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: amoxicillin / penicillins attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization history of present illness: mr is a 51 year old man with cad s/p catheter revascularization of diagonal in 97, proximal rca stent in , who presented to an osh with chest pain, left-sided and radiating to left arm. this is similar to past mi symptoms. . last week, he began having periodic "twinges" of brief chest pressure which did not linger, and some chest pressure. he noticed that his exercise capacity was reduced when he and his wife went hiking and he was falling behind compared to usual. he also had some intermittent shortness of breath, which has not persisted. on day of admission he had chest tightness and squeezing sensation, left arm pressure/tightness, starting at about 7 pm. he took asa 650 at home and felt somewhat better; after dinner however, he started having worse symptoms again. he took some nitro which he had from 5 years ago, which did not give him a headache (as it usually does) and did not improve his chest pressure. . he and his wife called ems and got an additional 81 in the ambulance. he had nitro sprays x3 in the ambulance with some improvement. at the osh he continued to have some chest pain and had nitro gtt started as well as morphine in the osh ed. he had small wavering variations in his ekg which were concerning--st/t wave changes in iii and avf. ck-mb was 2, troponin i was "<0.10" at 21:40 on wednesday . he had received his cardiology care at in the past and requested transfer here. . at the osh, his initial vitals were: bp 154/68, hr 83, rr 12. 02 99% 2l. there he received nitro gtt as above; 5 mg iv metoprolol; morphine 2 mg x2; 500 ml ns; and 20 meq potassium, po. past medical history: 1. cardiac risk factors:: cad, family history of heart dz, hypertension, hypercholesterolemia, obesity 2. cardiac history: -cabg: none -percutaneous coronary interventions: x2; pci (poba?) to diag , proximal rca stent in (see report below) -pacing/icd: none 3. other past medical history: right hand carpal tunnel decompression chronic muscle pain, did not improve w removal of statin for 6 mos; improved somewhat w effexor starting 5 yrs ago; takes ultram for back pain social history: works as a printing shop manager. lives with wife. 2 adult children (30 and 25), one of whom has been nurse. -tobacco history: none -etoh: occasional: single beer on sat nights on w/e, other times none for weeks at a time -illicit drugs: none; no prescription drugs that are not prescribed to him family history: father with heart disease: progressive angina starting in 40s, cabgs x2, died at 64 yo. mother: d of lung ca (was smoker). brothers: both had ; one died of prostate ca. physical exam: vs: t 98.9 bp 124/63 hr 85 rr 16 o2 94% ra; wt 95.6 kg general: tired-appearing but alert and engaged middle-aged man looking his stated age, somewhat overweight, nad. mood, affect appropriate. heent: ncat. sclera anicteric. eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple; no lad; jvd not appreciated. cardiac: quiet heart sounds. no m/r/g. no thrills, lifts. 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. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 1+ dp 2+ left: carotid 1+ dp 2+ . pertinent results: 03:30pm ck(cpk)-423* 06:35am glucose-123* urea n-14 creat-1.0 sodium-141 potassium-4.0 chloride-105 total co2-29 anion gap-11 06:35am estgfr-using this 06:35am alt(sgpt)-25 ast(sgot)-29 ck(cpk)-409* alk phos-66 tot bili-0.5 06:35am ck-mb-34* mb indx-8.3* ctropnt-0.38* 06:35am albumin-4.1 calcium-9.2 phosphate-3.7 magnesium-1.9 06:35am wbc-10.4 rbc-4.66 hgb-12.7* hct-37.8* mcv-81* mch-27.3 mchc-33.6 rdw-13.3 06:35am neuts-63.9 lymphs-28.0 monos-4.9 eos-2.8 basos-0.4 06:35am plt count-340 06:35am pt-13.4 ptt-52.0* inr(pt)-1.2* cardiac cath comments: 1. coronary angiography of this right dominant system revealed one vessel coronary artery disease. the lmca had no obstructive disease. the lad had a thrombotic 90% mid stenosis with complex trifurcation lesion at d1. the lcx and rca had minimal disease. 2. limited resting hemodynamics revealed normal systemic arterial systolic and diastolic pressure with sbp of 132 mmhg and dbp of 83 mmhg. 3. successful stenting of mid lad at level of d1 with a 2.75x12mm vision bare metal stent. jailing of d1 with timi 1 flow down d1 at end of procedure. final diagnosis: 1. one vessel coronary artery disease. 2. successful stenting of mid lad with bare metal stent at level of d1 however origin d1 was jailed with timi 1 flow down the vessel at the end of the procedure. echo the left atrium is normal in size. