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: cardiac catherization history of present illness: 79 yo male w/ past medical history significant for myasthenia complains of pressure like substernal chest pain starting yesterday while lying in bed, lasting 2 hours, unrelieved by tylenol or aspirin. associated with diaphoresis. no shortness of breath. resolved on its own. pt had recurrence of pain this morning upon awakening, went to pmd's office and was noted to have 1- elevations in v2-v3, was given aspirin and sent to the ed. on arrival at ed, he had chest pain with 0. elevation in v2, 1 mm elevation in v3, 0.5 mmm elevation in v4 with twi in v1-v4. he was taken to the cath lab and found to have a 90% lad occlusion that was stented, and a non intervenable diffusely diseased rca. he was also noted to have normal right sided heart pressures with an oxygen step up in the right atrium. he denied doe, pnd, orthopnea, dyspnea, edema, palpitations, syncope, or presyncope. past medical history: myasthenia dx post herpetic neuralgia left leg prostate cancer s/p xrt and resection (turp) h/o thrombocytopenia, resolved no history of cad, diabetes, hypercholesterolemia, or hypertension social history: former chemical engineer, married with four children, no smoking, occ alcohol. family history: mother: dm physical exam: temp afebrile bp 163/82 pulse 54 resp 12 o2 sat 99%ra gen - alert, no acute distress heent - ncat, perrl, extraocular motions intact, anicteric, mucous membranes moist, hard of hearing l ear. neck - 2+ carotid pulses b/l. no jvd, no cervical lymphadenopathy, no bruits chest - clear to auscultation bilaterally anteriorly and laterally cv - normal s1/s2, rrr, no murmurs, rubs, or gallops abd - soft, nontender, nondistended, with normoactive bowel sounds back - no costovertebral angle tendernes extr - 8french fremoral sheath on right, 2+ left femoral pulse. no clubbing, cyanosis, or edema. 2+ dp pulses bilaterally, 1+ pt pulses bilaterall. no bruits. neuro - alert and oriented x 3, cranial nerves intact, upper and lower extremity strength 5/5 bilaterally, sensation grossly intact skin - no rash pertinent results: cariac enzymes: 02:00pm ck(cpk)-50 02:00pm ck-mb-notdone 02:00pm ctropnt-0.03* 07:44pm ck-mb-notdone ctropnt-0.21* 07:44pm ck(cpk)-71 . 02:00pm wbc-5.9 rbc-4.18* hgb-12.5* hct-36.5* mcv-87 mch-29.9 mchc-34.3 rdw-14.2 02:00pm plt count-216 02:00pm neuts-73.0* lymphs-20.5 monos-4.9 eos-1.2 basos-0.4 02:00pm glucose-91 urea n-11 creat-0.8 sodium-141 potassium-3.9 chloride-105 total co2-26 anion gap-14 . cardiac cath : **pressures right atrium {a/v/m} 6/5/5 right ventricle {s/ed} 24/6 pulmonary artery {s/d/m} 24/10/15 pulmonary wedge {a/v/m} 13/12/9 aorta {s/d/m} 104/55/73 **cardiac output heart rate {beats/min} 50 rhythm sinus o2 cons. ind {ml/min/m2} 125 a-v o2 difference {ml/ltr} 54 card. op/ind fick {l/mn/m2} 4.3/2.3 **resistances systemic vasc. resistance 1265 pulmonary vasc. resistance 112 fick **% saturation data (fl) svc low 56 ra high 57 ra mid 66 ra low 76 ivc high 78 rv inflow 67 rv mid 65 rv apex 67 pa main 66 pa left 67 ao 100 **arterial blood gas po2 124 pco2 39 ph 7.42 **arteriography results morphology % stenosis collat. from **right coronary 1) proximal rca diffusely diseased 2) mid rca normal 2a) acute marginal normal 3) distal rca discrete 80 4) r-pda diffusely diseased 4a) r-post-lat diffusely diseased **arteriography results morphology % stenosis collat. from **left coronary 5) left main normal 6) proximal lad discrete 90 6a) septal-1 normal 7) mid-lad normal 8) distal lad normal 9) diagonal-1 diffusely diseased 10) diagonal-2 normal 12) proximal cx normal 13) mid cx normal 13a) distal cx normal 14) obtuse marginal-1 normal 15) obtuse marginal-2 normal 16) obtuse marginal-3 normal ptca comments: initial angiography revealed a 90% proximal lad stenosis with timi ii flow distally. we decided to treat this lesion with direct stenting. integrillin was given prophylactically. a 8 french xblad 3.5 guide provided excellent support. the lesion was crossed with a bmw wire without difficulty. a 2.75x23 mm cypher des was deployed at 14 atms. the stent was postdilated with a 3.0x18 mm nc ranger baloon inflated at 14 atms twice. subsequent angiography revealed compromise of the ostium of a moderate size diagonal and we decided to rescue it with baloon ptca. an ace 2.0 baloon was advanced into the diagonal and was inflated to 10 atms and then to 14 atms. final angiography revealed no residual stenosis in the stented lad, no dissection and timi iii flow. the origin of the diagonal had a 30% resdiual stenosis. the patient left the lab pain free and in stable condition echo : no atrial septal defect or patent foramen ovale is seen by 2d, color doppler or saline contrast with maneuvers. