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: oxacillin attending: chief complaint: sudden onset of chest pain major surgical or invasive procedure: cardiac catheterization with 2 stents placed in rca history of present illness: 87 y/o with history of htn, atrial fibrillation, and hyperlipidemia presents with sudden onset of cp at 2am . it radiated to his neck and back. no dyspnea, diaphoresis at osh. he was found to have inferior st elevations and complete heart block w/bp 96/53, hr=43, rv4 w/st elev. he was sent to w/transcutaneous pacing, started on hep gtt, integrilin, asa, mso4, guiac - by ed note. received 2.5l ivf. in cath lab, he was found to have rca totally occluded in mid section w/prox stenosis as well, and a tight om1. rca got 2 heparin coated stents w/good result. pressures: ra=16, pa=42/24, pcwp=24, pa sat=49%. he also got atropine in cath lab on presentation. currently asymptomatic. past medical history: 1.htn 2. af 3. pvd (mra ble showed 90% stenosis of superficial femoral artery on right, 70-80% stenosis of prox popiteal artery on left, severe stenosis of right ant tibial artery and occlusion of bilat peroneal arteries) 4. copd 5. blind in r eye chol emboli 6. hypercholesterolemia 7. cn 6 paralysis 8. gib with egd showing 2 small duodenal ulcers, prior gastric ulcer 9. depression 10. cervical laminectomy social history: lives alone in independent living facility. smoked for 15 years, but stopped 40 years ago. family history: not known to be contributory physical exam: bp=101/42, hr=69, rr=20, 99% on 4lnc. gen: elderly, alert, oriented, lying flat comfortably. heent: eomi, perrla, dilated equally, mm dry neck:no bruits, no lad cv:distant heart sounds, rrr, nl s1,s2. no mrg, no carotid bruits. chest:bibasilar rales anteriorly and laterally. abdomen:nt/nd, nabs, no organomegaly, soft ext:no edema, cyanosis, clubbing, dp pulses are dopplerable. pertinent results: 10:45am blood wbc-7.3 rbc-3.80* hgb-11.4*# hct-35.2* mcv-93 mch-30.0 mchc-32.4 rdw-14.0 plt ct-166 05:06pm blood hct-33.7* plt ct-169 01:00am blood hct-33.8* 06:30pm blood wbc-7.7 rbc-3.85* hgb-11.8* hct-35.2* mcv-91 mch-30.6 mchc-33.4 rdw-14.0 plt ct-148* 05:40am blood wbc-6.3 rbc-3.55* hgb-10.7* hct-32.9* mcv-93 mch-30.3 mchc-32.6 rdw-13.9 plt ct-176 10:45am blood neuts-85.9* lymphs-9.8* monos-3.5 eos-0.5 baso-0.4 05:40am blood plt ct-176 10:45am blood pt-13.7* ptt-33.5 inr(pt)-1.2 10:45am blood glucose-119* urean-35* creat-1.7* na-141 k-4.8 cl-111* hco3-24 angap-11 05:06pm blood k-3.8 01:00am blood glucose-130* urean-29* creat-1.6* na-139 k-4.1 cl-106 hco3-24 angap-13 06:30pm blood glucose-168* urean-32* creat-1.7* na-141 k-4.0 cl-106 hco3-24 angap-15 05:40am blood glucose-98 urean-34* creat-1.8* na-142 k-4.4 cl-108 hco3-24 angap-14 06:30pm blood alt-50* ast-92* alkphos-114 totbili-0.4 10:45am blood ck(cpk)-697* 05:06pm blood ck(cpk)-1443* 01:00am blood alt-58* ast-223* ck(cpk)-1345* alkphos-104 totbili-0.5 10:45am blood ck-mb-124* mb indx-17.8* ctropnt-2.27* 05:06pm blood ck-mb-225* mb indx-15.6* 01:00am blood ck-mb-170* mb indx-12.6* 10:45am blood calcium-8.3* phos-3.3 mg-1.9 cholest-131 01:00am blood calcium-8.0* phos-2.9 mg-1.9 05:40am blood mg-2.2 10:45am blood triglyc-61 hdl-47 chol/hd-2.8 ldlcalc-72 06:30pm blood tsh-2.8 cardiac cath: comments: 1. selective coronary angiography revealed a right-dominant system with 3-vessel coronary disease. the lmca was a short vessel with no angiographically apparent disease. the lad was heavily calcified and diffusely diseased in the mid-vessel up to 70%. the lcx was diffusely diseased in the mid-vessel with a long lesion up to 80%. a large om1 branch had a 50-60% proximal stenosis. the rca was calcified with a total occlusion in the proximal vessel. 2. resting hemodynamics revealed moderately elevated right- and left-sided filling pressures (mean ra 16 mmhg, mean pcw 22 mmhg). there was moderate pulmonary artery hypertension (mean pa 32 mmhg). the cardiac index was severely depressed at 1.6 l/min/m2. 