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 : 2 cypher stents to the right coronary artery history of present illness: the patient is a 40 year old male with a history of 2 ppd x 20 years tobacco history and a family history of heart disease who presented to this afternoon after having substernal chest pressure around 2 pm after shoveling snow today around 12:30-1 pm. the patient returned indoors and felt substernal chest pressure associated with diaphoresis, shortness of breath and left arm radiation with tightness radiating to the area between his clavicles in his back. he reports no prior history of chest pain. he was taken to where his ekg showed 1- elevations in ii, iii and avf, normal axis and elevation in v3 with inverted t waves in i, avl with no prior ekg for comparison. right-sided ekg showed persistent ii, iii and avf st elevations with v2-v6, twi i and avl. his ck was 105. at , he was placed on a nitro drip, heparin gtt, integrillin and given iv morphine and aspirin. his sbp was 123/90 with a pulse of 58. he was transferred to bimc for cardiac catheterization. his cath on showed: right-dominant system lmca normal lad mild disease without lesions lcx non-dominant vessel with lesions rca dominant with mid-segment 99% lesion with evident thrombus ra 19 pcw 31 pa 40 co 7 ci 3 cypher x 2 to rca placed past medical history: 2 ppd x 20 years tobacco history h/o hernia repair herniated disc in upper spine (on disability) no social history: the patient is currently on disability. he formerly worked in a warehouse doing heavy lifting when he herniated a disc in his upper spine and is now on disability. he smokes 2 ppd x 20 years. he also drinks 6-7 beers/week. he denies any illicit drug use. family history: father - deceased from mi at age 44 paternal father - mi at age 55 mother - , mi x 2 11 brothers and 3 sisters - no major medical problems physical exam: tc = 97.3 p=74 bp=159/100 rr=16 99% o2 on 2liters nc gen - nad, aox3, heavy-set male heent - perla, eomi, no jvd, no carotid bruits bilaterally heart - rrr, soft holosystolic murmur grade ii/vi at rusb lungs - ctab (anteriorly) abdomen - soft, nt, nd no hepatosplenomegaly, + bs ext - right groin oozing from venous catheter site, +2 d. pedis bilaterally, no c/c/e pertinent results: echo study date of conclusions: the left atrium is normal in size. left ventricular wall thickness and cavity size are normal. there is probably mild basal inferior wall hypokinesis with overall preserved lv ejection fraction (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. there is no aortic valve stenosis. the mitral valve appears structurally normal with trivial mitral regurgitation. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. impression: mild regional lv hypokinesis with preserved overall lvef c/w cad. c.cath study date of comments: 1. coronary angiography of this right dominant system revealed severe single vessel coronary artery disease. the left main coronary artery had no angiographically apparent flow limiting stenoses. the lad had mild luminal irregularities. the lcx was a non-dominant vessel without lesions. the rca was a dominant vessel with a 99% stenosis in the mid vessel with evidence of thrombus. 2. resting hemodynamics were performed. right sided pressures were severely elevated (mean ra pressure was 18 mm hg). pulmonary artery pressures were moderately elevated (pa pressure was 50/29 mm hg). left sided filling pressures were markedly elevated (mean pcw pressure was 29 mm hg). central arterial pressures were moderately elevated (aortic pressure was 161/104 mm hg). cardiac index was normal (at 3.2 l/min/m2). 3. successful pci of the rca with two overlapping cypher des (3.5 x 8 mm and 3.0 x 23 mm). final diagnosis: 1. one vessel coronary artery disease. 2. severely elevated left and right sided filling pressures. 3. successful primary pci of the rca with two drug-eluting stents for an acute inferior myocardial infarction. 07:52pm glucose-121* urea n-9 creat-0.9 sodium-140 potassium-4.6 chloride-102 total co2-30* anion gap-13 07:52pm alt(sgpt)-142* ast(sgot)-107* ld(ldh)-319* alk phos-82 amylase-48 tot bili-0.7 07:52pm lipase-29 07:52pm albumin-4.2 calcium-8.8 phosphate-2.4* magnesium-2.1 cholest-228* 07:52pm %hba1c-5.7 07:52pm triglycer-114 hdl chol-42 chol/hdl-5.4 ldl(calc)-163* 07:52pm wbc-11.9* rbc-5.34 hgb-16.5 hct-48.8 mcv-91 mch-30.8 mchc-33.7 rdw-13.3 07:52pm plt count-254 07:52pm pt-12.7 ptt-29.1 inr(pt)-1.0 06:31pm type-art po2-303* pco2-56* ph-7.28* total co2-27 base xs--1 intubated-not intuba 06:31pm hgb-16.8 calchct-50 o2 sat-96 brief hospital course: the patient is a 40 year old male with a history of heavy tobacco use, family history of cad who presented with inferior mi s/p rca stent x 2 1. cad - the patient had a cypher stent placed to the right coronary artery with no further events. he had a few isolated episodes of nsvt post-cath attributed to reperfusion. - the patient was continued on aspirin and must take plavix for the next 9 months. he was placed on a statin with close monitoring of his lfts which were slightly elevated on presentation given his history of etoh use. he was titrated up to toprol xl 50 mg and lisinopril 5 mg. 2. htn - the patient originally felt a little dizzy and lightheaded with lopressor 25 mg tid with systolic blood pressures in the 90s. therefore, he was changed to toprol xl 50 mg without difficulty. he was also titrated to lisinopril 5 mg. 3. chf - the patient had a pawp of 31 in the cath lab. his cxr showed no evidence of chf. he was given lasix 20 iv x 2 total and auto-diuresed on his own, remaining euvolemic throughout the rest of his stay. - he had an echocardiogram which showed an ef of 55-60% with hypokinesis of the inferior wall. an echocardiogram should be repeated in 4 weeks post-mi to re-evaluate any residual wall motion abnormality. 4. smoking cessation - the patient was encouraged to quit smoking. he has tried the nicotine patch and gum in the past without success. we discussed the possibility of wellbutrin, however, given his alcohol consumption, we felt it may be a risk in lowering his seizure threshold. the patient was encouraged to join group tobacco cessation therapy but he appeared hesitant. he will try to quit tobacco on his own but admits there is temptation given that most of the people he lives with at home smoke. medications on admission: aspirin discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*9* 3. atorvastatin calcium 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. metoprolol succinate 50 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). disp:*30 tablet sustained release 24hr(s)* refills:*2* 5. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: st elevation inferior myocardial infarction premature coronary artery disease discharge condition: stable. discharge instructions: you must take your plavix every day for the next 9 months. failure to do so may result in another heart attack or even death. please call 911 or return to the er if you experience any more chest pain. followup instructions: please call to schedule an appointment with your primary care physician weeks. you should have liver function tests drawn at this time. you will need to follow up with a cardiologist in 4 weeks. you may have a repeat echo at this time to evaluate the function of your heart. procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor angiocardiography of right heart structures insertion of drug-eluting coronary artery stent(s) diagnoses: coronary atherosclerosis of native coronary artery tobacco use disorder paroxysmal ventricular tachycardia acute myocardial infarction of other inferior wall, initial episode of care examination of participant in clinical trial 

Answer: The patient is high likely exposed to