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: percutaneous coronary intervention with 2 drug-eluting stents to right coronary artery history of present illness: 55 year old male with history of hypertension who presented to ed with 2hrs of sudden onset crushing 10/10 chest pain radiating to left arm while vacuuming at work, also with diaphoresis. initial ekg in the ed showed st changes in leads ii, iii, avf, and he was given morphine, aspirin. second ekg showed st elevations in leads ii, iii, avf with reciprocal t wave inversions, and stemi pager was activated. patient was started on heparin drip and integrilin and was sent for emergent cardiac catheterization. patient continued to have 10/10 chest pain until end of catheterization procedure. two drug eluting stents placed in mid rca, where 100% occlusion was found. had percutaneous closure right groin. . upon arrival to the ccu, the patient was chest pain free with no other symptoms. . patient notes that he has been having similar chest pain, though significantly more mild, while in bed resting about 2 nights per week for the past two years. he describes the pain as very mild and often radiating to his right arm, slowly increasing in frequency and intensity. . on review of systems, he denies any prior history of stroke, pulmonary embolism. he has had history of gi bleeding . past medical history: 1. cardiac risk factors: dyslipidemia, hypertension 2. other past medical history: gi bleed (, no transfusions) gastric ulcer diverticulosis depression left inguinal hernia (needing repair) social history: speaks portuguese but can understand some english and spanish. works in custodial services and at a junkyard lifting heavy objects. married. has a daughter. -tobacco history: none family history: father and many other family members with htn, hld. uncle with acute mi in early 60s. no family hx of diabetes. physical exam: vs: t=98.3 bp= 139/93 hr=62 rr=14 o2sat=98% 2lnc general: wdwn in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. eomi. conjunctiva were pink, dry mucus membranes neck: supple with jvp up to jaw when lying supine w mild reverse trendelenberg. cardiac: regular rhythm with occ irreg beats, normal s1, s2. no m/r/g. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, nontender, nondistended. no hsm or tenderness. extremities: no c/c/e. left groin inguinal hernia, right groin w clean bandage, nontender, no hematoma pulses: bilateral dp 1+ pertinent results: 04:45pm blood wbc-14.0* rbc-4.82 hgb-13.7* hct-40.7 mcv-85 mch-28.4 mchc-33.6 rdw-13.1 plt ct-216 08:45am blood wbc-8.1 rbc-4.48* hgb-12.7* hct-38.3* mcv-85 mch-28.4 mchc-33.2 rdw-13.3 plt ct-196 04:45pm blood neuts-74.9* lymphs-19.9 monos-3.2 eos-1.7 baso-0.3 03:06am blood pt-12.1 ptt-28.5 inr(pt)-1.0 04:45pm blood glucose-191* urean-28* creat-1.1 na-140 k-3.9 cl-104 hco3-26 angap-14 08:45am blood glucose-101* urean-21* creat-1.0 na-141 k-4.0 cl-106 hco3-24 angap-15 04:45pm blood ck(cpk)-392* 03:06am blood ck(cpk)-916* 11:28am blood ck(cpk)-920* 08:45am blood ck(cpk)-426* 04:45pm blood ctropnt-<0.01 03:06am blood ck-mb-113* mb indx-12.3* 11:28am blood ck-mb-96* mb indx-10.4* ctropnt-2.49* 08:45am blood ck-mb-23* mb indx-5.4 ctropnt-1.24* 03:06am blood %hba1c-6.0* 03:06am blood triglyc-73 hdl-34 chol/hd-5.1 ldlcalc-124 05:45pm blood type-art po2-295* pco2-33* ph-7.44 caltco2-23 base xs-0 intubat-not intuba comment-o2 deliver cardiology report cardiac cath study date of 1. coronary angiography in this right dominant system demonstrated one vessel disease. the lmca had no angiographically apparent disease. the lad had mild diffuse disease but no angiographically significant stenoses. the lcx had no angiographically apparent disease but had a small aneurysmal segment in mid-vessel. the rca was occluded in its mid-portion. 2. limited resting hemodynamics demonstrated moderate systemic arterial hypertension with sbp 162 mmhg and dbp 106 mmhg. 3. successful pci of the rca with overlapping 3.5x28mm and 3.5x15mm promus des, post-dilated to 3.75mm in the proximal and mid-segments. 4. successful closure of the right femoral arteriotomy site with a perclose device. final diagnosis: 1. one vessel coronary artery disease. 2. acute inferior myocardial infarction. 3. successful pci of the rca with des. radiology report chest (portable ap) study date of 5:02 pm findings: the lungs are clear without consolidation or edema. the mediastinum demonstrates mild tortuosity of the thoracic aorta. the cardiac silhouette is within normal limits for size. no effusion or pneumothorax is noted. there is mild gaseous distention of the stomach incidentally noted. mild degenerative disease is seen throughout the thoracic spine. no displaced fractures are evident. impression: no acute pulmonary process. , portable tte (complete) done at 9:24:06 am final the left atrium is mildly dilated. there is mild regional left ventricular systolic dysfunction with mild hypokinesis of the basal inferior wall. the remaining segments contract normally (lvef = 55 %). the right ventricular cavity is mildly dilated with mild global free wall hypokinesis. the ascending aorta is mildly dilated at the sinus level. the aortic arch is mildly dilated. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are structurally normal. there is no mitral valve prolapse. mild to moderate (+) mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. impression: very mild regional left ventricular systolic dysfunction c/w cad. mild-moderate mitral regurgitation with normal valve morphology suggestive of underlying papillary muscle dysfunction. mild thoracic aorta dilation. transthoracic echo: the left atrium is mildly dilated. there is mild regional left ventricular systolic dysfunction with mild hypokinesis of the basal inferior wall. the remaining segments contract normally (lvef = 55 %). the right ventricular cavity is mildly dilated with mild global free wall hypokinesis. the ascending aorta is mildly dilated at the sinus level. the aortic arch is mildly dilated. