidney disease, unspecified long-term (current) use of anticoagulants personal history of venous thrombosis and embolism personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits chronic total occlusion of coronary artery 

Answer: The patient is high likely exposed to