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: demerol attending: chief complaint: chest pain major surgical or invasive procedure: cardiac cath with placement of des in mid-lad history of present illness: pt is a 51 yo male with history of dm, htn, hypercholesterolemia who awoke this am with sscp. pt was camping in when he awoke at 4am due to sscp/discomfort. he felt tightness in chest rated as with radiation to his left arm. he also noted mild lh and severe diaphoresis. prior to this he has been feeling well and was quite active. he went directly to an outside hospital where he was noted to have stemi. he was given asa, plavix, heparin gtt, intergrillin gtt, nitro, morphine, lopressor and transferrerd to for cardiac cath. . in the cath lab he was noted to have a right dominant system. mid lad that was stented with cypher stent. also noted to have lcx lesion of 70% and rca of 70% both not intervened upon. currently he is chest pain free, without any other complaints. . ros: denies any fevers, chills, nausea, vomiting. no visual changes, ha. no sob, pnd, orthopnea. no abd pain, constipation, diarrhea, melena. no difficulties urinating. no le edema. past medical history: - type 2 dm - htn - hypercholesterolemia - ruptured vertebral disc social history: lives with wife, no children. works as a landscaper. denies any tobacco use. occasional etoh use. no illicit drug use. family history: father with early mi's in 40's and died of sudden cardiac death at age 61. mother passed away in late 80's. physical exam: t 96.9 bp 153/86 hr 88 rr 16 o2sats 100% 2l gen: well appearing male in nad heent: perrl, eomi, anicteric, mmm, tongue slightly elevated on left side, uvula midline neck: no jvd lungs: ctab heart: rrr no m/r/g abd: soft, nt, nd, normoactive bs ext: no edema, 2+ dp/pt bilaterally, right groin accessed with in place neuro: a&o times 3, grossly intact pertinent results: 02:53pm glucose-418* urea n-36* creat-1.5* sodium-130* potassium-4.6 chloride-97 total co2-23 anion gap-15 02:53pm ck(cpk)-3428* 02:53pm ck-mb-231* mb indx-6.7* ctropnt-17.76* 02:53pm calcium-8.6 phosphate-3.9 magnesium-2.0 02:53pm wbc-10.8 rbc-4.18* hgb-12.7* hct-34.3* mcv-82 mch-30.4 mchc-36.9* rdw-13.2 02:53pm plt count-237 02:53pm urine color-straw appear-clear sp -1.027 02:53pm urine blood-lg nitrite-neg protein-30 glucose-1000 ketone-15 bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 07:30am glucose-447* urea n-34* creat-1.3* sodium-132* potassium-4.8 chloride-97 total co2-20* anion gap-20 07:30am ck(cpk)-1005* 07:30am ck-mb-45* mb indx-4.5 07:30am wbc-10.2 rbc-4.24* hgb-12.9* hct-35.3* mcv-83 mch-30.4 mchc-36.5* rdw-13.3 07:30am plt count-272 07:30am pt-11.2 inr(pt)-0.9 . ecg study date of 7:37:50 am sinus rhythm. st segment elevation in leads i and avl, st segment depression in leads ii, iii and avf, st segment elevation in leads vi-v6 with associated loss of anterior forces in leads vi-v3. deep q waves in lead v3. these findings are consistent with acute anteroseptal and lateral myocardial infarction. followup and clinical correlation are suggested. no previous tracing available for comparison. . rate pr qrs qt/qtc p qrs t 78 152 108 378/411 64 43 13 . c.cath study date of comments: 1. selective coronary angiography of this right dominant system demonstrated a three vessel coronary disease. the lmca had a 20% ostial occlusion. the lad was totally occluded with a visible clot in its mid portion after the take off of the diagonal branch, and was the culprit vessel. the lcx had an anomalous origin from the right coronary cusp and had a 70% non flow limiting stenosis proximally. the rca had a 50% mid and a 70% distal chronic occlusions. 2. resting hemodynamics revealed elevated left sided filling pressures with a mean pcwp of 24 mm hg. the cardiac index was preserved at 3.28 l/min/m2. 3. left ventriculography was deferred. 4. the mid lad occlusion/lesion was predilated with a 2.0 balloon and stented with a stent 2.5 with lesion reduction to 0%. the final angiogram showed timi iii flow with no residual stenosis, no dissection and no embolisation. (see ptca comments) . final diagnosis: 1. three vessel coronary artery disease. 2. to of mid lad felt to be the culprit of this anterior stemi. 