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is mildly depressed (ejection fraction 40-50 percent). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but not stenotic. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. brief hospital course: hospital course by problem: cad: this patient's cardiac catheterization was complicated by a jailed diagonal artery. he was chest pain free throughout his postcath course, however. his medical regimen for secondary prevention of acute coronary syndrome was maximized. af: he did have an episode of tachycardia that was felt to be likely atrial fibrillation, and he was started on anticoagulation with coumadin. oxygen step up: he had a follow up echo which showed no asd. hematuria and urinary retention: he had an episode of hematuria associated with foley placement which cleared with irrigation. he also had an episode of urinary retention for which he was seen by urology. he was sent home with a leg bag for foley drainage and was scheduled for a voiding trial as an outpatient. myasthenia : he was maintained on his home myasthenia regimen. medications on admission: aspirin 81mg, multivitamin, cellcept 1 , mestinon 60tid->30tid discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po qd (once a day). tablet, delayed release (e.c.)(s) 2. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po qd (once a day): do not stop this medication unless instructed by a cardiologist. disp:*30 tablet(s)* refills:*6* 3. mycophenolate mofetil 500 mg tablet sig: two (2) tablet po bid (2 times a day). 4. pyridostigmine bromide 60 mg tablet sig: 0.5 tablet po q8h (every 8 hours). 5. multivitamin capsule sig: one (1) cap po qd (once a day). 6. atorvastatin calcium 20 mg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*2* 7. coumadin 2 mg tablet sig: 1-2 tablets po at bedtime: take 2 tablets (4mg) on and . then call dr. for further instructions. disp:*60 tablet(s)* refills:*2* 8. atenolol 25 mg tablet sig: 0.5 tablet po qd (once a day). disp:*15 tablet(s)* refills:*2* 9. lisinopril 5 mg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*2* 10. trazodone hcl 50 mg tablet sig: 0.5 tablet po at bedtime as needed for insomnia. disp:*30 tablet(s)* refills:*0* 11. outpatient lab work please check inr on and call dr. at ( with the results. discharge disposition: home with service facility: homecare discharge diagnosis: 1. anterior wall stemi 2. oxygenation "set-up" from left atrium to pulmonary artery on catherization. no asd on echo. 3. new onset atrial fibrillation 4. hematuria 5. urinary retention, resolved 6. history of prostate cancer 7. discharge condition: stable and improved discharge instructions: 1. take all medications as outlined below. do not stop taking plavix unless instructed to by a cardiologist. 2. follow up with urology as instructed below. 3. do not take any medication containing diphenhydramine (benadryl) as it may make your urinary retention worse. you can try to use trazadone for insomnia. 4. call your doctor or return to ed should you develop chest pain, difficulty breathing, palpitations, or other concerning symptoms. 5. you have been started on a blood thinner called coumadin. you will need to have frequent blood draws to monitor the level. dr. will instruct you on changing the dose of coumadin with each blood draw. followup instructions: 1. you have an appointment scheduled with dr. in urology for wednesday, at 3:00 pm. please call if you need to reschedule. 2. provider: , m.d. where: neurology phone: date/time: 12:00 3. please call dr. in cardiology at ( by the end of this week to schedule a follow up appointment. md, procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery atrial fibrillation personal history of malignant neoplasm of prostate other and unspecified hyperlipidemia myasthenia gravis without (acute) exacerbation 

Answer: The patient is high likely exposed to