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: sulfa (sulfonamides) attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization with cypher stent to obtuse marginal artery history of present illness: pt is a 61 yo man, with risk factor of smoking cigarettes, no known cardiac disease, who developed chest pain associated with paraestesias and dizziness while out at dinner and was taken by ems to osh where he was found to have inferior-lateral mi stemi with cardiac enzymes of ck maximum 4000, was brought to where he was taken to cardiac catheterization lab and received a cypher stemt to his first obtuse marginal artery. no nausea/vomitting, no shortness of breath. past medical history: arthritis social history: limo driver, lives with mother in , term smoker. family history: unknown physical exam: t 98.0 bp 120's/70's hr 70's rr 14 99%ra no acute distress neck without jvd cardiac exam with rrr nl s1s2 no mrg lungs clear abdomen soft nt nd nabs ext wwp, no cce, 2+ distal pulses groin small ecchymosis, soft bruit pertinent results: 10:25pm pt-14.4* ptt-64.8* inr(pt)-1.3 10:31pm hgb-13.7* calchct-41 o2 sat-94 10:31pm glucose-133* k+-3.8 10:31pm type-art o2 flow-2 po2-85 pco2-42 ph-7.38 total co2-26 . . cardiac cath: comments: 1. selective coronary angiography showed a right dominant system with two vessel disease. the lmca was free of disease angiographically. the lad had a proximal 30% stenosis. the lcx was a non-dominant vessel. there was a large om1 which was occluded proximally. the rca had diffuse disease in the mid and distal portion with stenoses up to 60%. 2. limited hemodynamics revealed a normal pulmonaty artery pressure. the right and left sided filling pressures were mildly elevated. the cardiac output and index were borderline low. 3. successful ptca and stenting of om1 with a 3.0 x 18 mm cypher des. final angiography revealed no residual stenosis, no apparent dissection, and normal flow (see ptca comments). 4. successful angioseal of the right femoral arteriotomy. final diagnosis: 1. two vessel coronary artery disease. 2. acute inferiolateral myocardial infarction, managed by acute ptca. ptca of om1 with placement of a drug-eluting stent. 3. mild diastolic dysfunction. \ . . echo: measurements: left atrium - long axis dimension: *4.3 cm (nl <= 4.0 cm) left atrium - four chamber length: *5.3 cm (nl <= 5.2 cm) right atrium - four chamber length: *5.8 cm (nl <= 5.0 cm) left ventricle - septal wall thickness: *1.2 cm (nl 0.6 - 1.1 cm) left ventricle - inferolateral thickness: *1.2 cm (nl 0.6 - 1.1 cm) left ventricle - diastolic dimension: 5.0 cm (nl <= 5.6 cm) left ventricle - ejection fraction: 40% to 45% (nl >=55%) aorta - valve level: *3.8 cm (nl <= 3.6 cm) aorta - ascending: *3.6 cm (nl <= 3.4 cm) aortic valve - peak velocity: 1.3 m/sec (nl <= 2.0 m/sec) mitral valve - e wave: 1.0 m/sec mitral valve - a wave: 0.7 m/sec mitral valve - e/a ratio: 1.43 tr gradient (+ ra = pasp): *28 mm hg (nl <= 25 mm hg) interpretation: findings: left atrium: mild la enlargement. right atrium/interatrial septum: mildly dilated ra. left ventricle: mild symmetric lvh with normal cavity size. mild regional lv systolic dysfunction. no resting lvot gradient. lv wall motion: regional lv wall motion abnormalities include: basal inferior - hypo; mid inferior - hypo; basal inferolateral - hypo; mid inferolateral - hypo; right ventricle: normal rv chamber size and free wall motion. aorta: mildly dilated aortic root. mildly dilated ascending aorta. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: normal mitral valve leaflets. mild (1+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. mild pa systolic hypertension. pericardium: no pericardial effusion. general comments: suboptimal image quality - poor subcostal views. based on aha endocarditis prophylaxis recommendations, the echo findings indicate a low risk (prophylaxis not recommended). clinical decisions regarding the need for prophylaxis should be based on clinical and echocardiographic data. conclusions: the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is moderate regional left ventricular systolic dysfunction with near akinesis of the basal half of the inferior and inferolateral walls. the remaining segments contract well. right ventricular chamber size and free wall motion are normal. the aorrtic valve leaflets are thin/mobile. no aortic regurgitation is seen. the mitral valve leaflets are structurally normal. mild (1+) mitral regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. impression: mild symmetric left ventricular hypertrophy with regioal left ventricular systolic dysfunction c/w cad. mild mitral regurgitation most likey due to papillary muscle dysfunction. mildly dilated ascending aorta. based on aha endocarditis prophylaxis recommendations, the echo findings indicate a low risk (prophylaxis not recommended). clinical decisions regarding the need for prophylaxis should be based on clinical and echocardiographic data. . . post cath ekg: sinus rhythm. left axis deviation lateral t wave changes are nonspecific q waves in leads v5 - v6 - consider lateral wall myocardial infarction no change from previous brief hospital course: pt was admitted and went immediately to the catheterization lab where he reveived a cypher stent to om1. for additional hemodynamics please see catheter report included herein. ck max was in 4000. pt was pain free following catheterization. a soft bruit was heard at the access site and ultrasound revealed no pseudoaneurysm, no fistula, no hematoma. pt was started on beta blocker, ace inhibitor, lipitor, asa, plavix. echo two days post mi with ef 40-45% no akinesis. pt was discharged to follow up with dr. of and dr. of medical center. medications on admission: none 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:*0* 2. metoprolol tartrate 50 mg tablet sig: 0.25 tablet po bid (2 times a day). disp:*15 tablet(s)* refills:*0* 3. atorvastatin calcium 40 mg tablet sig: two (2) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po daily (daily) for 3 months. disp:*30 tablet(s)* refills:*2* 5. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). disp:*15 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: acute myocardial infarction discharge condition: stable discharge instructions: return to the emergency department immediately if you develop chest pain, shortness of breath, or dizziness. followup instructions: cardiology appointment: dr. . appointment at 10:00am but arrive at 9:30am for registration procedure: coronary arteriography using two catheters injection or infusion of platelet inhibitor angiocardiography of right heart structures angiocardiography of right heart structures insertion of drug-eluting coronary artery stent(s) diagnoses: coronary atherosclerosis of native coronary artery paroxysmal ventricular tachycardia acute myocardial infarction of inferolateral wall, initial episode of care 

Answer: The patient is high likely exposed to