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 catheterization history of present illness: 70 year old male with history of cva, rheumatoid arthritis presented to osh with chest pain. patient states around 1 p.m. he was sitting down watching his grandchildren when he noticed jaw pain followed by band-like chest pressure. symtpoms went away after one hour. pain returned a couple of hours later while he was sitting watching television and he went up to bed.on ekg, st elevation inferiorly and laterally with st depressions in v1-2 and slight depressions in i, avl. he was tranferred to for urgent cardiac catheterization. past medical history: h/o seizure (only one) rheumatoid arthritis social history: lives with wife. 3 children and 6 grandchildren. former 20 pack-year tobacco quit in 's. no etoh. family history: brother died of mi at 62 physical exam: 96.1f hr 110 bp 153/88 rr 15 96%/2l n.c. gen: aox3, lying flat, nad heent: mmm cv: s1, s2, regular, tachycardic, no mrg pulm: cta-anteriorly abd: (+) bs, soft, obese, nontender ext: wwp, 3+ dp pulses b/l right groin: dsg intact with some red blood, no bruit left groin: no femoral bruit pertinent results: labs on admit: wbc 11.5*, hgb 14.6, hct 40.9, mcv 86, plt 224 na 137, k 3.9, cl 106, hco3 18, bun 16, cr 0.9, glu 137, mg 1.8 chol 151, triglyc 31, hdl 64, chol/hd 2.4, ldl 81 alt 53*, ast 134* abg: 7.49/27/161 . cardiac enzymes: studies at osh: ck 125 mb 4 trop 0.03 03:14am blood ck(cpk)-1674* ck-mb-150* mb indx-9.0* ctropnt-2.12* 12:50pm blood ck(cpk)-2484* ck-mb-222* mb indx-8.9* ctropnt-9.34* 07:10pm blood ck(cpk)-1798* ck-mb-108* mb indx-6.0 . labs on discharge: wbc 7.4, hgb 14.1, hct 38.5, mcv 87, plt 194 pt 12.3, ptt 24.0, inr 1.1 na 141, k 4.0, cl 105, hco3 26, bun 17, cr 1.1, glu 108, mg 2.0 . imaging: ekg : nsr hr 90, nl axis, nl intervals, st elevation iii>ii, avf, v5-v6. st depressions v1-v2 and slight depressions i, avl. . cath : lmca 60% mid, on re-look was cypher stented 3 x 13 rca mild dz lcx subtotal distal occlusion lad mild diffuse dz c.o. 5.75 c.i. 3.08 pa 45/14 pcwp 12 rv 36/6 (end 7) . echo : 1. the left atrium is mildly dilated. the left atrium is elongated. the right atrium is moderately dilated. 2. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. there is mild regional left ventricular systolic dysfunction. overall left ventricular systolic function is mildly depressed. resting regional wall motion abnormalities include inferior wall hypokinesis. 3.right ventricular chamber size and free wall motion are normal. 4.the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. no aortic regurgitation is seen. 5.the mitral valve leaflets are mildly thickened. no mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. 6.there is no pericardial effusion. . brief hospital course: 69yo m with h/o cva and rheumatoid arthritis, presented to osh w/ cp, found to have anterior stemi and is now s/p l main and l cx stents. . # cv: * ischemia: mr. went straight to the cath lab where a was placed to mid lmca and distal lcx. he tolerated the procedure well and was continued on integrillin until 18 hours post-cath. his cardiac enzymes were cycled until they began to trend down (peaked at ck 2484, ck-mb 222, trop 9.34). he was started on asa, plavix (dose of 150mg po qd due to location of stent), beta-blocker, and a statin. an ace-inhibitor was attempted, but he dropped his sbp to the 60s w/ the addition of 6.25mg of captopril, so his ace-i and his beta-blocker were held until his bp improved. he was then restarted on metoprolol 12.5mg po bid, and increased to 25mg po bid. on discharge, he was started on toprol xl 50mg qd. he was informed that he will need a re-look catheterization to evaluate his l main stent in 4 months. * pump: on cath, he had an elevated wedge pressure and his echo confirmed that he had a mildly depressed ef (45%) and some lv hypokinesis. he was diuresed with lasix and had a good response. his i/o goals were to be net negative 500 to 1l. he did not need any further lasix, and w/ his ef of 45%, it was felt that he did not need a daily diuretic. he was also given captopril 6.5mg po tid, but his bp would not tolerate it (dropped his sbp to the 60s), so it was held. if he needs further bp control as an outpatient, an ace-i could be tried again for its dual effect of bp control and cardiac remodeling. * rhythm: mr. had accelerated idioventricular rhythm post-catheterization, but then came back into nsr. he continued to be monitored on telemetry and had no further arrhythmias. . # anemia: hct on admission was 40.9 and dropped to 35.4 during his stay. his hct was back up to 38.5 by discharge, without any transfusions. his mcv was normal, so it was felt that his anemia was most likely dilutional and/or blood loss from the cath. . # rheumatoid arthritis: mr. is on mtx and prednisone as an outpatient. he was continued on his home dose of prednisone, but his mtx was held as he does not know his regular mtx dose. . # ppx: he was on heparin sc for dvt ppx until he was able to ambulate w/ pt. he was given a bowel and pain regimen prn as well. . # fen: his fluid goal was to be even to net negative daily. he followed a low salt, cardiac diet. . # communication: with wife and hcp . # dispo: to home, with plans for him to pursue outpatient cardiac rehabilitation. . medications on admission: methotrexate (possibly 12.5 mg weekly) prednisone 2.5 mg po qday 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. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. 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* 4. prednisone 5 mg tablet sig: 0.5 tablet po daily (daily). 5. clopidogrel 75 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. 7. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 8. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for fever, pain. 9. methotrexate 2.5 mg tablet sig: five (5) tablet po once a week. 10. metoprolol succinate 50 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day. disp:*30 tablet sustained release 24hr(s)* refills:*2* discharge disposition: home discharge diagnosis: cornoary artery disease -- posterolateral wall stemi -- des to distal lcx and lmca rheumatoid arthririts discharge condition: good. afebrile. discharge instructions: 1. please call your pcp or go to the nearest er if you develop any of the following symptoms: fever, chills, dizziness, lightheadedness, headaches, chest pain, shortness of breath, palpitations, abdominal pain, nausea, vomiting, diarrhea, leg pain, leg swelling, numbness, tingling or any other worrisome symptoms. 2. please take all your medications as prescribed. you have been started on several new medications, including plavix (blood thinner), toprol xl (a beta-blocker), and lipitor (a cholesterol lowering medication). ask your primary care physician to start low dose for additional coronary artery disease management. followup instructions: 1. please follow-up with your pcp, . , in weeks. he will likely want to follow-up with you as you are on two medications which can affect your liver and your lfts should be monitored. 2. dr. office will contact you in to schedule a repeat cardiac catheterization in mid- to make sure that your stents are working properly. 3. follow up with cardiology clinic at , provider: , .d. phone: date/time: 1:30 procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor 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 two vessels diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery acute myocardial infarction of other inferior wall, initial episode of care rheumatoid arthritis 

Answer: The patient is high likely exposed to