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: left carotid artery stenosis major surgical or invasive procedure: carotid artery angioplasty and stenting history of present illness: the pt is a 74-yo man with hyperlipidemia, possible hypertension, ischemic cardiomyopathy with ef 25-45%, cad s/p mi and emergent 4vcabg + lv aneurysmectomy , and left carotid artery stenosis, who presents for angiography and revascularization of carotid artery stenosis. recent surveillance testing has shown the left carotid artery to have 80-99% stenosis with a peak systolic velocity of 514 cm/sec and diastolic velocities of 151 cm/sec. there was retrograde flow involving the left vertebral artery consistent with a probable subclavian artery stenosis. the patient has no history of prior stroke or tia, and has not had any neurological symptoms including difficulty with speech, headaches, changes in vision, weakness, numbness or tingling. he also denies any cardiac symptoms including chest pain, sob, doe, orthopnea, pnd, leg swelling, palpitations, syncope or presyncope, or claudication. . the pt underwent carotid angiography and stent placement in the cardiac cath lab, and is admitted to the ccu for further care and monitoring. past medical history: 1. cardiac risk factors: (+)dyslipidemia, (?)hypertension 2. cardiac history: - ischemic cardiomyopathy with ef 25-45% - cad s/p mi and emergent 4vcabg + lv aneurysmectomy at - severe left carotid artery stenosis 3. other past medical history: - rectal cancer diagnosed over 40 years ago, s/p colostomy - bladder cancer, diagnosed in and , s/p bcg treatment x 2 - prior remote knee surgery social history: married w/ 4 children, lives with wife. semi-retired dentist. remote tobacco history, no etoh. family history: brother w/ chf in 60s, otherwise non-contributory. physical exam: vs: t=98.2f, bp=119/48, hr=62, rr=17, o2 sat=97% 2l nc general: wdwn elderly man in 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, no jvd. +left carotid bruit -? radiation of rusb murmur. cardiac: rrr, normal s1-s2, +ii/vi sm @ rusb. no thrills, lifts. no s3 or s4. lungs: resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: +bs, soft/nt/nd. +colostomy on left abdomen. no palpable masses or hsm. extremities: wwp, no c/c/e. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: dp 2+ pt 2+ radial 2+ left: dp 2+ pt 2+ radial 2+ pertinent results: 07:50am blood wbc-7.6 rbc-3.80* hgb-12.0* hct-34.5* mcv-91 mch-31.7 mchc-34.9 rdw-13.7 plt ct-246 07:50am blood neuts-87.5* lymphs-7.4* monos-4.2 eos-0.7 baso-0.3 04:27pm blood ck(cpk)-147 04:27pm blood ck-mb-3 06:31am blood wbc-8.6 rbc-3.39* hgb-10.8* hct-30.9* mcv-91 mch-31.9 mchc-35.0 rdw-13.7 plt ct-207 06:31am blood pt-13.0 ptt-25.4 inr(pt)-1.1 06:31am blood glucose-105 urean-15 creat-1.0 na-142 k-4.1 cl-108 hco3-27 angap-11 06:31am blood ck(cpk)-233* 06:31am blood ck-mb-4 06:31am blood calcium-8.6 phos-3.3 mg-2.3 . cardiac catheterization (preliminary report): 1. severe left internal carotid artery stenosis 2. successful ptca and stenting of the left ica with a bare metal stent. 3. left subclavian artery stenosis (50 mm hg gradient between non-invasive blood pressure monitoring) 4. abdominal aneurysm 5. successful closure of the right femoral arteriotomy site with a 6f closure device. . ecg: nsr @ 80, rad/rbbb, non-specific st-twave changes . results pending at the time of discharge: final cardiac catheterization report brief hospital course: mr. presented with severe left carotid artery stenosis. he underwent angiography and stent placement of the left carotid artery. he was then admitted to the ccu for intense blood pressure monitoring and frequent neuro checks. he was given neosynephrine to maintain blood pressures over 100 systolic. he did not require nitroglycerin for hypertension. he was monitored with serial neuro exams and did not experience any neurologic symptoms. he was continued on his aspirin and plavix. no changes were made to his medications. he was weaned off the neosynephine on the morning of discharge and remained symptomatically well. he was ambulating without difficulty. he was put on pneumoboots for dvt prophylaxis. he was discharged with follow-up appointments for a repeat carotid ultrasound and appointment with dr. on . medications on admission: - zocor 20mg every evening - plavix 75mg daily every evening - toprol xl 150mg every morning - asa 81mg every morning (took 324mg today) - doxazosin 4mg every evening at bedtime - mvi discharge medications: 1. multivitamin,tx-minerals tablet sig: one (1) tablet po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 3. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. simvastatin 20 mg tablet sig: one (1) tablet po once a day. 5. toprol xl 50 mg tablet sustained release 24 hr sig: three (3) tablet sustained release 24 hr po once a day. 6. doxazosin 4 mg tablet sig: one (1) tablet po at bedtime. discharge disposition: home discharge diagnosis: primary - carotid artery stenosis s/p stent placement secdonary - conronary artery disease ischemic cardiomyopathy hyperlipidemia discharge condition: stable discharge instructions: you were admitted to the hospital to have a stent placed in your carotid artery to open a blockage which was found by your cardiolgoist. the stent was placed during your hospitalization. you will need to take plavix 75 mg daily and asa 325 mg daily. you had been started on the plavix and asa prior to your admission. no changes were made to your medications. go to the emergency room or call your primary docotor if you experience fevers, chills, chest pain, shortness of breath, vision change, weakness in your extremities, numbness or tingling, dizziness, blood in your stool, or black stool. followup instructions: you will need to follow up with with dr. on at 11:40am. the office is located on 7 ( ) in the cardiology suite. a carotid ultrasound has been scheduled for at 1:30pm. the radiology suite is ocated on , clinical center . please call dr. office to schedule a follow-up appointment. the number is . procedure: 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: congestive heart failure, unspecified coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status occlusion and stenosis of carotid artery without mention of cerebral infarction other specified forms of chronic ischemic heart disease other and unspecified hyperlipidemia old myocardial infarction personal history of malignant neoplasm of bladder colostomy status personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus 

Answer: The patient is high likely exposed to