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is mild regional left ventricular systolic dysfunction with mild hypokinesis of the mid- and distal septum, distal anterior wall segment and apex (c/w mid-lad territory). the remaining segments contract normally (lvef = 45%). there is no left ventricular outflow obstruction at rest or with valsalva. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are structurally normal. mild (1+) mitral regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. impression: mild regional left ventricular systolic dysfunction. compared with the rest portion of the prior stress study (images reviewed) of , lv regional systolic dysfunction is new. brief hospital course: assessment: 51m with cad s/p catheter revascularization of diagonal in 97, proximal rca stent in , who presents with stemi. . # mi: patient initially presented with ?nstemi that was later labeled an stemi based on re-review of the ekg. he had positive cardiac enzymes, with ck-mbs that peaked in the 900s, and was sent to the cath lab for cardiac catheterization. there, he was found to have a stenosis of the lad for which a bms was placed. however, the procedure was complicated by a jailed large diagonal branching off the lad (obstructed by the stent), and the patient had ekg changes and cp during the procedure consistent with new ischemia. attempts were made to recannulize the diagonal, but these attempts were initially not successful. the patient was taken back to the cath lab a few hours later with successful recannulization of the branching diagonal (timi 1 flow). he spent the next 24 hours in the ccu and returned to the cardiology flow afterward. a repeat echo demonstrated lv systolic dysfunction and an ef of 45%, compared to a baseline of 60% in . he remained chest pain free during the remainder of his hospital stay and was discharged on asa, clopidogrel, atorvastatin, a beta blocker, and lisinopril. he was also advised to attend cardiac rehabilitation. . # hypertension: patient's blood pressure remained stable during admission. medications on admission: ecasa 325 daily toprol xl 100 mg po daily effexor 75 mg po daily lipitor 10 mg po daily zetia 10 mg po daily ultram 50-100 mg po prn () discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. tramadol 50 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed for pain. 3. venlafaxine 75 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po daily (daily). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed. 5. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed. 6. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily) for 12 months. disp:*30 tablet(s)* refills:*11* 7. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. toprol xl 50 mg tablet sustained release 24 hr sig: three (3) tablet sustained release 24 hr po once a day. disp:*90 tablet sustained release 24 hr(s)* refills:*2* 10. nitroglycerin 0.4 mg tablet, sublingual sig: one (1) tabs sublingual every 5 mintues up to three doses as needed for chest pain: . disp:*30 tabs* refills:*2* discharge disposition: home discharge diagnosis: primary: st-segment elevation myocardial infarction secondary: - right hand carpal tunnel decompression - chronic myalgias discharge condition: stable discharge instructions: you were admitted because of chest pain. we diagnosed you with a heart attack and gave you medications to decrease the risk of your heart function worsening. we also performed a cardiac catheterization which showed a stenosis of one of your major coronary arteries. for this, we placed a stent to improve blood flow through that artery. . please take all of your medications as prescribed. please keep all of your follow-up appointments. you will need to continue clopidogrel for 12 months. . please call your doctor or return to the hospital if you experience fevers, chills, sweats, chest pain, shortness of breath or anything else of concern. followup instructions: please call dr. office on monday to make an appointment with him in weeks for follow up. thanks. his number is listed below. . provider stress testing phone: date/time: 8:15 provider , m.d. phone: date/time: 10:00 procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization 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 unspecified essential hypertension percutaneous transluminal coronary angioplasty status acute myocardial infarction of anterolateral wall, initial episode of care other specified forms of chronic ischemic heart disease family history of ischemic heart disease myalgia and myositis, unspecified 

Answer: The patient is high likely exposed to