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are structurally normal. there is no mitral valve prolapse. mild to moderate (+) mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. impression: very mild regional left ventricular systolic dysfunction c/w cad. mild-moderate mitral regurgitation with normal valve morphology suggestive of underlying papillary muscle dysfunction. mild thoracic aorta dilation. brief hospital course: 55 year old male with hx of htn, hld who presented to ed with 2 hours of substernal crushing 10/10 chest pain and evolving st elevations. . # s/p stemi: patient had 2 hours of chest pain by time of arrival in ed, continued chest pain through catheterization until end of procedure, found to have 100% occlusion mid rca. two drug-eluting stents placed in mid rca. st elevations in inferior leads resolved after pci. patient appears to have had unstable angina for the past two years at night while at rest in bed. he continued to have some intermittent chest pain immediately post catherization. the patient was chest pain free in the 24 hours prior to discharge and had no arrythmias on telemetry in hours 24-48 post-cardiac catherization. he did have some runs of vt and transient bradycardia to 40s that were thought secondary to reperfusion. ckmb peaked at 113 and troponin t at 2.49. the patient was started on integrellin for 18 hours, aspirin, plavix, atorvastatin and metoprolol. echo showed nearly preserved ejection fraction with some mild posterior hypokinesis. he was set up with a follow up with dr. , with plan for cardiac rehabilitation. # hypertension: patient reported blood pressure baseline to be about 170/110. he takes lisinopril 40mg at home, used to take hctz but stopped taking it 2-3 months ago because of nocturia and because his rx ran out. the patient was continued on lisinopril and started on metoprolol. . # hyperlipidemia: patient was told to attempt to control lipids with diet and exercise first but has not been able to make many changes. he was started on atorvastatin 80mg daily . # gastritis: history of gi bleed, no transfusions, in , either from gastric ulcer or from diverticulosis. was explained that he should no longer take omeprazole while on plavix. this was changed to ranitidine. . # depression: he was continued on fluoxetine 20mg. medications on admission: lisinopril 40mg aspirin 81mg omeprazole 20mg fluoxetine 20mg hctz 25mg (stopped taking 3mo ago b/c nocturia x5 and rx ran out) discharge medications: 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. fluoxetine 20 mg capsule sig: one (1) capsule po qhs (once a day (at bedtime)). 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. 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* 5. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 6. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* discharge disposition: home discharge diagnosis: primary diagnosis: st elevation myocardial infarction secondary diagnoses: hypertension discharge condition: stable. alert and oriented x3. ambulatory. discharge instructions: dear mr. , you were admitted to the hospital after a having a heart attack. you were taken immediately for a cardiac catheterization procedure to place 2 stents into your right coronary artery, where you were found to have complete blockage, which had caused your heart attack. it would benefit you to participate in a cardiac rehabilitation program, during which you can work on improving diet and exercise habits. you should discuss this with dr. when you see him. the following changes have been made to your medications: - you have been started on plavix (clopidogrel) 75mg a day. do not stop this medication unless instructed by your cardiologist. - your aspirin dose has been increased from 81mg to 325mg a day. - you have been started on metoprolol, a drug that controls your heart rate, at 25mg a day. - you have been started on atorvastatin (lipitor) 80mg a day to control your cholesterol. - you have been started on ranitidine, a drug that helps stop stomach acid. this is to replace your omeprazole. - please stop taking omeprazole, as it may interfere with plavix please be sure to keep all of your followup appointments. please seek medical attention if you experience any symptoms concerning to you. followup instructions: please be sure to keep all of your followup appointments. you have been made the following appointment with dr. , the cardiologist that took care of you while you were in the hospital. provider: , md phone: date/time: 1:00 clinical center, . procedure: injection or infusion of platelet inhibitor left heart cardiac catheterization coronary arteriography using a single catheter angiocardiography of right heart structures insertion of drug-eluting coronary artery stent(s) transposition of cranial and peripheral nerves insertion of two vascular stents excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery mitral valve disorders unspecified essential hypertension depressive disorder, not elsewhere classified paroxysmal ventricular tachycardia other and unspecified hyperlipidemia other specified cardiac dysrhythmias acute myocardial infarction of inferolateral wall, initial episode of care unspecified gastritis and gastroduodenitis, without mention of hemorrhage diverticulosis of colon (without mention of hemorrhage) chronic total occlusion of coronary artery heart disease, unspecified 

Answer: The patient is high likely exposed to