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: xanax attending: chief complaint: chest pressure major surgical or invasive procedure: cardiac catheterization with bare metal stents to the left anterior descending coronary artery history of present illness: this is an 83 y/o m with h/o polio and celiac disease who presented to with chest pressure that began around 3pm on day of admission. patient states that he was in his usoh until this afternoon when he used his snowblower. developed sscp, rating it . associated with sob, diaphoresis and some nausea. he does acknowledge a recent prior episode that lasted a whole day, but he did not seek medical attention for it. he has been stressed in , which did not show any abnormalities. patient came to ed when pain did not subside this time. . in ed, ekg showed st elevations in v2-v4, c/w stemi of lad territory. code stemi was called, patient given asa, plavix, heparin gtt, and integrillin, and taken emergently to cath lab where a proximal lad lesion was seen. bms was placed. right heart cath at same time also showed slight step-up of pressures from svc to ra, which will need further eval by echo. . in the icu, patient is comfortable in bed, without chest pain, and conversant. . on review of systems, s/he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. s/he denies recent fevers, chills or rigors. s/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 chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. . 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: - hearing loss - polio as child - celiac disease (ttg elevated w/ small bowel biopsy showing villous atrophy - prostate cancer (s/p radical retropubic prostatectomy, bilateral pelvic lymph node dissection in ) - l3-l4 disc extrusion with matching right l3 and l4 radiculopathy social history: - tobacco history: none - etoh: none - illicit drugs: none family history: - no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. physical exam: vs: 97.0, 52, 126/61, 19 and 100% on 2.5l general: nad. oriented x3. 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 cm. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g with occasional pvcs. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. extremities: no c/c/e. no femoral bruits. cath site with small hematoma, nontender; significant atrophy of left leg vs. right skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ pertinent results: labs on admission: . 05:05pm blood wbc-9.8# rbc-4.65 hgb-13.8* hct-41.2 mcv-89 mch-29.7 mchc-33.6 rdw-14.0 plt ct-185 05:05pm blood neuts-68.4 lymphs-23.6 monos-3.9 eos-3.8 baso-0.4 05:05pm blood pt-12.8 ptt-21.5* inr(pt)-1.1 05:05pm blood glucose-107* urean-22* creat-0.8 na-140 k-5.1 cl-104 hco3-28 angap-13 05:05pm blood ck(cpk)-163 05:05pm blood ctropnt-0.01 02:19am blood ck-mb-18* mb indx-8.6 ctropnt-0.59* 08:53am blood ck-mb-17* mb indx-8.6* ctropnt-0.39* 05:05pm blood calcium-8.8 phos-3.9 mg-2.3 06:32pm blood type-art po2-83* pco2-44 ph-7.37 caltco2-26 base xs-0 . labs on discharge: . 07:05am blood wbc-5.3 rbc-4.17* hgb-12.6* hct-36.2* mcv-87 mch-30.2 mchc-34.8 rdw-14.0 plt ct-148* 07:05am blood glucose-89 urean-16 creat-0.7 na-143 k-4.2 cl-106 hco3-30 angap-11 07:05am blood ctropnt-0.17* 07:05am blood calcium-8.5 phos-3.3 mg-2.1 . imaging: . cardiac cath (): 1. selective coronary angiography of this left dominant system demonstrated 2 vessel coronary artery disease. the short lmca had moderate focal calcification with distal tapering to 25%. the lad had moderate calcification with a proximal hazy eccentric 70% stenosis at a small s1 and small high d1 extending distally past a bifurcating d2 to a large s2. there was a 20% stenosis in the mid-lad and the distal lad wrapped around the apex. there was timi2 flow in the lad. the lcx had mild calcification with an ostial 35% stenosis and a proximal 25% stenosis. the lcx gave rise to a modest om1, a long modest om2, and a larger om3 that extended to the posterolateral wall and had a proximal 30% stenosis. there was also a larger om4/lpl1, om5/lpl2, modest lpl3, and twin l-pdas. there was timi 2 flow in the av groove cx consistent with microvascular dysfunction. the rca was non-dominant with a 50% stenosis in the mid-vessel. there was an 80% origin stenosis of the proximal am1. there was timi2 flow in the rca consistent with microvascular dysfunction. 2. successful ptca and stenting of proximal lad were performed with 2.25x22 mm integrity bare metal stent postdilated using a 2.75 mm nc balloon, with a 10% residual stenosis, plaque shift into the jailed bifurcating d2 with preserved flow, no apparent dissection, and normal flow in the lad (see ptca comments). 3. post-pci hemodynamics revealed mildly elevated right and left heart filling pressures (rvedp=14mmhg and lvedp=22mmhg). there was mild pulmonary artery hypertension (pasp=36mmhg). 4. initial oxygen saturation measurements demonstarted a step-up from the svc to the pa. a full saturation run suggested a small left to right shunt at the atrial level. pulmonary blood flow was 3.9 l/min and systemic 3.8 l/min (qp/qs=1.02). these indicated a mildly depressed systemic flow at 2.3 l/min/m2 (using an assumed oxygen consumption). final diagnosis: 1. two vessel coronary artery disease in a left dominant system with moderate cad in the non-dominant rca. 2. anterior stemi 3. angiographic evidence of diffuse microvascular dysfunction. 