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: stent placement in lad history of present illness: 42 y.o. hypertensive, diabetic male smoker presenting with sscp to osh. he was in his usoh when he was lifint a golf cart and had non-radiating "sharp" pain, diaphoresis and dyspnea. he arrived at within 30 minutes and was found to have an anterior stemi and was placed on aggrastat and transferred to . 60 minutes from osh to , ekg showed ste in v1-v4. patient was taken to cath and found to have a fresh thrombus in the proximal lad, a 3.5 x 28 mm cypher drug-eluting stent was placed successfully, postdilated with a 3.75 mm balloon proximally and a 4.0 mm balloon distally. co/ci:4.2/1.9. pcwp:21. post-cath with persistent ste and chest pain, alleviated with 4 mg morphine and nitro gtt. past medical history: 1) diabetes on glucophage 2) hypertension untreated 3) right knee arthroscopy social history: pt works as an animal control officer. he drinks 1 beer per month and smokes 1 ppd. family history: father mi at 60 physical exam: vit - 132/84 94 16 99% ra heent - nc/at, perrla, eomi neck - no jvd, no carotid bruits cv - rrr, no mgr, normal s1 and s2 pulm - ctab, no w/c/r abd - benign ext - no peripheral edema, 2+ dp and femoral pulses bilaterally pertinent results: admission labs: 16.8 > 17.2/51.8 < 380 mcv=80 . 136 / 99 / 17 --------------< 451 5.5 / 19 / 1.1 . ck: 58 mb: notdone trop-*t*: <0.01 . ca: 9.9 mg: 2.0 p: 5.2 . cholesterol:274 triglyc: 324 hdl: 43 chol/hd: 6.4 ldlcalc: 166 . pt: 12.3 ptt: 22.9 inr: 1.0 . ecg sinus rhythm. right bundle-branch block. q waves in leads v1-v3 with st segment elevation of three to four millimeters in leads v2-v5. these findings are consistent with acute anterior wall myocardial infarction. . cardiac cath -hemodynamics **pressures right atrium {a/v/m} 10/11/7 right ventricle {s/ed} 39/9 pulmonary artery {s/d/m} 39/27/34 pulmonary wedge {a/v/m} 19/22/20 aorta {s/d/m} 125/85/102 **cardiac output heart rate {beats/min} 88 rhythm sinus o2 cons. ind {ml/min/m2} 125 a-v o2 difference {ml/ltr} 65 card. op/ind fick {l/mn/m2} 4.3/1.9 **resistances systemic vasc. resistance 1767 pulmonary vasc. resistance 261 **% saturation data (nl) pa main 66 ao 94 -impression: 1. acute mi with two vessel coronary artery disease with occluded lad. 2. elevated left sided filling pressures. 3. reduced cardiac index. 4. successful treatment of proximal lad with drug-eluting stent. 5. successful angioseal of right femoral arteriotomy. . echo left ventricle - ejection fraction: 30% to 35% (nl >=55%) the left atrium is normal in size. left ventricular wall thicknesses and cavity size are normal. there is moderate regional left ventricular systolic dysfunction with hypokinesis of the anterior septum and anterior walls and distal inferior wall. the apex is mildly dyskinetic, but not frankly aneurysmal. the remaining segments contract well, but are not hyperdynamic. no intraventricular thrombus is seen. right ventricular chamber size and free wall motion are normal. the aortic root and aortic arch are mildly dilated. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. there is no pericardial effusion. impression: regional left ventricular systolic dysfunction c/w cad (proximal lad lesion). brief hospital course: # cad: s/p anterior stemi, s/p stent to proximal lad. cp and ste elevations persistent after cath was admitted to ccu. patient was started on asa, bb, ace-i, statin, plavix, s/p aggrastat x 18 hours. cardiac enzymes peaked, his symptoms resolved, and he was transferred to the floor. lisinopril was switched to 10mg qd and his metoprolol to 100 mg toprol for further bp control. . # pump: co:4.2 in cath . given likely hypokinesis of lv, he was started immediately on anticoagulation with heparin gtt and coumadin. echo post cath showed ef of 30-35% and areas of hypokinesis. patient will continue on lovanox 80mg sc qd until his inr is therapeutic. patient will follow up with his pcp for warfarin check ups. will follow up in one month or less with dr. . . # hyperglycemia: patient was initially on an insulin gtt, was transitioned to ssi and regular insulin coverage. consult recommended lantus 20 qhs, metformin 500 , and glipizide 10 . recieved teaching on injecting lantus and checking his blood sugars. will have vna follow up for further diet and diabetes management education. . # fen: electrolytes were repleted to maintain k>4, mg>2. tolerated heart healthy/diabetic diet without difficulty. . # fingertip necrosis - r 2nd digit distal to dip avulsion from injury prior to admission. patient will follow up with his plastic surgeon closer to home for removal of stiches and repair of the finger. continue on keflex for abx coverage. . # alcohol w/d - continued on ciwa scale for admission. . # dispo: d/c today to home, with vna follow up on monday . # code: full medications on admission: glucophage discharge medications: 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. atorvastatin calcium 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. 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:*2* 4. warfarin sodium 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. glipizide 10 mg tab, sust release osmotic push sig: one (1) tab, sust release osmotic push po bid (2 times a day) as needed for dm. disp:*60 tab, sust release osmotic push(s)* refills:*2* 6. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for dm. disp:*60 tablet(s)* refills:*2* 7. metoprolol succinate 100 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). disp:*30 tablet sustained release 24hr(s)* refills:*2* 8. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. lovenox 80 mg/0.8 ml syringe sig: one (1) subcutaneous once a day for 3 days. disp:*3 syringes* refills:*0* 10. outpatient work check inr every week until stabilized on correct dose of coumadin for inr of 1.5 to 2.0. please start on monday . please call results into , md at 11. lantus 100 unit/ml solution sig: twenty eight (28) units subcutaneous at bedtime. disp:*1 * refills:*2* 12. insulin syringe 0.5cc/28g syringe sig: one (1) miscell. once a day. disp:*30 syringes* refills:*2* 13. one touch ultra test strip sig: one (1) miscell. once a day. disp:*1 box* refills:*2* 14. one touch ultrasoft lancets misc sig: one (1) miscell. once a day. disp:*1 box* refills:*2* discharge disposition: home with service facility: discharge diagnosis: primary: st elevation myocardial infarction secondary: diabetes mellitus tobacco abuse discharge condition: good discharge instructions: recurrence of your chest pain or pressure, severe shortness of breath, palpitations, lower extremity swelling, or dizziness. followup instructions: please go to the in to have your blood drawn to check your inr on monday . please call your pcp, , to set up an appt on tuesday or wednesday of next week regarding your inr and your diabetes medications. please call ( to make a follow up cardiology appt with dr. within one month. please make an appt with your plastic surgeon regarding treatment of your finger. if you cannot get an appt with your plastic surgeon, please call for an appt with the plastics department here at . procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters insertion of drug-eluting coronary artery stent(s) diagnoses: coronary atherosclerosis of native coronary artery tobacco use disorder unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute myocardial infarction of other anterior wall, initial episode of care family history of ischemic heart disease unspecified accident other specified disorders of skin family history of diabetes mellitus open wound of finger(s), complicated 

Answer: The patient is high likely exposed to