3. the patient entered the lab in complete heart block with an escape rate of 40 bpm. a 5 french temporary pacing wire was placed in the right ventricle with successful capture and pacing at 60 bpm. the patient's heart block resolved and the pacing wire was was removed at the end of the case. 4. successful stenting of the mid rca was performed with overlapping 3.0 x 18 mm and 3.5 x 18 mm hepacoat stents. 5. successful closure of the right groin was performed with a 6fr angioseal device. final diagnosis: 1. three vessel coronary artery disease. 2. elevated filling pressures. 3. acute inferior mi, terminated by primary pci. 4. angioseal of the groin. echo: conclusions: the left atrium is normal in size. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. resting regional wall motion abnormalities include inferior akinesis and inferolateral hypokinesis. the right ventricular cavity is dilated. right ventricular free wall is not fully visualized but systolic function appears depressed. the aortic root is moderately dilated. the aortic valve leaflets are mildly thickened. there is no aortic valve stenosis. mild (1+) aortic regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. compared with the findings of the prior study (tape reviewed) of , regional wall motion abnormality is new and estimated pulmonary artery systolic pressure is now higher. cxr: impression: 1. patchy right lower lobe opacity, likely represent atelectasis. 2. the previously described hazy opacity overlying the right hemithorax is less apparent on the current study. 3. small left pleural effusions. 4. emphysema. brief hospital course: mr was admitted from the cath lab after stenting of his rca to treat his st elevation inferior mi and complete heart block. he recovered well from his mi and heart block and was discharged to acute rehab due to deconditioning and recent issues with falling/loss of balance. problems addressed included: 1. cad: initially was transcutaneously paced before cath. did not require pacing afterwards. his mi was inferior and appears to involve the rv. he was initially given asa, plavix, and 18 hours of integrilin. his lipitor was increased to 80 mg qd. he was slowly started on an ace-i as his bp would tolerate. a beta-blocker was then added and increased to his current dose of metoprolol 25 mg . he tolerated these well. no additional chest pain during the admission. his enzymes were cycled, and his ck peaked at 1443. 2. pump issues: he had an echo which showed an ef=45-50%, with some akinetic areas. his ace-i was continued for afterload reduction. it was decided not to anticoagulate him due to recent history of large gib. he had problem maintaining his bp during admission. 3.ep/cardiac rhythm: he initially had a prolonged pr interval and rbbb. also has h/o a fib. again, was decided that we would not restart coumadin due to gib risk. he developed both frequent nsvt and went into a fib while here. he was started on amiodarone (loading with 400 x7d, then 400 qd x7d, then 200 qd ongoing)and kept on his b-blocker. this will address both arrhythmias effectively in someone who is not likely a candidate for an icd if the nsvt continues. baseline lfts and tfts were obtained prior to amio. he will need close follow-up of this nsvt to determine effectiveness of amiodarone. it was asymptomatic while he was here. he will have a holter monitor for 24 hours in several weeks after his amio load is complete, and will then follow-up with ep to have this reevaluated and further treatment prescribed. 4. cri: he has cri of unknown etiology. his cr was high, but stable in 1.7 range. it was followed closely as was his uop, which remained adequate. his flomax and detrol were also continued. 