4. mild mild and moderate left ventricular diastolic heart failure (assessed post-angiography and post-pci). 5. mild pulmonary artery hypertension. 6. oxymetric evidence of a small left-to-right shunt at the atrial level consistent with an asd. 7. successful primary pci of lad with a bare metal stent. . tte (): the left atrium is elongated. the estimated right atrial pressure is 0-5 mmhg. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened. trace aortic regurgitation is seen. the mitral valve leaflets are structurally normal. mild (1+) mitral regurgitation is seen. there is borderline pulmonary artery systolic hypertension. there is no pericardial effusion. there was borderline early passage of agitated saline contrast into the left heart with valsalva release which is consistent with intracardiac shunt suggestive of a probable patent foramen ovale (versus pulmonary arteriovenous communication). compared with the report of the prior study (images unavailable for review) of , estimated pulmonary artery systolic pressure is now higher. . ekgs: on admission: baseline artifact. sinus bradycardia. left axis deviation. consider left anterior fascicular block. anterior st segment elevation. probable anteroseptal myocardial infarction - acute. since the previous tracing of the rate is faster and precordial st segment elevation is new. . after cath: sinus bradycardia. left anterior fascicular block. late r wave progression. since the previous tracing the st segment elevation is less prominent. brief hospital course: 83 y/o m with h/o polio and celiac disease, without previous cardiac history, who presents with anterior stemi, s/p catheterization and bms to lad. . # stemi: ekg on admission showed st elevation in leads v2-v4 and the patient was taken for cardiac catheterization. a bms was placed to the lad with good therapeutic result and resolved st elevation on follow-up ekgs. his cardiac enzymes continued to trend down and a follow up echocardiogram did not show any significant wall motion abnormalities. he had some mild chest pressure on the evening follow-up catheterization, but it resolved on its own and no ekg changes were associated with it. he will continue on asa, plavix (at least 1 month), acei and statin upon discharge. due to sinus bradycardia, a b-blocker will held and started as an outpatient. # patent foramen ovale: at cardiac cath, there was a step-up in pressures from the svc to the ra, with suspicion for a patent foramen ovale. an echocardiogram, done to assess for any wall motion abnormalities following the stemi, confirmed a probable pfo. this is not hemodynamically significant and will not require intervention. . # celiac disease: ttg elevated in past with small bowel biopsy with villous atrophy consistent with celiac disease. he already sees gi and nutrition as an outpatient. he was continued on a gluten-free diet without any issues during this hospitalization. medications on admission: none discharge medications: 1. aspirin 325 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* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual prn (as needed) as needed for chest pain: please take up to two tablets 5 minutes apart for chest pain. call dr. for any chest pain. . disp:*25 tablet, sublingual(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: st elevation myocardial infarction discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you had a heart attack and needed a bare matal stent placed in your left coronary artery to open it up and restore blood flow. you will need to take aspirin and plavix every day for at least one month to keep the stent open and prevent another heart attack. do not miss or stop taking plavix and aspirin unless dr. tells you to. please follow the recommendations of the physical therapist who saw you in the hospital regarding activity in the next month. do not lift more than 10 pounds for one week. no baths or pools for one week. . we started you on the following medicines: 1. start taking aspirin and plavix every day to prevent the stent from clotting off and becoming blocked 2. start lisinopril to help your heart recover from the heart attack and lower your blood pressure 3. start taking atorvastatin to lower your blood pressure 4. you will need to start taking metoprolol when your heart rate improves. follow up with your cardiologist or primary care physician about this. 5. take nitroglycerin if you have chest pain again that is similar to the pain before your heart attack. sit down and take one pill under your tongue, wait 5 minutes and take another pill if you still have chest pain. call 911 for any chest pain that doesn't go away after 2 nitroglycerin tablets. followup instructions: name: , r. location: healthcare address: ,8th fl, , phone: appt: at 11:45am department: cardiac services when: friday at 9:00 am with: , m.d. building: campus: east best parking: garage procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor 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 congestive heart failure, unspecified acute myocardial infarction of other anterior wall, initial episode of care personal history of malignant neoplasm of prostate other chronic pulmonary heart diseases ostium secundum type atrial septal defect celiac disease diastolic heart failure, unspecified 

Answer: The patient is high likely exposed to