3. elevated left sided filling pressures; preserved ci. 4. successful stenting of the lad (drug eluting) . echo study date of the left atrium is normal in size. left ventricular wall thicknesses and cavity size are normal. there is mild-moderate regional left ventricular systolic dysfunction with severe hypokinesis of the distal half of the anterior septum and anterior walls. the apex is also severely hypokinetic. no masses or thrombi are seen in the left ventricle. right ventricular chamber size and free wall motion are normal. the ascending aorta and arch are 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. mild (1+) mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is a trivial/physiologic pericardial effusion. . impression: regional left ventricular systolic dysfunction c/w coronary artery disease (mid-lad lesion). brief hospital course: a/p pt is a 51 yo male who presents with stemi s/p stenting of lad. . # pt with history of dm, htn, hypercholesterolemia, family histroy of mi presents with anteriorlateral stemi. s/p cath with stenting of mid-lad. also has disease in the lcx and rca. currently chets pain free. -- integrillin d/c'd -- plavix 75mg qday -- asa 325mg qday -- switch to toprol 50 qday starting , hold acei for renal impairment, consider lisinopril in future -- tele, daily ekgs -- echo to assess cardiac function -- will likely need stress test as outpatient to assess lcx and rca lesion if clinically significant -- high dose stain elevated lfts c/w acute mi -- groin cath site stable -- rec cardiac rehab . # dm- on oral hypoglycemics. sugars continued to run high. started on insulin gtt with good result. -- pt evaluated by clinic for persistently elevated blood glucose, dc'd metformin, , glipizide and placed on humalog before meals and lantus 25 units at bedtime -- hga1c 13.3 . # htn- titrate bb and acei as tolerates -- bp normotensive . # hypercholesterolemia- high dose statin. check lipids and lft's. . # fen- cardiac diet . # dispo pt will have close followup with clinic and cardiology, dr. . provided diabetes education and insulin administration instructions. medications on admission: per patient unclear and does not know dosages- , lipitor, hctz, and another bp med. called his pharmacy which gave following meds- metformin 500mg , lisinopril 10mg qday, tricor 145mg 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. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. fenofibrate micronized 145 mg tablet sig: one (1) tablet po daily (). disp:*30 tablet(s)* refills:*2* 6. toprol xl 50 mg tablet sustained release 24hr sig: 1.5 tablet sustained release 24hrs po once a day. disp:*45 tablet sustained release 24hr(s)* refills:*2* 7. insulin glargine 100 unit/ml solution sig: one (1) 28 units subcutaneous at bedtime. disp:*10 100unit/ml vials* refills:*2* 8. humalog 100 unit/ml solution sig: one (1) 10 units subcutaneous three times a day: please administer prior to meals as instructed. disp:*10 100 unit/ml vials* refills:*2* 9. equipment lancets for one touch ultra machine please dispense 100 lancets refills: 3. 10. insulin syringe ultrafine ml 29 x syringe sig: one (1) syringe miscell. three times a day: please use as instructed. disp:*200 syringe* refills:*2* discharge disposition: home discharge diagnosis: primary: stemi. secondary: diabetes. htn. hyperlipidemia. discharge condition: good. stable on new medication regimen, sympton free, no events on tele. discharge instructions: during this admission you have been treated for a heart attack (myocardial infarction). your medications have been adjusted. please continue to take all medications as prescribed. it is imperative that you continue to take plavix until you are told to stop by a cardiologist. if you develop any chest pain or pressure, shortness of breath, palpatations, or any other symptom that is concerning to you, please seek immediate medical care. . please administer your sliding scale insulin according to the chart provided for you. followup instructions: cardiology appointment on you will see dr. for a follow up to assess your heart because you may need another catheterization, phone . . diabetes on at 2pm, dr. clinic to help you manage your diabetes better, (. furthermore you can call the clinic at with questions regarding your blood sugars. . primary care internal medicine provider: , md phone: date/time: 2:00 procedure: coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor left heart cardiac catheterization insertion of drug-eluting coronary artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute myocardial infarction of anterolateral wall, initial episode of care family history of ischemic heart disease 

Answer: The patient is high likely exposed to