5. copd: he had some wheezing during admission. he was also on o2 for much of the time, with reported sob when he got up without it. he responded well to prn albuterol and atrovent mdis. on discharge, he was maintaining adequate o2 sats off of o2 and his wheezing was absent most of the time. he was sent out on atrovent mdi for this. 6. ? lung infiltrate: a "hazy opacity" was initially seen on portable cxr. repeat pa/lateral reported that the "previously described hazy opacity overlying r hemithorax was now less apparent". this will need to be followed with a repeat pa/lateral as an outpatient in 1 month to determine significance and whether it needs to be further worked up. no cough. 7. he was discharged to rehab for acute conditioning. he has also been having increased number of falls and reports feeling unsteady when walking. this can be addressed at rehab. does not sound like an acute event (stroke), but rather a chronically progressive issue for him. 8.follow-up: needs to be seen for a follow-up cxr in about 1 month to evaluate his "hazy opacity" for changes. also needs to follow-up with ep to evaluate his improvement after a full amiodarone load. we will try to schedule a holter monitor for a few days before this visit (after full load complete) so they have information about his current rhythm. medications on admission: 1.coumadin 4 mg qd 2. zoloft 150 qd 3. norvasc 5 qd 4. cozaar 25 qd 5. lipitor 40 qd 6. flomax 4 qd 7. detrol 4 qd 8. vioxx 25 qd 9. combivent 2 puffs qid discharge medications: 1. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po qd (once a day). 2. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po qd (once a day). 3. atorvastatin calcium 40 mg tablet sig: two (2) tablet po qd (once a day). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 6. sertraline hcl 50 mg tablet sig: three (3) tablet po qd (once a day). 7. tolterodine tartrate 2 mg tablet sig: one (1) tablet po qd (once a day). 8. tamsulosin hcl 0.4 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po hs (at bedtime). 9. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 10. polyvinyl alcohol 1.4 % drops sig: 1-2 drops ophthalmic prn (as needed). 11. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 12. lisinopril 5 mg tablet sig: one (1) tablet po qd (once a day). 13. amiodarone hcl 200 mg tablet sig: as directed tablet po as directed: take 400 mg twice a day for 5 days, then take 400 mg/day for 7 days, then take 200 mg/day ongoing. 14. atrovent 18 mcg/actuation aerosol sig: 1-2 puffs inhalation four times a day. discharge disposition: extended care facility: of discharge diagnosis: 1.inferior st elevation myocardial infarction 2.atrial fibrillation 3.copd 4.chronic renal insuffciency 5.gi bleed discharge condition: pt was stable without any chest pain.he did have some sob with activity and some unsteadiness when attempting to walk.eating well and no issues with cognition. discharge instructions: please call your doctor or return to the hospital if you experience new chest pain or shortness of breath. several new medications were started. please take notice of these. most importantly, do not stop your plavix medication for at least 30 days as it is important for keeping your cardiac stents from becoming blocked. followup instructions: provider: , m.d. where: neurology phone: date/time: 4:00 department of cardiology: dr. - - at 11 am. - holter lab- - at 11am please schedule an appointment to follow-up with your pcp 1 week of discharge from rehab. you will need a repeat chest x-ray in weeks as described in your discharge summary. md, procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor insertion of temporary transvenous pacemaker system diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension chronic airway obstruction, not elsewhere classified atrial fibrillation paroxysmal ventricular tachycardia acute myocardial infarction of other inferior wall, initial episode of care unspecified disorder of kidney and ureter 

Answer: The patient is high likely exposed to