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: neck and arm pain major surgical or invasive procedure: cardiac catheterization and stent placement history of present illness: mr. is a 61m with dm who presented to an osh with right neck and l forearm pain. he describes the pain as a dull ache that started while walking and did not resolve until he was treated at the osh. he denies any history of similar neck and arm pain. he reports mild shortness of breath with pain but denies any other associated symptoms such as diaphoresis, nausea, palpitations, or dizziness. in the osh his ekg reportedly showed inferolateral st depression and initial troponin i was 0.35. he was given nitroglycerin sl, fentanyl, and then started on nitroglycerin and heparin drips. he also received plavix 300mg. pt was then transferred to for further management and cardiac catheterization. pt initially went to the service where his ekg changes resolved and he was chest pain free and was planned for cath in am. pt does report retroactively that he had some chest pain overnight that he did not report and am cardiac enzymes continued to trend up: ck 1579->1550, trop 1.4->3.3. in the cath lab, pt had venous and arterial sheath placed, received 381ml dye, had sbps in the 70s requiring 1200ml ivf, dopamine drip and 1mg atropine. he also received heparin, integrillin. pt reported pain with placement of stents (3bms to om2 and 2bms to midlad). on presentation to , pt was off pressors and chest pain free. past medical history: dm type ii (diet controlled) social history: pt is a security guard at . he lives with his wife. smokes 1 ppd x 40 years. drink at social events but denies drinking on daily or weekly basis. he denies any past or present drug use. family history: noncontributory physical exam: post cath: vs: t 98.7 bp 100/53 hr 61 spo2 98% 2l wt 208 lbs gen: wdwn middle aged male in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva pink, mmm. neck: supple, jvp to mandible cv: rrr, no m/r/g chest: no resp distress. ctab, no crackles, wheezes or rhonchi. abd: soft, ntnd, no hsm, positive bs ext: no c/c/e. strong distal pulses skin: no rashes or lesions groin: no bruits, no tenderness, small hematoma (1x2cm) pertinent results: 06:05am blood wbc-9.4 rbc-4.20* hgb-13.1* hct-35.9* mcv-85 mch-31.3 mchc-36.7* rdw-13.6 plt ct-156 09:30pm blood neuts-61.9 lymphs-30.7 monos-6.6 eos-0.5 baso-0.3 06:05am blood pt-13.0 ptt-47.0* inr(pt)-1.1 06:05am blood glucose-104 urean-14 creat-1.0 na-138 k-3.8 cl-106 hco3-24 angap-12 09:30pm blood alt-23 ast-97* ck(cpk)-1579* 06:05am blood alt-33 ast-180* ld(ldh)-560* ck(cpk)-2550* alkphos-71 totbili-0.5 08:05pm blood alt-42* ast-202* ld(ldh)-755* ck(cpk)-2209* alkphos-67 totbili-0.7 09:30pm blood ck-mb-148* mb indx-9.4* ctropnt-1.40* 06:05am blood ck-mb-212* mb indx-8.3* ctropnt-3.33* 08:05pm blood ck-mb-103* mb indx-4.7 06:05am blood calcium-8.8 phos-3.6 mg-2.2 06:05am blood albumin-4.1 cholest-246* 06:05am blood %hba1c-6.9* 06:05am blood triglyc-303* hdl-40 chol/hd-6.2 ldlcalc-145* echo: left ventricular wall thicknesses and cavity size are normal. there is mild regional left ventricular systolic dysfunction with severe hypokinesis of the basal half of the inferolateral wall. the remaining segments contract normally (lvef = 55 %). right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic valve leaflets appear structurally normal with good leaflet excursion. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. there is borderline pulmonary artery systolic hypertension. there is no pericardial effusion. impression: normal left ventricular cavity size with focal regional dysfunction c/w cad. mild pulmonary artery systolic hypertension. dilated ascending aorta. cath : no formal results brief hospital course: 61 year old smoker without recent medical following, presented to osh with arm pain and found to have nstemi. pt transferred to and is now s/p cath where he was found to have a total occlusion requiring 2 bms to om2 and 2bms to mid lad. # nsemi - on transfer to pt was pain free with minimal std on ekg. his cardiac enzymes continued to up and peaked at ck of 2550 and trop 3.3 on . that morning pt underwent catheterization and found to have total occlusion of the om2 and mid lab with multiple bare metal stents placed in both. pt was medically managed with aspirin, plavix, statin, heparin gtt, integrillin gtt. beta blocker was initially held for hypotension and started prior to discharge. pt will also need addition of ace inhibitor. - continue toprol xl 25mg daily - continue simvastatin 80mg daily - continue asa daily # dmt2: pt not medically managed as outpt. his hba1c was measured for risk stratification and found to be 6.9. his blood sugars were monitored and treated with insulin sliding scale. at discharge pt was asked to follow up with diabetes clinic. # tobacco abuse: pt was given nicotine patch for symptomatic control and counseled re importance of smoking cessation for both himself and family. medications on admission: none discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*2* discharge disposition: home discharge diagnosis: primary diagnosis: non st elevation mi secondary diagnosis: type ii diabetes mellitus (diet-controlled) discharge condition: stable discharge instructions: you were admitted to the hospital because you had a heart attack. you had two bare metal stents placed into your heart vessel to open up the blockage. you were started on new medications for your heart. it is very important for you to continue this medication (clopidogrel) as it keeps the stent open. you should not stop taking this medication unless your cardiologist tells you to. . new medications: toprol xl 25 daily aspirin 325mg daily plavix 75mg daily (keeps stent open) atorvastatin 80mg daily please stop smoking. information was given to you on admission regarding smoking cessation and discussed with you by the doctors . followup instructions: please call dr , your new cardiologist, at to schedule follow up in the next 1-2 weeks. you should also set up a primary care doctor. you can choose a pcp or use the clinic. the phone number is . procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on two vessels insertion of four or more vascular stents diagnoses: other iatrogenic hypotension subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery tobacco use disorder diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other chronic pulmonary heart diseases cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure accidents occurring in residential institution 

Answer: The patient is high likely exposed to