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: demerol attending: chief complaint: nstemi major surgical or invasive procedure: cardiac cath coronary bypass grafting x1with the free right internal mammary artery to the posterior descending artery history of present illness: 39 year old male with an extensive cardiac history including 11 stents. he presented to osh with 10/10 chest pain, he ruled in with nqwmi, peak trop=2.08. he was transferred to for further evaluation. past medical history: coronary artery disease, s/p cabg pmh: dyslipidemia hypertension nstemi with angioplasty at mi in and angioplasty to distal diag and a stent to rca, cypher( 2.5 x 13 mm) stent to om2 and balloon angioplasty to isr of rca and 2 taxus overlapping ( 3.0 x 32 mm and 3.5 x 32 mm )stents to mid rca , cath for angina revealed a 70% rca denovo lesion which was treated with 2.5 x 20 mm taxus stent, stenting of lad with xience( 2.5 x 12mm flared to 3.5 mm), s/p svt ablation past surgical history: tonsillectomy social history: -tobacco history: none -etoh: drinks up to 12 beers a day approximately 2x a month -illicit drugs: none he works as a car salesman family history: family history: father with mi and cva, first mi at 53, died of mi at 65. dm in father's side physical exam: vs: t 97.9 bp 134/72 hr 74 rr 18 o2 99% ra general: obese, sleepy appearing middle-aged male 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 with no appreciable jvd 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, nt, obese. no hsm or tenderness. no abdominial bruits. extremities: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: limited secondary to habitus pertinent results: cardiac cath comments: 1. selective coronary angiography of this right dominant system revealed one vessel coronary artery disease. the lmca had no angiographically apparent disease. the lad had moderate diffuse disease with patent stent. the lcx had moderate diffuse disease with patent stent. the rca had a thrombotic occlusion at mid vessel at the site of prior stents (two layers). there were left to right collaterals filling distal rca. 2. successful hemostasis of right radial arteriotomy with tr band. final diagnosis: 1. one vessel coronary artery disease. 2. recurrent thrombotic occlusion of the mid rca. 3. evaluation by ct surgeon with plan for rima-rca later this week after prasugrel wash out. 4. successful tr band to rra. intra-op tee brief hospital course: medical course: 39-year-old male with history of cad s/p multiple pcis presents with chest pain, ruled in for nstemi and referred for revascularization due to 3-vessel cad on cardiac cath. # coronary artery disease with nstemi patient presented with chest pain similar to usual angina presentation and presented to . ekgs showed q waves present in inferior leads in similar depth and duration as prior in addition to probable j-point elevation in v2 and v3 similar to prior. at osh, peak values were: ck 364, ck-mb 58.7, tropi 2.08. he was started on both a heparin and nitrogylcerin infusion with reduction of chest pain and transferred to . pt was taken to cardiac cath, where he was found to have found to have moderate diffuse lad and lcx disease with thrombotic occlusion of the mid-rca at site of prior stents. he was referred for revascularization. he was maintained on a heparin gtt while awaiting cabg with downtrend in ck from 192 to 117, ck from 16 to 9, and tropt from 0.73 to 0.67. he was continued on aspirin 325 mg, atorvastatin 80, lisinopril 10, metoprolol. cardiac surgery course: the patient was brought to the operating room on where the patient underwent cabg x 1 with a free rima to the rpda. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod #4 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged home in good condition with appropriate follow up instructions. medications on admission: home medications: note: patient does not remember what medications he takes. called pharmacy(, , ma) to verify: -pravastatin 40 mg po qd (last filled ), rx for crestor 40 mg po qd is called in but not picked up - citalopram 20 mg po qd - omeprazole 40 mg po qd - metoprolol tartrate 50 mg po bid - lisinopril 10 mg po qd - aspirin 325 mg po qd - prasugrel 10 mg po qd 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. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 4. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. prasugrel 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. isosorbide mononitrate 30 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po daily (daily) for 3 months. disp:*30 tablet extended release 24 hr(s)* refills:*0* 8. metoprolol tartrate 50 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 9. acetaminophen 500 mg tablet sig: two (2) tablet po q 8h (every 8 hours). disp:*180 tablet(s)* refills:*2* 10. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*80 tablet(s)* refills:*0* 11. lasix 20 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 12. potassium chloride 20 meq tablet, er particles/crystals sig: one (1) tablet, er particles/crystals po once a day for 7 days. disp:*7 tablet, er particles/crystals(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease, s/p cabg pmh: dyslipidemia hypertension nstemi with angioplasty at mi in and angioplasty to distal diag and a stent to rca, cypher( 2.5 x 13 mm) stent to om2 and balloon angioplasty to isr of rca and 2 taxus overlapping ( 3.0 x 32 mm and 3.5 x 32 mm )stents to mid rca , cath for angina revealed a 70% rca denovo lesion which was treated with 2.5 x 20 mm taxus stent, stenting of lad with xience( 2.5 x 12mm flared to 3.5 mm), s/p svt ablation past surgical history: tonsillectomy discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage edema- trace discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments: wound check on tuesday on at 11am. surgeon dr. cardiologist dr. , d. please call to schedule the following: primary care dr. , e. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization (aorto)coronary bypass of one coronary artery diagnoses: subendocardial infarction, initial episode of care anemia, unspecified coronary atherosclerosis of native coronary artery unspecified essential hypertension percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia old myocardial infarction obesity, unspecified other and unspecified alcohol dependence, continuous 

Answer: The patient is high likely exposed to