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: no known allergies / adverse drug reactions attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization with drug eluting stent to the left circumflex coronary artery history of present illness: patient states that yesterday he was mowing his lawn when he developed sharp substernal chest pain and pressure. he stopped working sat down and had resolution of his pain within 15 minutes. he then completed the mowing without any further pain. later that evening he went to a bar and had drinks without any more pain. around 1 am the patient was awoken with significant substernal chest pain radiant to his right arm and felt like "someone was sitting on his chest". he took several tums without any improvement and had an episode of vomitting while at home. he finally called an ambulance and was taken to the ed at 530 am. . in the er, initial vs were hr: 52 bp: 120/48 resp: 12 o(2)sat: 100. ekg showed: st elevations in ii, ii avf, v3-v6, and st depressions in v1-v2. he received asa, heparin, a plavix load, and was sent emergently for cardiac catheterization. cardiac cath showed two lesions: 100% prox lcx before obtuse marginal, 90% distal rca. he had an export thrombectomy from lcx and was placed. he was also hypotensive periprocedurally to 80s systolic and transiently bradycardic. paitent recived a fluid bolus and atropine and was started on a dopamine gtt. he also had r heart cath which showed pcwp 25. l venous sheath is still in place. . upon arrival to the ccu patient was stable and alert with a bp 126/84 map 93 on 10 of dopamine, p 79, 95% on 4l. patient complained of nausea and had several episodes of vomitting. he endorsed slight retrosternal chest pain, greatly improved from presentation. denied any sob, ha, abdominal pain. . on review of systems, 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. he denies recent fevers, chills or rigors. 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: past medical history: 1. cardiac risk factors: -dyslipidemia 2. cardiac history: none 3. other past medical history: - gerd - vertigo - anxiety - hernia repair social history: social history - tobacco history: none - etoh: 3 drinks a night x3/week - illicit drugs: none - reccently retired electrician, worked on the yawkey building. have had several prior exposures to asbestos. family history: family history: - no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. - mother: dm2 - father: stroke at age 84 physical exam: vs: bp= 126/84 hr= 79 rr=15 o2 sat= 95% 4l 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 6 cm. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. 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. abd aorta not enlarged by palpation. no abdominial bruits. extremities: no c/c/e. no femoral bruits. 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+ . exam on discharge: temp 97.4, hr 60, rr 20 bp 117/67 o2 sat 99% ra heent: no jvd, no lad cv: rrr, no m/r/g chest: ctab, no crackles abd: soft, nt, pos bs ext: no edema, feet warm, pulses palp neuro: no defects, gait nl, speech clear, a/o right groin with minimal bluising, no bleeding pertinent results: 06:30am blood wbc-9.0 rbc-5.09 hgb-16.1 hct-44.6 mcv-88 mch-31.6 mchc-36.1* rdw-13.6 plt ct-297 06:30am blood glucose-174* urean-20 creat-1.1 na-139 k-3.9 cl-102 hco3-20* angap-21* 06:00am blood alt-88* ast-303* ld(ldh)-865* ck(cpk)-1768* alkphos-66 totbili-0.9 06:00am blood ck-mb-86* mb indx-4.9 ctropnt-5.59* 01:06pm blood calcium-8.8 phos-2.6* mg-2.2 . labs on discharge: 06:45am blood wbc-7.0 rbc-4.44* hgb-14.1 hct-39.8* mcv-90 mch-31.9 mchc-35.6* rdw-12.7 plt ct-215 06:45am blood glucose-111* urean-17 creat-1.1 na-139 k-3.8 cl-105 hco3-23 angap-15 06:45am blood alt-63* ast-68* alkphos-73 totbili-0.7 06:45am blood calcium-8.9 phos-3.1 mg-2.3 . cardiac cath : comments: 1) selective coronary angiography of this right-dominant system demonstrated two-vessel coronary disease. the lad had no significant disease. the lcx had 100% proximal stenosis and 70% mid-vessel stenosis, both of which had thrombus. the rca had 50% mid-vessel stenosis and 90% distal stenosis in a small dominant vessel. 3) limited resting hemodynamics revealed moderately-elevated left-sided pressures, with a mean pcwp of 26 mmhg; v waves were high at 44 mmhg, suggesting the possibility of mitral regurgitation. the pa pressures were moderately-elevated at 51/19 mmhg, with a mean pa pressure of 34 mmhg. the right atrial pressure was normal at 8 mmhg. 4) the patient developed hypotension (sbps low 80s) periprocedurally; this may have been due to a vasovagal effect compounded by hypovolemia in the setting of an inferolateral mi. dopamine at 10mcg/kg/min was begun with good effect on the blood pressures. he also received one 0.6mg dose of atropine for transient bradycardia into the low 40s. 5) angiomax was used and angioseal for arteriotomy closure. 6) successful export thrombectomy and pci of thrombotically occluded proximal lcx with 2.5x28mm promus to 3.0mm (see ptca comments). final diagnosis: 1. two vessel coronary artery disease, status post export thrombectomy followed by drug-eluting stenting of the proximal and mid-lcx. the rca was not well suited for pci because of its small caliber. 2. acute inferior myocardial infarction, managed by acute ptca of vessel. 3. moderate left-sided filling pressures. 4. bradycardia controlled with dopamine. 5. successful export thrombectomy and pci of lcx. . echo : the left atrium is elongated. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is mild regional left ventricular systolic dysfunction with severe hypokinesis of the distal half of the inferior wall and apex. the remaining segments contract normally (lvef = 50-55 %). the estimated cardiac index is normal (>=2.5l/min/m2). right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated at the sinus level. the ascending aorta is mildly dilated. the aortic arch is mildly dilated. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. the mitral valve leaflets are structurally normal. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. impression: symmetric left ventricular hypertrophy with regional systolic dysfunction c/w cad. mild mitral regurgitation. dilated thoracic aorta. . ecg : sinus rhythm. slight st segment elevation in leads ii and v4-v6 with biphasic t waves in leads v5-v6 and q waves in the inferior leads and v6 suggesting an evolution of an inferolateral myocardial infarction. tall r waves in leads v1-v2 suggest posterior involvement. the st segment depression in leads v2-v3 is probably reciprocal. low qrs voltage in the limb leads. compared to the previous tracing of there are further evolutionary changes of an evolving myocardial infarction. brief hospital course: # hypotension: patient transiently hypotensive to the 80s systolic peripercidurally, patient was also bradycardic received atropine arguing for a vasovagal mediated process in the setting of manipulation of the right coronary vessels. dopamine was weaned off promptly and bp tolerating bb and acei without lightheadedness at the time of discharge. . # cad: patient w/ 100% occlusion of prox lcx, 70% mid both with thrombus rca 50% mid, 90% distal in small dominant vessel. now with des in lcx and mid rca. patient did not have any significant coronary risk factors prior to procedure. started on asa and plavix (needs total of 1 year), high dose atorvastatin, metoprolol and lisinopril. tolerating these medicines well prior to discharge. . # high filling pressures: patient with elevated wedge pressures during cath likely from transient cardiogenic failure. patient has new oxygen requirement and was diuresed with lasix. he did not need to be sent home on lasix as symptoms resolved after acute ischemic phase was over. echo showed preserved ef and no significant valve disease. also showed mild regional left ventricular systolic dysfunction with severe hypokinesis of the distal half of the inferior wall and apex. he will need another echo in about a month. . # rhythm: normal sinus, no significant vea. . # htn: started on beta blocker and ace inhibitor as above, bp well controlled. . # hld: atorvastatin 80 mg for a few months, then can decrease. lft's initially high at presentation, thought secondary to low output state. lft's close to normal at discharge. will need to have lft's checked in 6 weeks. . # gerd: will give pantoprazole 40 mg daily instead of nexium for des. medications on admission: nexium 20 mg daily 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:*2* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*11* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. metoprolol succinate 25 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po once a day. disp:*30 tablet extended release 24 hr(s)* refills:*2* 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 6. lisinopril 5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home 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: mr. , it was a pleasure caring for you. you were admitted to the hospital with chest pain due to a heart attack. we did a cardiac catheterization and placed a drug eluting stent in your left circumflex artery. it is extrememly important that you take aspirin and plavix every day for at least one year and possibly longer to prevent the stent from clotting off and causing another heart attack. do not stop taking aspirin and plavix or miss unless your cardiologist tells you it is ok. you have some other milder blockages in other coronary arteries. you will take medicines to prevent these blockages from getting worse. your heart function is slightly weaker than before your heart attack but it is expected that your heart will recover in the next month. follow the activity guidelines that the physical therapist reviewed with you. . we made the following changes to your medications: - start taking aspirin 325 mg and plavix every day for one year to prevent the stent from clotting off. - start taking atorvastatin (lipitor) to lower your cholesterol - start taking metoprolol, a beta blocker, to lower your heart rate and help your heart recover. - start taking lisinopril, an ace inhibitor, to help your heart pump better - stop taking nexium, take pantoprazole instead for your heartburn, this medicine does not interfere with plavix. followup instructions: name: , r. location: medical associates- address: 325 river ridge dr, , phone: appt' , at 12:45pm department: cardiac services when: thursday at 10:00 am with: , m.d. building: sc clinical ctr campus: east best parking: garage md, procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters insertion of drug-eluting coronary artery stent(s) 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 esophageal reflux congestive heart failure, unspecified unspecified essential hypertension other and unspecified hyperlipidemia anxiety state, unspecified acute myocardial infarction of inferolateral wall, initial episode of care chronic diastolic heart failure 

Answer: The patient is high likely exposed to